Effect of extracorporeal shockwave therapy for rotator cuff tendinopathy: a systematic review and meta-analysis.

Humans Extracorporeal Shockwave Therapy / methods Tendinopathy / therapy Treatment Outcome Rotator Cuff / physiopathology Shoulder Pain / therapy Rotator Cuff Injuries / therapy Pain Measurement Randomized Controlled Trials as Topic Range of Motion, Articular Quality of Life
ESWT Extracorporeal shock wave therapy Meta-analysis Rehabilitation Rotator cuff tendinopathy Shoulder

Journal

BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565

Informations de publication

Date de publication:
04 May 2024
Historique:
received: 18 12 2023
accepted: 15 04 2024
medline: 5 5 2024
pubmed: 5 5 2024
entrez: 4 5 2024
Statut: epublish

Résumé

Rotator cuff tendinopathy (RCT) is a widespread musculoskeletal disorder and a primary cause of shoulder pain and limited function. The resulting pain and limited functionality have a detrimental impact on the overall quality of life. The purpose of this study was to perform a systematic review of the effects of extracorporeal shock wave therapy (ESWT) for RCT. The literature search was conducted on the following databases from inception to February 20, 2024: PubMed, Web of Science, the Cochrane Library, Scopus, MEDLINE, EMBASE, EBSCO, and China National Knowledge Infrastructure (CNKI) were checked to identify the potential studies exploring the effect of ESWT for the treatment of Rotator cuff tendinopathy (Calcification or non-calcification), control group for sham, other treatments (including placebo), without restriction of date, language. Two researchers independently screened literature, extracted data, evaluated the risk of bias in the included studies, and performed meta-analysis using RevMan 5.3 software. A total of 16 RCTs with 1093 patients were included. The results showed that compared with the control group, ESWT for pain score Visual Analogue Scale/Score (VAS) (SMD = -1.95, 95% CI -2.47, -1.41, P < 0.00001), function score Constant-Murley score (CMS) (SMD = 1.30, 95% CI 0.67, 1.92, P < 0.00001), University of California Los Angeles score (UCLA) (SMD = 2.69, 95% CI 1.64, 3.74, P < 0.00001), American Shoulder and Elbow Surgeons form (ASES) (SMD = 1.29, 95% CI 0.93, 1.65, P < 0.00001), Range of motion (ROM) External rotation (SMD = 1.00, 95% CI 0.29, 1.72, P = 0.02), Total effective rate (TER) (OR = 3.64, 95% CI 1.85, 7.14, P = 0.0002), the differences in the above results were statistically significant. But ROM-Abduction (SMD = 0.72, 95% CI -0.22, 1.66, P = 0.13), the difference was not statistically significant. Currently limited evidence suggests that, compared with the control group, ESWT can provide better pain relief, functional recovery, and maintenance of function in patients with RCT.

Sections du résumé

BACKGROUND BACKGROUND
Rotator cuff tendinopathy (RCT) is a widespread musculoskeletal disorder and a primary cause of shoulder pain and limited function. The resulting pain and limited functionality have a detrimental impact on the overall quality of life. The purpose of this study was to perform a systematic review of the effects of extracorporeal shock wave therapy (ESWT) for RCT.
METHODS METHODS
The literature search was conducted on the following databases from inception to February 20, 2024: PubMed, Web of Science, the Cochrane Library, Scopus, MEDLINE, EMBASE, EBSCO, and China National Knowledge Infrastructure (CNKI) were checked to identify the potential studies exploring the effect of ESWT for the treatment of Rotator cuff tendinopathy (Calcification or non-calcification), control group for sham, other treatments (including placebo), without restriction of date, language. Two researchers independently screened literature, extracted data, evaluated the risk of bias in the included studies, and performed meta-analysis using RevMan 5.3 software.
RESULTS RESULTS
A total of 16 RCTs with 1093 patients were included. The results showed that compared with the control group, ESWT for pain score Visual Analogue Scale/Score (VAS) (SMD = -1.95, 95% CI -2.47, -1.41, P < 0.00001), function score Constant-Murley score (CMS) (SMD = 1.30, 95% CI 0.67, 1.92, P < 0.00001), University of California Los Angeles score (UCLA) (SMD = 2.69, 95% CI 1.64, 3.74, P < 0.00001), American Shoulder and Elbow Surgeons form (ASES) (SMD = 1.29, 95% CI 0.93, 1.65, P < 0.00001), Range of motion (ROM) External rotation (SMD = 1.00, 95% CI 0.29, 1.72, P = 0.02), Total effective rate (TER) (OR = 3.64, 95% CI 1.85, 7.14, P = 0.0002), the differences in the above results were statistically significant. But ROM-Abduction (SMD = 0.72, 95% CI -0.22, 1.66, P = 0.13), the difference was not statistically significant.
CONCLUSION CONCLUSIONS
Currently limited evidence suggests that, compared with the control group, ESWT can provide better pain relief, functional recovery, and maintenance of function in patients with RCT.

