As a kind of extracorporeal shock wave therapy, radial extracorporeal shock wave therapy (rESWT) has been gradually applied to the rehabilitation treatment of diseases in various clinical systems and has become an important physiotherapy method in the department of rehabilitation medicine due to its benefits of high-efficiency, non-invasive, simple and safe, etc. Radial extracorporeal shock wave has unique biological and physical characteristics, and can play the role of anti-inflammatory, analgesia and neovascularization, etc. In this paper, the excellent efficacy of rESWT in orthopedic diseases, spastic paralysis, peripheral nerve injury, refractory wound and andrology diseases was described. This article aims to provide guidance for the clinical application of rESWT in the field of rehabilitation medicine.
Citation： GUO Juan, MA Yuewen. Clinical application progress of radial extracorporeal shock wave therapy in the field of rehabilitation medicine. West China Medical Journal, 2021, 36(5): 572-577. doi: 10.7507/1002-0179.202102020 Copy
| 1. | Wilson WT, Preminger GM. Extracorporeal shock wave lithotripsy. An update. Urol Clin North Am, 1990, 17(1): 231-242. |
| 2. | Lutter C, Schöffl V, Hotfiel T, et al. Radial extracorporeal shock wave therapy in flexor tendon pathology of the hand: a feasibility study. Technol Health Care, 2020, 28(1): 77-83. |
| 3. | Brunelli S, Bonanni C, Traballesi M, et al. Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren’s contractures: a case report. Medicine (Baltimore), 2020, 99(24): e20587. |
| 4. | 中国研究型医院学会冲击波医学专业委员会. 中国骨肌疾病体外冲击波疗法指南(2019 年版). 中国医学前沿杂志(电子版), 2019, 11(4): 1-10. |
| 5. | van der Worp H, van den Akker-Scheek I, van Schie H, et al. ESWT for tendinopathy: technology and clinical implications. Knee Surg Sports Traumatol Arthrosc, 2013, 21(6): 1451-1458. |
| 6. | Duymaz T, Sindel D. Comparison of radial extracorporeal shock wave therapy and traditional physiotherapy in rotator cuff calcific tendinitis treatment. Arch Rheumatol, 2019, 34(3): 281-287. |
| 7. | Luan S, Zhu ZM, Ruan JL, et al. Randomized trial on comparison of the efficacy of extracorporeal shock wave therapy and dry needling in myofascial trigger points. Am J Phys Med Rehabil, 2019, 98(8): 677-684. |
| 8. | 中华医学会物理医学与康复学分会, 肌肉骨骼疾病体外冲击波治疗专家共识组. 肌肉骨骼疾病体外冲击波治疗专家共识. 中华物理医学与康复杂志, 2019, 41(7): 481-487. |
| 9. | Ilieva EM. Radial shock wave therapy for plantar fasciitis: a one year follow-up study. Folia Med (Plovdiv), 2013, 55(1): 42-48. |
| 10. | Ibrahim MI, Donatelli RA, Hellman M, et al. Long-term results of radial extracorporeal shock wave treatment for chronic plantar fasciopathy: a prospective, randomized, placebo-controlled trial with two years follow-up. J Orthop Res, 2017, 35(7): 1532-1538. |
| 11. | Martin RL, Davenport TE, Reischl SF, et al. Heel pain-plantar fasciitis: revision 2014. J Orthop Sports Phys Ther, 2014, 44(11): A1-A33. |
| 12. | Greve JM, Grecco MV, Santos-Silva PR. Comparison of radial shockwaves and conventional physiotherapy for treating plantar fasciitis. Clinics (Sao Paulo), 2009, 64(2): 97-103. |
| 13. | Gerdesmeyer L, Frey C, Vester J, et al. Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study. Am J Sports Med, 2008, 36(11): 2100-2109. |
| 14. | Abo Al-Khair MA, El Khouly RM, Khodair SA, et al. Focused, radial and combined shock wave therapy in treatment of calcific shoulder tendinopathy. Phys Sportsmed, 2020: 1-8. |
| 15. | Król P, Franek A, Durmała J, et al. Focused and radial shock wave therapy in the treatment of tennis elbow: a pilot randomized controlled study. J Hum Kinet, 2015, 47: 127-135. |
| 16. | Dogru M, Erduran M, Narin S. The effect of radial extracorporeal shock wave therapy in the treatment of trigger finger. Cureus, 2020, 12(6): e8385. |
| 17. | Malliaropoulos N, Jury R, Pyne D, et al. Radial extracorporeal shockwave therapy for the treatment of finger tenosynovitis (trigger digit). Open Access J Sports Med, 2016, 7: 143-151. |
