Global trends in research on extracorporeal shock wave therapy (ESWT) from 2000 to 2021

Xinyu Zhang, Yuewen Ma, Xinyu Zhang, Yuewen Ma

Abstract

Background: This study intended to analyze the application of extracorporeal shock wave therapy in medicine and to evaluate the quality of related literature.

Methods: All publications were extracted from 2000 to 2021 from the Web of Science Core Collection (WoSCC). The literature characteristics were depicted by VOSviewer (version 1.6.15) and the online bibliometric website ( http://bibliometric.com/ ). The future trends and hotspots were conducted by Bibliographic Item Co-occurrence Matrix Builder (version 2.0) and gCLUTO software.

Results: We analyzed 1774 articles corresponding to the criteria for ESWT publications from 2000 to 2021. Most studies were conducted within the United States and China which besides have the most cooperation. The most published research institutions are Chang Gung University, Kaohsiung Chang Gung Memorial Hospital, and Kaohsiung Medical University. Six research hotspots were identified by keyword clustering analysis: Cluster0: The effects of ESWT on muscle spasticity; Cluster1: The application of ESWT in osteoarthritis (OA); Cluster2: Therapeutic effect of ESWT on tendon diseases; Cluster3: Early application of ESWT/ESWL in urolithiasis; Cluster4: The Role of angiogenesis in ESWT and the efficiency of ESWT for penile disease; Cluster5: The Special value of radial extracorporeal shock wave therapy (rESWT).

Conclusions: A comprehensive and systematic bibliometric analysis of ESWT was conducted in our study. We identified six ESWT-related research hotspots and predicted future research trends. With the gradual increase of research on ESWT, we find that ESWT is used more and more extensively, such in musculoskeletal disease, bone delay union, neurological injury, andrology disorders, lymphedema, and so on. In addition, the mechanism is not destructive damage, as initially thought, but a restorative treatment. Furthermore, delayed union, cellulite, burn, and diabetic foot ulcers may be the future direction of scientific study.

Keywords: Extracorporeal shock wave therapy (ESWT); Research hotspots; VOSviewer.

Conflict of interest statement

The authors declare no competing interest in this study.

© 2023. The Author(s).

Figures

Fig. 1
Fig. 1
Flowchart of data filtration processing and excluding publications
Fig. 2
Fig. 2
(A) Annual publication and citation number of the literature from 2000 to 2021. (B) The top ten categories’ distribution on ESWT
Fig. 3
Fig. 3
(A) The distribution of published publications by countries/regions in a world map. (B) The collaboration between two countries/regions. The size of each sector is proportional to the number of publications, while each line is directly proportional to the degree of scientific cooperation between the two countries
Fig. 4
Fig. 4
Co-authorship overlay visualization map of institutions. The size of each circle represents the number of publications of the related institution. The thickness of the line represents the closeness between two institutions. Dark blue and light blue dots stand for earlier, while orange and red dots stand for the last five years
Fig. 5
Fig. 5
Keywords co-occurrence overlay visualization map. The description is the same as in Fig. 4
Fig. 6
Fig. 6
The visualization mountain map. The volume of the hill is proportional to the intra-class similarity, and the height is proportional to the number of keywords contained within the cluster. The color of the mountain is related to the standard deviation within the class. Red means low standard deviation, and blue means high standard deviation
Fig. 7
Fig. 7
The visualization matrix map. The colors represent the values in the original data matrix. While white symbolizes near-zero values, a deepening red implies larger values

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