Identifiants

DOI: 10.1186/s12891-024-07445-7 PMID: 38704572
pubmed: 38704572
doi: 10.1186/s12891-024-07445-7
pii: 10.1186/s12891-024-07445-7
doi:

Types de publication

Journal Article Systematic Review Meta-Analysis

Langues

eng

Sous-ensembles de citation

IM

Pagination

357

Subventions

Organisme : Key Laboratory of Sports Medicine of Sichuan Province and the Key Laboratory of The General Administration of Sport of China
ID : 2023-A033
Organisme : National Natural Science Foundation of China
ID : 82172423
Organisme : Bejing Municipal Natural Science Foundation
ID : 7222209
Organisme : Clinical queue construction project of Peking University Third Hospital
ID : BYSYDL2022006

Informations de copyright

© 2024. The Author(s).

Références

Rhee SM, Youn SM, Park JH, Rhee YG. Biceps Rerouting for Semirigid Large-to-Massive Rotator Cuff Tears. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2021;37(9):2769–79.
doi: 10.1016/j.arthro.2021.04.008
Fitzpatrick LA, Atinga A, White L, Henry PDG, Probyn L. Rotator Cuff Injury and Repair. Seminars in musculoskeletal radiology. 2022;26(5):585–96.
pubmed: 36535594 doi: 10.1055/s-0042-1756167
Hu Y, Wu L, He L, Luo X, Hu L, Wang Y, Zhao X. Bibliometric and visualized analysis of scientific publications on rehabilitation of rotator cuff injury based on web of science. Front Public Health. 2023;11:1064576.
pubmed: 36875410 pmcid: 9982153 doi: 10.3389/fpubh.2023.1064576
Longo UG, Candela V, Berton A, Salvatore G, Guarnieri A, DeAngelis J, Nazarian A, Denaro V. Genetic basis of rotator cuff injury: a systematic review. BMC Med Genet. 2019;20(1):149.
pubmed: 31477042 pmcid: 6720871 doi: 10.1186/s12881-019-0883-y
Rodriguez-Santiago B, Castillo B, Baerga-Varela L, Micheo WF. Rehabilitation Management of Rotator Cuff Injuries in the Master Athlete. Curr Sports Med Rep. 2019;18(9):330–7.
pubmed: 31503045 doi: 10.1249/JSR.0000000000000628
Weber S, Chahal J. Management of Rotator Cuff Injuries. J Am Acad Orthop Surg. 2020;28(5):e193–201.
pubmed: 31599763 doi: 10.5435/JAAOS-D-19-00463
Dang A, Davies M. Rotator Cuff Disease: Treatment Options and Considerations. Sports Med Arthrosc Rev. 2018;26(3):129–33.
pubmed: 30059447 doi: 10.1097/JSA.0000000000000207
Ramme AJ, Robbins CB, Patel KA, Carpenter JE, Bedi A, Gagnier JJ, Miller BS. Surgical Versus Nonsurgical Management of Rotator Cuff Tears: A Matched-Pair Analysis. The Journal of bone and joint surgery American. 2019;101(19):1775–82.
Sciarretta FV, Moya D, List K. Current trends in rehabilitation of rotator cuff injuries. Sicot-j. 2023;9:14.
pubmed: 37222530 pmcid: 10208043 doi: 10.1051/sicotj/2023011
Auersperg V, Trieb K. Extracorporeal shock wave therapy: an update. EFORT open reviews. 2020;5(10):584–92.
pubmed: 33204500 pmcid: 7608508 doi: 10.1302/2058-5241.5.190067
Cheng JH, Wang CJ. Biological mechanism of shockwave in bone. International journal of surgery (London, England). 2015;24(Pt B):143–6.
pubmed: 26118613 doi: 10.1016/j.ijsu.2015.06.059