| 18. | Kolk A, Yang KG, Tamminga R, et al. Radial extracorporeal shock-wave therapy in patients with chronic rotator cuff tendinitis: a prospective randomised double-blind placebo-controlled multicentre trial. Bone Joint J, 2013, 95-B(11): 1521-1526. |
| 19. | Malliaropoulos N, Thompson D, Meke M, et al. Individualised radial extracorporeal shock wave therapy (rESWT) for symptomatic calcific shoulder tendinopathy: a retrospective clinical study. BMC Musculoskelet Disord, 2017, 18(1): 513. |
| 20. | Yang TH, Huang YC, Lau YC, et al. Efficacy of radial extracorporeal shock wave therapy on lateral epicondylosis, and changes in the common extensor tendon stiffness with pretherapy and posttherapy in real-time sonoelastography: a randomized controlled study. Am J Phys Med Rehabil, 2017, 96(2): 93-100. |
| 21. | Ahadi T, Esmaeili Jamkarani M, Raissi GR, et al. Prolotherapy vs radial extracorporeal shock wave therapy in the short-term treatment of lateral epicondylosis: a randomized clinical trial. Pain Med, 2019, 20(9): 1745-1749. |
| 22. | 中华医学会骨科学分会关节外科学组. 骨关节炎诊疗指南(2018 年版). 中华骨科杂志, 2018, 38(12): 705-715. |
| 23. | 中国医师协会急救复苏专业委员会创伤骨科与多发伤学组, 中国医药教育学会骨质疾病专业委员会修复重建学组, 中国老年学和老年医学学会老年病分会骨科专家委员会, 等. 中国老年膝关节骨关节炎诊疗及智能矫形康复专家共识. 临床外科杂志, 2019, 27(12): 1105-1110. |
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| 25. | Qi H, Jin S, Yin C, et al. Radial extracorporeal shock wave therapy promotes osteochondral regeneration of knee joints in rabbits. Exp Ther Med, 2018, 16(4): 3478-3484. |
| 26. | Hammam RF, Kamel RM, Draz AH, et al. Comparison of the effects between low- versus medium-energy radial extracorporeal shock wave therapy on knee osteoarthritis: a randomised controlled trial. J Taibah Univ Med Sci, 2020, 15(3): 190-196. |
| 27. | Koutalos A, Varitimidis S, Dailiana Z, et al. Operative management of humeral nonunions. Factors that influence the outcome. Acta Orthop Belg, 2015, 81(3): 501-510. |
| 28. | Bell A, Templeman D, Weinlein JC. Nonunion of the femur and tibia: an update. Orthop Clin North Am, 2016, 47(2): 365-375. |
| 29. | Auersperg V, Trieb K. Extracorporeal shock wave therapy: an update. EFORT Open Rev, 2020, 5(10): 584-592. |
| 30. | Kertzman P, Császár NBM, Furia JP, et al. Radial extracorporeal shock wave therapy is efficient and safe in the treatment of fracture nonunions of superficial bones: a retrospective case series. J Orthop Surg Res, 2017, 12(1): 164. |
| 31. | Ramesh S, Zaman F, Madhuri V, et al. Radial extracorporeal shock wave treatment promotes bone growth and chondrogenesis in cultured fetal rat metatarsal bones. Clin Orthop Relat Res, 2020, 478(3): 668-678. |
| 32. | Notarnicola A, Tamma R, Moretti L, et al. Effects of radial shock waves therapy on osteoblasts activities. Musculoskelet Surg, 2012, 96(3): 183-189. |
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| 34. | Ludwig J, Lauber S, Lauber HJ, et al. High-energy shock wave treatment of femoral head necrosis in adults. Clin Orthop Relat Res, 2001(387): 119-126. |
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| 41. | Li G, Yuan W, Liu G, et al. Effects of radial extracorporeal shockwave therapy on spasticity of upper-limb agonist/antagonist muscles in patients affected by stroke: a randomized, single-blind clinical trial. Age Ageing, 2020, 49(2): 246-252. |
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| 43. | Gonkova MI, Ilieva EM, Ferriero G, et al. Effect of radial shock wave therapy on muscle spasticity in children with cerebral palsy. Int J Rehabil Res, 2013, 36(3): 284-290. |
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- 1. Wilson WT, Preminger GM. Extracorporeal shock wave lithotripsy. An update. Urol Clin North Am, 1990, 17(1): 231-242.
- 2. Lutter C, Schöffl V, Hotfiel T, et al. Radial extracorporeal shock wave therapy in flexor tendon pathology of the hand: a feasibility study. Technol Health Care, 2020, 28(1): 77-83.
