Elanco Animal Health, 2500 Innovation Way, Greenfield, IN 46140, USA.
Vet Clin North Am Small Anim Pract. 2023 Jul;53(4):775-781. doi: 10.1016/j.cvsm.2023.02.009. Epub 2023 Mar 22.
Extracorporeal shockwave therapy (ESWT) is a noninvasive treatment that involves the transcutaneous delivery of high-energy sound waves into tissue creating therapeutic effects. Shockwaves are nonlinear, high-pressure, high-velocity acoustic waves characterized by low tensile amplitude, short rise time to peak pressure, and a short duration (less than 10 milliseconds). ESWT has been shown to increase the expression of cytokines and growth factors leading to decreased inflammation, neovascularization, and cellular proliferation; activation of osteogenesis by osteoblast differentiation and then by increased proliferation; inhibition of cartilage degeneration and rebuilding of subchondral bone; and increased serotonin in the dorsal horn and descending inhibition of pain signals. Musculoskeletal conditions that can benefit from ESWT include osteoarthritis, tendinopathies, fracture/bone healing, and wound healing.
体外冲击波疗法 (ESWT) 是一种非侵入性治疗方法，涉及将高能声波经皮传递到组织中，以产生治疗效果。冲击波是非线性的、高压的、高速的声波，其特点是拉伸幅度低、到达峰值压力的上升时间短、持续时间短（小于 10 毫秒）。ESWT 已被证明可以增加细胞因子和生长因子的表达，从而减少炎症、新生血管形成和细胞增殖；通过成骨细胞分化和增殖增加来激活成骨作用；抑制软骨退化和软骨下骨重建；以及增加背角中的 5-羟色胺并抑制下行的疼痛信号。可以从 ESWT 中受益的肌肉骨骼疾病包括骨关节炎、肌腱病、骨折/骨愈合和伤口愈合。
