武警医学2025，Vol.36Issue(11)：926-933,8.
体外冲击波疗法对前交叉韧带重建术术后康复疗效的Meta分析
Meta-analysis of the efficacy of extracorporeal shock wave therapy in the rehabilitation af-ter anterior cruciate ligament reconstruction surgery
摘要
Abstract
Objective To evaluate the efficacy of extracorporeal shock wave therapy(ESWT)in the rehabilitation after anteri-or cruciate ligament reconstruction(ACLR).Methods Systematic searches were conducted in English databases such as PubMed,Embase,Web of Science,and Cochrane Library,as well as Chinese databases such as CNKI,WanFang,and VIP(up to January 2025).Randomized controlled trials(RCTs)on the application of ESWT in the rehabilitation after ACLR were included.The differ-ences in Lysholm scores and IKDC scores between the ESWT group and the control group were compared.Results A total of 9 studies were included,involving 486 subjects,with 248 cases in the ESWT group and 238 cases in the control group.According to the number of interventions,they were divided into short-term intervention(≤3 times)and long-term intervention(>3 times).Meta-analysis re-sults showed that short-term ESWT could significantly improve the Lysholm scores(MD=8.06,95%CI:5.29-10.84)and IKDC scores(MD=6.46,95%CI:3.66-9.26),with the number of interventions being a significant positive moderator of Lysholm scores.Long-term ESWT showed limited improvement on the Lysholm scores(MD=4.58,95%CI:-0.16-9.33)and had modest improve-ments on the IKDC scores(MD=1.91,95%CI:0.84-2.98).In addition,the effect sizes of long-term Lysholm scores and short-term intervention on the IKDC scores were not stable,and the quality grades of the outcome indicators was mostly medium and low.Conclusions ESWT is a non-invasive and cost-effective treatment method that can promote the rehabilitation after ACLR,especially with significant effects in short-term application.关键词
体外冲击波疗法/前交叉韧带重建术/Meta分析Key words
extracorporeal shock wave therapy/anterior cruciate ligament reconstruction/meta-analysis分类
医药卫生引用本文复制引用
高金卯,陆广旭,林彦琛,石晓莲,史菲,云晨..体外冲击波疗法对前交叉韧带重建术术后康复疗效的Meta分析[J].武警医学,2025,36(11):926-933,8.基金项目
天津市卫生健康科技项目(TJWJ2022QN100) （TJWJ2022QN100）
