体外冲击波疗法
医学
纤维肌痛
观察研究
背景(考古学)
物理疗法
肌筋膜痛
随机对照试验
体外冲击波疗法
肌筋膜疼痛综合征
临床试验
不利影响
物理医学与康复
重症监护医学
替代医学
外科
内科学
古生物学
病理
生物
作者
Marco Paoletta,Antimo Moretti,Sara Liguori,Giuseppe Toro,Francesca Gimigliano,Giovanni Iolascon
出处
期刊:Medicina-lithuania
[Multidisciplinary Digital Publishing Institute]
日期:2022-07-28
卷期号:58 (8): 1014-1014
标识
DOI:10.3390/medicina58081014
摘要
Myofascial pain syndrome (MPS) and fibromyalgia (FM) are underestimated painful musculoskeletal conditions that could impact function and quality of life. A consensus about the most appropriate therapeutic approach is still not reached. Considering the long course of the diseases, prolonged assumption of drugs, such as NSAIDs and pain killers, could increase the risk of adverse events, often leading affected patients and physicians to prefer non-pharmacological approaches. Among these, radial and focused extracorporeal shock waves therapies (ESWT) are widely used in the management of painful musculoskeletal conditions, despite the fact that the mechanisms of action in the context of pain modulation should be further clarified. We performed a scoping review on PubMed using Mesh terms for analyzing the current evidence about the efficacy and effectiveness of ESWT for patients with MPS or FM. We included 19 clinical studies (randomized controlled trials and observational studies); 12 used radial ESWT, and 7 used focused ESWT for MPS. Qualitative analysis suggests a beneficial role of ESWT for improving clinical and functional outcomes in people with MPS, whereas no evidence was found for FM. Considering this research gap, we finally suggested a therapeutic protocol for this latter condition according to the most recent diagnostic criteria.
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