Spargoli Guido
Int J Sports Phys Ther. 2018 Dec;13(6):1083-1094.
Tendinopathy of the supraspinatus muscle is a frequent cause of shoulder pain. Although it is a common condition, the pathophysiology is not fully understood. The purpose of this clinical commentary is to provide an overview of the pathophysiology of supraspinatus tendinopathy and discuss the conservative treatment solutions.
Supraspinatus tendinopathy is thought to be caused by both intrinsic, and extrinsic factors. Structural and biological changes happen when tendinopathy develops. Cellular and extracellular modifications characterize tendon healing stages that continue over time. Assessment is paramount in order to differentiate the structure involved, and to offer a proper treatment solution.
Knowledge of the general concepts regarding the development of supraspinatus tendinopathy, and of the healing process should guide physiotherapists when proposing treatment options. Physical modalities commonly utilized for supraspinatus tendinopathy such as: laser, ultrasound, and shock-wave therapy have little and contradictory evidence. Exercise in form of eccentric training may be considered as it seems to have beneficial effects, however, more research is needed.
冈上肌肌腱病是肩部疼痛的常见原因。尽管这是一种常见病症，但其病理生理学尚未完全明确。本临床评论的目的是概述冈上肌肌腱病的病理生理学，并探讨保守治疗方案。
冈上肌肌腱病被认为是由内在因素和外在因素共同引起的。肌腱病发生时会出现结构和生物学变化。细胞和细胞外的改变是随着时间持续的肌腱愈合阶段的特征。评估至关重要，以便区分受累结构并提供合适的治疗方案。
了解冈上肌肌腱病发展的一般概念以及愈合过程，应能在物理治疗师提出治疗方案时提供指导。常用于冈上肌肌腱病的物理治疗方法，如激光、超声和冲击波疗法，证据不足且相互矛盾。可以考虑采用离心训练形式的运动，因为它似乎有有益效果，然而，还需要更多研究。
