Cambridge Centre for Health and Performance, Vision Park, Histon, Cambridge, UK.
Br J Sports Med. 2014 Nov;48(21):1538-42. doi: 10.1136/bjsports-2012-091961. Epub 2013 Aug 5.
'Shock wave' therapies are now extensively used in the treatment of musculoskeletal injuries. This systematic review summarises the evidence base for the use of these modalities.
A thorough search of the literature was performed to identify studies of adequate quality to assess the evidence base for shockwave therapies on pain in specific soft tissue injuries. Both focused extracorporeal shockwave therapy (F-ESWT) and radial pulse therapy (RPT) were examined.
23 appropriate studies were identified. There is evidence for the benefit of F-ESWT and of RPT in a number of soft tissue musculoskeletal conditions, and evidence that both treatment modalities are safe. There is evidence that F-ESWT is effective in the treatment of plantar fasciitis, calcific tendinitis, and that RPT is effective in plantar fasciitis. Where benefit is seen in F-ESWT, it appears to be dose dependent, with greater success seen with higher dose regimes. There is low level evidence for lack of benefit of low-dose F-ESWT and RPT in non-calcific rotator cuff disease and mixed evidence in lateral epicondylitis.
“冲击波”疗法目前广泛应用于治疗肌肉骨骼损伤。本系统综述总结了这些方法应用于疼痛特定软组织损伤的证据基础。研究对象包括聚焦式体外冲击波疗法（F-ESWT）和径向脉冲疗法（RPT）。
对文献进行了全面检索，以确定有足够质量评估冲击波疗法治疗特定软组织损伤疼痛的证据基础的研究。
共确定了 23 项合适的研究。有证据表明 F-ESWT 和 RPT 对多种软组织肌肉骨骼疾病有益，且两种治疗方式均安全。有证据表明 F-ESWT 治疗足底筋膜炎和钙化性肌腱炎有效，RPT 治疗足底筋膜炎有效。在 F-ESWT 中观察到的益处似乎与剂量有关，高剂量方案的成功率更高。低剂量 F-ESWT 和 RPT 对非钙化性肩袖疾病无益的证据水平较低，外侧肱骨上髁炎的证据水平混合。
