2型糖尿病患者慢性粘附性囊炎的体外冲击波疗法:2型糖尿病患者的系统性审查与元分析
Crystal Reno1, Paul A Swinton2, Lyndsay Alexander2,3
1Physiotherapy Department, National Health Service Grampian, Inverurie Health and Care Hub, Upperboat Road, Inverurie AB51 3UL, United Kingdom.
Physical therapy
|May 22, 2025
概括
身体外冲击波疗法 (ESWT) 有效地减少疼痛,改善运动范围和残疾在2型糖尿病患者的粘合性囊炎. 需要进一步的高质量研究来确认最佳的ESWT协议.
科学领域:
- 整形外科和运动医学
- 内分泌学和新陈代谢学
背景情况:
- 粘合性囊炎,通常被称为冷肩,显著影响肩部功能.
- 2型糖尿病与粘合性囊炎的风险和严重程度增加有关.
- 保守的管理往往为这种患者群体提供有限的缓解.
研究的目的:
- 系统地审查和元分析体外冲击波疗法 (ESWT) 治疗2型糖尿病患者粘性囊炎的有效性.
- 将ESWT结果与保守的治疗选择进行比较.
主要方法:
- 2012年至2023年间发表的研究的系统审查和元分析.
- 包括的研究集中在被诊断患有粘合性囊炎的2型糖尿病成年人身上.
- 对比体外冲击波疗法 (ESWT) 与保守管理的干预措施.
主要成果:
- 在接受ESWT的组中,元分析表明疼痛减轻 (5.7厘米),运动范围 (2.6°) 和残疾 (3.6分) 的显著改善.
- 与保守管理相比,ESWT在所有评估结果中都显示出更高的有效性.
- 研究的异质性和方法上的局限性,包括研究数量少和质量差,影响了对某些结果的信心.
结论:
- 身体外冲击波疗法 (ESWT) 在缓解疼痛和改善类型2糖尿病患者的肩部功能方面显示出有前途.
- 由于研究的局限性,应谨慎解释结果.
- 高质量的随机对照试验是必要的,以建立最佳的ESWT协议的剂量和持续时间.
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