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Abstract
Objective: the aim of this work was to systematically review the studies which assess the effects of shock wave therapy on diabetic foot ulcer. Methods: Systematic review of all published studies of all research designs except expert opinions. A search was made in Pub Med, Cochrane Library, PEDro, Ovid and Google Scholar; from the earliest data to 2015. Intervention: shock wave therapy programs performed by the physical therapist on patient with diabetic foot ulcer. Outcome measures: WSA, Healing time, Blood flow perfusion, pain and Immunohistochemical analysis. Results: Only six studies met the inclusion criteria. Meta analysis could be done for reduction of healing time in patient with diabetic foot ulcers treated with shock wave therapy that there is a significant difference between study group and control group, only three studies of meta analysis support effectiveness of shock wave on reduction in WSA and there is no significant difference between study and control groups and only two studies of meta analysis support effectiveness of shock wave on blood flow perfusion found that there is no significant difference between both study and control group. As according to this review there is no support enough to use shock wave for reduction of WSA and increase blood flow perfusion but shock wave has a great effect on reduction of healing time. Conclusion: The current review supports that there is significant difference in reduction of ulcers healing time when patient treated with shock wave therapy