- 3. Brunelli S, Bonanni C, Traballesi M, et al. Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren’s contractures: a case report. Medicine (Baltimore), 2020, 99(24): e20587.
- 4. 中国研究型医院学会冲击波医学专业委员会. 中国骨肌疾病体外冲击波疗法指南(2019 年版). 中国医学前沿杂志(电子版), 2019, 11(4): 1-10.
- 5. van der Worp H, van den Akker-Scheek I, van Schie H, et al. ESWT for tendinopathy: technology and clinical implications. Knee Surg Sports Traumatol Arthrosc, 2013, 21(6): 1451-1458.
- 6. Duymaz T, Sindel D. Comparison of radial extracorporeal shock wave therapy and traditional physiotherapy in rotator cuff calcific tendinitis treatment. Arch Rheumatol, 2019, 34(3): 281-287.
- 7. Luan S, Zhu ZM, Ruan JL, et al. Randomized trial on comparison of the efficacy of extracorporeal shock wave therapy and dry needling in myofascial trigger points. Am J Phys Med Rehabil, 2019, 98(8): 677-684.
- 8. 中华医学会物理医学与康复学分会, 肌肉骨骼疾病体外冲击波治疗专家共识组. 肌肉骨骼疾病体外冲击波治疗专家共识. 中华物理医学与康复杂志, 2019, 41(7): 481-487.
- 9. Ilieva EM. Radial shock wave therapy for plantar fasciitis: a one year follow-up study. Folia Med (Plovdiv), 2013, 55(1): 42-48.
- 10. Ibrahim MI, Donatelli RA, Hellman M, et al. Long-term results of radial extracorporeal shock wave treatment for chronic plantar fasciopathy: a prospective, randomized, placebo-controlled trial with two years follow-up. J Orthop Res, 2017, 35(7): 1532-1538.
- 11. Martin RL, Davenport TE, Reischl SF, et al. Heel pain-plantar fasciitis: revision 2014. J Orthop Sports Phys Ther, 2014, 44(11): A1-A33.
- 12. Greve JM, Grecco MV, Santos-Silva PR. Comparison of radial shockwaves and conventional physiotherapy for treating plantar fasciitis. Clinics (Sao Paulo), 2009, 64(2): 97-103.
- 13. Gerdesmeyer L, Frey C, Vester J, et al. Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study. Am J Sports Med, 2008, 36(11): 2100-2109.
- 14. Abo Al-Khair MA, El Khouly RM, Khodair SA, et al. Focused, radial and combined shock wave therapy in treatment of calcific shoulder tendinopathy. Phys Sportsmed, 2020: 1-8.
- 15. Król P, Franek A, Durmała J, et al. Focused and radial shock wave therapy in the treatment of tennis elbow: a pilot randomized controlled study. J Hum Kinet, 2015, 47: 127-135.
- 16. Dogru M, Erduran M, Narin S. The effect of radial extracorporeal shock wave therapy in the treatment of trigger finger. Cureus, 2020, 12(6): e8385.
- 17. Malliaropoulos N, Jury R, Pyne D, et al. Radial extracorporeal shockwave therapy for the treatment of finger tenosynovitis (trigger digit). Open Access J Sports Med, 2016, 7: 143-151.
- 18. Kolk A, Yang KG, Tamminga R, et al. Radial extracorporeal shock-wave therapy in patients with chronic rotator cuff tendinitis: a prospective randomised double-blind placebo-controlled multicentre trial. Bone Joint J, 2013, 95-B(11): 1521-1526.
- 19. Malliaropoulos N, Thompson D, Meke M, et al. Individualised radial extracorporeal shock wave therapy (rESWT) for symptomatic calcific shoulder tendinopathy: a retrospective clinical study. BMC Musculoskelet Disord, 2017, 18(1): 513.
- 20. Yang TH, Huang YC, Lau YC, et al. Efficacy of radial extracorporeal shock wave therapy on lateral epicondylosis, and changes in the common extensor tendon stiffness with pretherapy and posttherapy in real-time sonoelastography: a randomized controlled study. Am J Phys Med Rehabil, 2017, 96(2): 93-100.
- 21. Ahadi T, Esmaeili Jamkarani M, Raissi GR, et al. Prolotherapy vs radial extracorporeal shock wave therapy in the short-term treatment of lateral epicondylosis: a randomized clinical trial. Pain Med, 2019, 20(9): 1745-1749.
- 22. 中华医学会骨科学分会关节外科学组. 骨关节炎诊疗指南(2018 年版). 中华骨科杂志, 2018, 38(12): 705-715.