Lv F, Li Z, Jing Y, Sun L, Li Z, Duan H. The effects and underlying mechanism of extracorporeal shockwave therapy on fracture healing. Front Endocrinol. 2023;14:1188297.
doi: 10.3389/fendo.2023.1188297
Frizziero A, Vittadini F, Barazzuol M, Gasparre G, Finotti P, Meneghini A, Maffulli N, Masiero S. Extracorporeal shockwaves therapy versus hyaluronic acid injection for the treatment of painful non-calcific rotator cuff tendinopathies: preliminary results. J Sports Med Phys Fitness. 2017;57(9):1162–8.
pubmed: 27070534 doi: 10.23736/S0022-4707.16.06408-2
Gerdesmeyer L, Wagenpfeil S, Haake M, Maier M, Loew M, Wörtler K, Lampe R, Seil R, Handle G, Gassel S, et al. Extracorporeal shock wave therapy for the treatment of chronic calcifying tendonitis of the rotator cuff: a randomized controlled trial. JAMA. 2003;290(19):2573–80.
pubmed: 14625334 doi: 10.1001/jama.290.19.2573
Dedes V, Tzirogiannis K, Polikandrioti M, Dede AM, Nikolaidis C, Mitseas A, Panoutsopoulos GI. Comparison of Radial Extracorporeal Shockwave Therapy versus Ultrasound Therapy in the Treatment of Rotator Cuff Tendinopathy. Folia Med. 2019;61(4):612–9.
doi: 10.3897/folmed.61.e47916
Kim JY, Lee JS, Park CW. Extracorporeal shock wave therapy is not useful after arthroscopic rotator cuff repair. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 2012;20(12):2567–72.
pubmed: 22349603 doi: 10.1007/s00167-012-1923-8
Efe T, Felgentreff M, Heyse TJ, Stein T, Timmesfeld N, Schmitt J, Roessler PP. Extracorporeal shock wave therapy for non-calcific supraspinatus tendinitis - 10-year follow-up of a randomized placebo-controlled trial. Biomedizinische Technik Biomedical engineering. 2014;59(5):431–7.
pubmed: 24728846 doi: 10.1515/bmt-2013-0135
Kamonseki DH, da Rocha GM, Mascarenhas V, de Melo Ocarino J, Pogetti LS: Extracorporeal shock-wave therapy for the treatment of non-calcific rotator cuff tendinopathy: A systematic review and meta-analysis. American journal of physical medicine & rehabilitation 2023.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical research ed). 2021;372: n71.
pubmed: 33782057
Cacchio A, Paoloni M, Barile A, Don R, de Paulis F, Calvisi V, Ranavolo A, Frascarelli M, Santilli V, Spacca G. Effectiveness of radial shock-wave therapy for calcific tendinitis of the shoulder: single-blind, randomized clinical study. Phys Ther. 2006;86(5):672–82.
pubmed: 16649891 doi: 10.1093/ptj/86.5.672
Xiangzheng S, Zhongli L, Ji L, Hao Z, Chunhui L. Effect of extracorpeal shock wave combined with functional exercise on rotator cuff injury. Academic Journal of Chinese PLA Medical School. 2018;39(5):408–10.
Duymaz T, Sindel D. Comparison of Radial Extracorporeal Shock Wave Therapy and Traditional Physiotherapy in Rotator Cuff Calcific Tendinitis Treatment. Archives of rheumatology. 2019;34(3):281–7.
pubmed: 31598593 pmcid: 6768789 doi: 10.5606/ArchRheumatol.2019.7081
Fan C, Cong L, Hui P. Therapeutic effect of extracorporeal shock wave combined with exercise therapy on rotator cuff injury of weightlifters. Chinese Manipulation & Rehabilitation Medicine. 2018;9(10):5–7.
