高强度激光疗法与外体冲击波疗法用于足炎:系统性审查和元分析
Pei-Ching Wu1,2,3, Dung-Huan Liu3,4,5,6, Yang-Shao Cheng5,7
1Department of Chinese Medicine, China Medical University Hospital, Taichung City 404327, Taiwan.
Bioengineering (Basel, Switzerland)
|January 28, 2026
概括
高强度激光疗法 (HILT) 和体外冲击波疗法 (ESWT) 显示出类似的疼痛缓解,用于脚膜炎. 在短期到中期,ESWT可能会带来轻微的功能益处,但需要更多的研究.
科学领域:
- 肌肉骨系统疾病 肌肉骨系统疾病
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
背景情况:
- 脚下带炎是导致脚后跟疼痛和运动能力下降的常见原因.
- 高强度激光疗法 (HILT) 和体外冲击波疗法 (ESWT) 都用于脚部带炎治疗.
- 关于HILT与ESWT在脚筋炎的疗效的直接比较证据有限.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT),比较HILT和ESWT用于脚部带炎.
- 评估HILT和ESWT对疼痛强度和足部功能的比较影响.
主要方法:
- 搜索了主要数据库 (PubMed,Cochrane,EMBASE,Scopus) 的相关RCT,直到2025年7月.
- 使用PEDro尺度提取数据并评估研究质量;使用GRADE评估证据确定性.
- 使用标准化平均差异 (SMD) 和随机效应模型进行了元分析,通过I2测试评估异质性.
主要成果:
- 包括5个涉及236名参与者的RCT.
- 在任何随访中,HILT和ESWT之间没有发现疼痛减轻 (VAS) 的显著差异.
- 经过灵敏度分析,ESWT在足功能 (FFI) 中显示出显著的短期优势,以及中期优势,尽管效果大小很小.
结论:
- 目前的证据表明,HILT和ESWT在脚部带炎的缓解疼痛方面没有显著差异.
- 在短期到中期内,ESWT可能会比HILT提供轻微的功能改进.
- 由于数据有限和异质性,需要进行更多的高质量的RCT,使用标准化方案来确认比较疗效.
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