体外冲击波治疗肩峰下疼痛综合征的研究进展
Journal: Frontier Forum of Clinical Medicine DOI: 10.12238/ffcr.v3i8.18417
Abstract
肩峰下疼痛综合征（Subacromial Pain Syndrome，SAPS）是导致肩部疼痛和功能障碍的最常见原因，其病理机制复杂，涉及肩峰下间隙内滑囊、肌腱等多种组织的病变。体外冲击波疗法（Extracorporeal Shock Wave Therapy，ESWT）作为一种非侵入性治疗方式，近年来在肌肉骨骼疾病康复领域应用日益广泛。本文旨在通过系统梳理近年来国内外相关临床研究，从SAPS的病理基础与ESWT的作用机制出发，分层阐述ESWT对不同病程SAPS的临床疗效，深入探讨不同能量密度治疗模式的选择以及ESWT与其他康复治疗技术的联合应用策略。同时，本文也将客观评价ESWT的局限性及不良反应，并对未来研究方向进行展望，以期为临床工作者制定科学、个体化的SAPS治疗方案提供最新、最全面的循证医学依据。
Keywords
肩峰下疼痛综合征；体外冲击波疗法；康复治疗；综述
Full Text
PDF - Viewed/Downloaded: 0 TimesReferences
[1] Diercks,R., Bron,C., Dorrestijn,O. Guideline fordiagnosis and treatment of subacromial pain syndrome:amultidisciplinary review by the Dutch Orthopaedic Association[J].Acta Orthop,2014,85(3):314-322.
[2] 肖琴莉.体外冲击波疗法治疗脑卒中后肌痉挛的研究进展[J].中外医学研究,2024,22(25):173-176.
[3] KS,D. Subacromial Impingement Syndrome of the Shoulder: A Musculoskeletal Disorder or a Medical Myth?[J]. Malaysian Orthopaedic Journal,2019,13(3),1-7.
[4] Ennasery,Z., Chaouche,I., Abouchiba,S., et al. Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy[J]. Radiology Case Reports,2025,20(6),2916-2922.
[5] 张仁杰,朱得婷,周云,等.体外冲击波治疗肩关节周围炎的研究进展[J].中国医学前沿杂志(电子版),2025,17(9):54-60.
[6] Circi,E., Okur,S.C., Aksu,O., et al. The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology[J]. Acta Orthopaedica et Traumatologica Turcica,2018,52(1),17-21.
[7] 丁阳胜,姜从玉.体外冲击波治疗用于肌肉骨骼康复的研究进展[J].上海医药,2022,43(23):17-21,25.
[8] 杜春红,王静雅,张礼礼,等.体外冲击波联合肌肉能量技术治疗对冈上肌肌腱炎患者关节活动度的影响[J].现代医学与健康研究电子杂志,2025,9(8):46-48.
[9] 朱美丽,胡江飚,陈海挺,等.气弹式体外冲击波治疗偏瘫后肩痛的疗效观察[J].心脑血管病防治,2017,17(1):59-60.
[2] 肖琴莉.体外冲击波疗法治疗脑卒中后肌痉挛的研究进展[J].中外医学研究,2024,22(25):173-176.
[3] KS,D. Subacromial Impingement Syndrome of the Shoulder: A Musculoskeletal Disorder or a Medical Myth?[J]. Malaysian Orthopaedic Journal,2019,13(3),1-7.
[4] Ennasery,Z., Chaouche,I., Abouchiba,S., et al. Calcifications in the infraspinatus muscle: An unusual complication of calcific tendinopathy[J]. Radiology Case Reports,2025,20(6),2916-2922.
[5] 张仁杰,朱得婷,周云,等.体外冲击波治疗肩关节周围炎的研究进展[J].中国医学前沿杂志(电子版),2025,17(9):54-60.
[6] Circi,E., Okur,S.C., Aksu,O., et al. The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology[J]. Acta Orthopaedica et Traumatologica Turcica,2018,52(1),17-21.
[7] 丁阳胜,姜从玉.体外冲击波治疗用于肌肉骨骼康复的研究进展[J].上海医药,2022,43(23):17-21,25.
[8] 杜春红,王静雅,张礼礼,等.体外冲击波联合肌肉能量技术治疗对冈上肌肌腱炎患者关节活动度的影响[J].现代医学与健康研究电子杂志,2025,9(8):46-48.
[9] 朱美丽,胡江飚,陈海挺,等.气弹式体外冲击波治疗偏瘫后肩痛的疗效观察[J].心脑血管病防治,2017,17(1):59-60.
Copyright © 2025 张潇艺, 李梦雪
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License