[体外冲击波疗法治疗慢性跟腱附着点病]
[Extracorporeal shockwave therapy in the treatment of chronic insertional Achilles tendinopathy].
作者信息
Furia J P
机构信息
Orthopedic Consultant, Bucknell University, SUN Orthopedics and Sports Medicine, Lewisburg.
出版信息
Orthopade. 2005 Jun;34(6):571-8. doi: 10.1007/s00132-005-0806-9.
PURPOSE
The purpose of this study was to determine the efficacy of extracorporeal shock wave therapy (ESWT) for the treatment of adults with chronic insertional Achilles tendinopathy.
METHODS
68 patients with chronic insertional Achilles tendinopathy were enrolled in this study. A total of 35 patients were treated with a single dose of ESWT (3000 shocks of 0.20 mJ/mm(2), ESWT group), while 33 patients were treated with traditional non-operative measures (control group).
RESULTS
At 3 months post treatment, the mean VAS for the control and ESWT groups were 2.9 and 7.2 respectively. Using the Roles and Maudsley scale, 39% of the control patients and 51% of the ESWT patients were assigned an excellent or good result.
CONCLUSIONS
ESWT as applied is a safe and effective treatment for chronic insertional Achilles tendinopathy.
目的
本研究旨在确定体外冲击波疗法（ESWT）治疗成人慢性跟腱附着点病的疗效。
方法
68例慢性跟腱附着点病患者纳入本研究。35例患者接受单剂量ESWT治疗（能量为0.20 mJ/mm(2)，冲击3000次，ESWT组），33例患者接受传统非手术治疗（对照组）。
结果
治疗后3个月，对照组和ESWT组的平均视觉模拟评分（VAS）分别为2.9和7.2。根据罗尔斯和莫兹利量表，39%的对照患者和51%的ESWT患者获得了优或良的结果。
结论
应用ESWT治疗慢性跟腱附着点病是一种安全有效的方法。
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