- 23. 中国医师协会急救复苏专业委员会创伤骨科与多发伤学组, 中国医药教育学会骨质疾病专业委员会修复重建学组, 中国老年学和老年医学学会老年病分会骨科专家委员会, 等. 中国老年膝关节骨关节炎诊疗及智能矫形康复专家共识. 临床外科杂志, 2019, 27(12): 1105-1110.
- 24. Uysal A, Yildizgoren MT, Guler H, et al. Effects of radial extracorporeal shock wave therapy on clinical variables and isokinetic performance in patients with knee osteoarthritis: a prospective, randomized, single-blind and controlled trial. Int Orthop, 2020, 44(7): 1311-1319.
- 25. Qi H, Jin S, Yin C, et al. Radial extracorporeal shock wave therapy promotes osteochondral regeneration of knee joints in rabbits. Exp Ther Med, 2018, 16(4): 3478-3484.
- 26. Hammam RF, Kamel RM, Draz AH, et al. Comparison of the effects between low- versus medium-energy radial extracorporeal shock wave therapy on knee osteoarthritis: a randomised controlled trial. J Taibah Univ Med Sci, 2020, 15(3): 190-196.
- 27. Koutalos A, Varitimidis S, Dailiana Z, et al. Operative management of humeral nonunions. Factors that influence the outcome. Acta Orthop Belg, 2015, 81(3): 501-510.
- 28. Bell A, Templeman D, Weinlein JC. Nonunion of the femur and tibia: an update. Orthop Clin North Am, 2016, 47(2): 365-375.
- 29. Auersperg V, Trieb K. Extracorporeal shock wave therapy: an update. EFORT Open Rev, 2020, 5(10): 584-592.
- 30. Kertzman P, Császár NBM, Furia JP, et al. Radial extracorporeal shock wave therapy is efficient and safe in the treatment of fracture nonunions of superficial bones: a retrospective case series. J Orthop Surg Res, 2017, 12(1): 164.
- 31. Ramesh S, Zaman F, Madhuri V, et al. Radial extracorporeal shock wave treatment promotes bone growth and chondrogenesis in cultured fetal rat metatarsal bones. Clin Orthop Relat Res, 2020, 478(3): 668-678.
- 32. Notarnicola A, Tamma R, Moretti L, et al. Effects of radial shock waves therapy on osteoblasts activities. Musculoskelet Surg, 2012, 96(3): 183-189.
- 33. 中国医师协会骨科医师分会骨循环与骨坏死专业委员会, 中华医学会骨科分会骨显微修复学组, 国际骨循环学会中国区. 中国成人股骨头坏死临床诊疗指南(2020). 中华骨科杂志, 2020, 40(20): 1365-1376.
- 34. Ludwig J, Lauber S, Lauber HJ, et al. High-energy shock wave treatment of femoral head necrosis in adults. Clin Orthop Relat Res, 2001(387): 119-126.
- 35. 孙伟, 李子荣. 体外震波治疗股骨头坏死: 误区与挑战. 中国修复重建外科杂志, 2019, 33(6): 659-661.
- 36. Wang CJ, Wang FS, Huang CC, et al. Treatment for osteonecrosis of the femoral head: comparison of extracorporeal shock waves with core decompression and bone-grafting. J Bone Joint Surg Am, 2005, 87(11): 2380-2387.
- 37. Ma YW, Jiang DL, Zhang D, et al. Radial extracorporeal shock wave therapy in a person with advanced osteonecrosis of the femoral head. Am J Phys Med Rehabil, 2016, 95(9): e133-e139.
- 38. Dymarek R, Taradaj J, Rosińczuk J. Extracorporeal shock wave stimulation as alternative treatment modality for wrist and fingers spasticity in poststroke patients: a prospective, open-label, preliminary clinical trial. Evid Based Complement Alternat Med, 2016, 2016: 4648101.
- 39. Radinmehr H, Nakhostin Ansari N, Naghdi S, et al. Effects of one session radial extracorporeal shockwave therapy on post-stroke plantarflexor spasticity: a single-blind clinical trial. Disabil Rehabil, 2017, 39(5): 483-490.
- 40. Wu YT, Chang CN, Chen YM, et al. Comparison of the effect of focused and radial extracorporeal shock waves on spastic equinus in patients with stroke: a randomized controlled trial. Eur J Phys Rehabil Med, 2018, 54(4): 518-525.
- 41. Li G, Yuan W, Liu G, et al. Effects of radial extracorporeal shockwave therapy on spasticity of upper-limb agonist/antagonist muscles in patients affected by stroke: a randomized, single-blind clinical trial. Age Ageing, 2020, 49(2): 246-252.
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