Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database.
Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database.
复制标题
DOI：
10.1093/bmb/ldv047
复制
发表时间：
2015
影响因子：
6.7
通讯作者：
Furia JP
中科院分区：
文献类型：
--
作者：
Schmitz C;Császár NB;Milz S;Schieker M;Maffulli N;Rompe JD;Furia JP
体外冲击波治疗（ESWT）是肌腱和其他肌肉骨骼系统病变的一种有效且安全的非侵入性治疗选择。本系统评价使用的数据来自物理治疗证据数据库（PEDro， 2015年10月23日，最后访问日期）。ESWT有效且安全。ESWT的最佳治疗方案似乎是每隔一周进行三次治疗，每次治疗2000次脉冲，患者可以忍受的最高能量通量密度。将径向ESWT区分为“低能量ESWT”和将聚焦ESWT区分为“高能ESWT”是不正确的，应该放弃。在治疗结果方面，没有科学证据支持径向ESWT或聚焦ESWT。未来的随机对照试验应主要针对上述最佳治疗方案进行系统试验，并直接比较放射状和聚焦型ESWT。
Extracorporeal shock wave therapy (ESWT) is an effective and safe non-invasive treatment option for tendon and other pathologies of the musculoskeletal system. This systematic review used data derived from the Physiotherapy Evidence Database (PEDro; , 23 October 2015, date last accessed). ESWT is effective and safe. An optimum treatment protocol for ESWT appears to be three treatment sessions at 1-week intervals, with 2000 impulses per session and the highest energy flux density the patient can tolerate. The distinction between radial ESWT as ‘low-energy ESWT’ and focused ESWT as ‘high-energy ESWT’ is not correct and should be abandoned. There is no scientific evidence in favour of either radial ESWT or focused ESWT with respect to treatment outcome. Future randomized controlled trials should primarily address systematic tests of the aforementioned optimum treatment protocol and direct comparisons between radial and focused ESWT.