Frontiers in medicine · 2024 · 系統性回顧＋統合分析（依標題推測）
Efficacy and Safety of Extracorporeal Shock Wave Therapy for Upper Limb Tendonitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
全身性肌肉骨骼・風濕・疼痛 · 肌腱病變
中文閱讀摘要
統合分析顯示ESWT對上肢肌腱炎止痛有效，肩袖功能改善顯著但低能量對止痛無效，不良反應低。
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原始摘要
Objective
This study synthesized the highest level of evidence to analyse the effectiveness and safety of using extracorporeal shock wave therapy (ESWT) to treat upper limb tendonitis, which was unknown.
Design
We conducted a systematic review and meta-analysis of 18 randomized controlled trials (RCTs) in PubMed, Embase, Web of Science, Medline, and the Cochrane Library.
Methods
Two researchers performed the screening, data extraction, literature quality assessment, and heterogeneity analysis of the searched RCTs.
Results
The main types of morbidity included rotator cuff tendonitis, lateral epicondylitis, finger tendonitis, and long bicipital tendonitis. The results of the meta-analysis showed that ESWT was effective in relieving pain in all four types of tendonitis. In addition, ESWT was more effective in relieving pain in patients with upper limb tendonitis than placebo at the 3- and 6-month follow-ups, especially with radial ESWT (RESWT). Data analysis of the forest plot showed that the experimental group with ESWT as an intervention had a significant improvement in function in patients with rotator cuff tendonitis at the 3-month follow-up. However, subgroup analysis showed that low-energy ESWT was effective in improving function in patients with calcified and non-calcified rotator cuff tendonitis, whereas it was not effective in relieving pain.
Conclusion
ESWT can effectively improve the functional activity in patients with rotator cuff tendonitis and may produce positive analgesic effects in patients with upper limb tendonitis. The incidence of adverse effects is low.
Systematic review registration
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023403594, identifier: PROSPERO, CRD42023403594.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.3389/fmed.2024.1394268
- PMID／PMCID
- 39139789 / PMC11319137
- 作者
- Xiong Y, Wen T, Jin S, Lin L, Shao Q, Peng Y, Zheng Q, Li W
- 首次發表日期
- 2024-07-30Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 11 ／ 期未提供 ／ 1394268
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
Xiong Y, Wen T, Jin S, Lin L, Shao Q, Peng Y, Zheng Q, Li W. Efficacy and Safety of Extracorporeal Shock Wave Therapy for Upper Limb Tendonitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in medicine. 2024;11:1394268. PMID: 39139789. PMCID: PMC11319137. doi:10.3389/fmed.2024.1394268
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