近年来,伴随着冲击波设备国产化和冲击波医学的发展,设备的入门成本降低和相对清晰的应用场景,推动了冲击波治疗在运动康复领域的广泛应用。与肌内效贴在跑步领域的“火热”类似,冲击波应用于肌肉骨关节系统的治疗和康复在国内也有近20年的积累过程。时至今日,冲击波治疗应用的益发广泛,无效案例也在增多,但当我们重新查阅最新的文献和资料,冲击波治疗仍然是物理因子治疗中的“明珠”。一个彩蛋:本期猫猫主播——王大逵03:48 冲击波的适应症19:03 冲击波治疗的机制和作用深度25:17 禁忌症、禁忌部位和禁忌人群30:51 冲击波设备的细分:发散式与聚焦式37:45 一个跟运动损伤无关但(可能)很重要的治疗范畴42:49 冲击波治疗方案的标准化——目前还没有广泛共识47:15 聊聊可能出现在冲击波治疗方法之前的超声波参考文献:[1] Efficacy of ExtracorporealShockwave Therapy on Pain and Function in Myofascial Pain Syndrome: ASystematic Review and Meta-analysis of Randomized Clinical Trials. Am J PhysMed Rehabil. 2024 Feb 1;103(2):89-98. doi: 10.1097/PHM.0000000000002286. [2] The Effectiveness of Extracorporeal Shockwave Therapy for Midportion AchillesTendinopathy: A Systematic Review. Cureus. 2022 Jul 18;14(7):e26960. doi:10.7759/cureus.26960.[3] Therapeutic Ultrasound and Shockwave Therapy forTendinopathy: A Narrative Review. Am J Phys Med Rehabil. 2022 Aug1;101(8):801-807. doi: 10.1097/PHM.0000000000001894. [4]www.mayoclinic.org[5] 体外冲击波碎石术中国专家共识 [J]. 临床泌尿外科杂志, 2024, 39 (04): 265-270. DOI:10.13201/j.issn.1001-1420.2024.04.001.
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