射线和聚焦冲击波治疗肌病的有效性:系统性审查和元分析
Magdalena Stania1, Michał Pawłowski1, Monika Benduch2
1Institute of Sport Sciences, Academy of Physical Education, Katowice, Poland.
Scientific reports
|February 6, 2026
概括
辐射冲击波疗法 (RSWT) 和聚焦冲击波疗法 (FSWT) 在肌病疼痛和功能方面表现出类似的疗效. RSWT可能会为网球手肘的手腕延伸器强度提供轻微的优势,但证据质量较低.
科学领域:
- 整形外科和运动医学
- 肌肉骨康复 肌肉骨康复
- 再生医学是一种再生医学.
背景情况:
- 肌病严重影响身体功能和生活质量.
- 体外冲击波疗法 (ESWT) 是一种常见的肌病的非侵入性治疗方法.
- 将辐射 (RSWT) 和聚焦 (FSWT) 冲击波疗法进行比较对于治疗选择至关重要.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT).
- 为了比较RSWT与FSWT在上肢和下肢肌病的疗效和安全性.
- 评估结果,包括疼痛强度,身体功能和肌肉力量.
主要方法:
- 通过全面的数据库搜索 (PubMed,EBSCOhost,Ovid MEDLINE,Embase) 识别的RCT的系统审查和元分析.
- 数据提取和分析包括风险比率和平均差异 (MD) 与95%置信区间 (CI).
- 偏差风险,方法质量和证据确定性使用Cochrane偏差风险,PEDro尺度和GRADE方法进行评估.
主要成果:
- 包括9个涉及530名患者的RCT.
- 由于证据的确定性较低,RSWT和FSWT在疼痛或功能结果方面没有发现显著差异.
- 与FSWT相比,RSWT显示了与FSWT相比,在网球手肘患者中显著改善手腕伸展器强度的中等质量的证据 (MD: 1.81;95% CI 0.97至2.64).
结论:
- 目前的证据表明,RSWT或FSWT在一般肌病痛和功能方面没有明显的优势.
- RSWT可能为网球手肘的手腕延伸器强度提供特定的好处,需要进一步调查.
- 这两种方法似乎同样安全,但结论受到研究中证据质量低下的限制.
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