Fatima A, Ahmad A, Gilani SA, Darain H, Kazmi S, Hanif K. Effects of High-Energy Extracorporeal Shockwave Therapy on Pain, Functional Disability, Quality of Life, and Ultrasonographic Changes in Patients with Calcified Rotator Cuff Tendinopathy. Biomed Res Int. 2022;2022:1230857.
pubmed: 35281612 pmcid: 8916860 doi: 10.1155/2022/1230857
Galasso O, Amelio E, Riccelli DA, Gasparini G. Short-term outcomes of extracorporeal shock wave therapy for the treatment of chronic non-calcific tendinopathy of the supraspinatus: a double-blind, randomized, placebo-controlled trial. BMC Musculoskelet Disord. 2012;13:86.
pubmed: 22672772 pmcid: 3434084 doi: 10.1186/1471-2474-13-86
Guowei W, Yongjie L, Junsheng M, Shui S, Jiying C, Xunkai H, Qingshan S. Efficacy of extracorporeal shock wave in the treatment of chronic rotator cuff injury. Chinese Journal of Physical Medicine and Rehabilitation. 2013;35(6):479–80.
Junfan Z, Feng G, Shurong C, Shaoyun S, Xin C. The Effect of the Diffuse Shock Wave Combined with Joint Mobilization on No Serious Rotator Cuff Injury. Chinese and Foreign Medical Research. 2020;18(33):22–4.
Qiuen X, Qian W, Xinjun X, Yonggui X, Xiong Z. Effect of Extracorporeal Shock Wave Therapy combined with Xujin JieguLiquid and Sinew Adjusting Manipulationon Rotator Cuff Injury. Guiding Journal of Traditional Chinese Medicine and Pharmacy. 2017;23(20):93–5.
Hong S, Shurong Z, Jun C, Aizhen W, Ziying W, Mingru H, Wei Y, Zifan L, Chang L, Zhengbiao J, et al. Radial extracorporeal shockwave therapy reduces pain and promotes proximal tendon healing after rotator cuff repair: Randomized clinical trial. Ann Phys Rehabil Med. 2023;66(4): 101730.
doi: 10.1016/j.rehab.2023.101730
Weibin X, Jia D, Mei Z, Hu W. Effect of extracorporeal shock wave assisted local acupuncture aspiration on joint function in middle-aged and elderly patients with acute calcifying rotator cuff tendinitis. Contemporary Medicine. 2022;28(2):169–71.
Weiwei Z, Wei C, Jingjie Z, Ming Z, Xinyu L, Xiuyan L. A randomized controlled clinical study of electromagnetic extracorporeal shock waveon shoulder dysfunction after arthroscopic repair of rotator cuff degeneration. Journal of Hebei Medical University. 2021;42(4):390–4.
Xuping Z, Baihong C, Yunxiang Y, Rongfang S: shock wave therapy on arthroscopic rotator cuff repair Perioperative intervention effect of accelerated rehabilitation combined with extracorporeal. Journal of Logistics University of PAP ( Medical Sciences ) 2021, 30(12):159–160+163.
Yang X, Xiaomei G, Yimeng K, Guilin Z, Zhicheng S. Clinical effects of water-filtered infrared-A combined with extracorporeal shock wave in elderly patients with rotator cuff injury. Practical Geriatrics. 2022;36(9):948–51.
Yong T, Wenwu X, Shundong Z, Tongtong W. Clinical efficacy of medium energy focused extracorporeal shock wave in the treatment of rotator cuff calcific tendinitis. Zhongguo kang fu. 2020;35(9):472–5.
Xianzhe L, Jianliang S, Honghai Z, Qinghua L, Zhengwei Y, Liang Y. Clinical observation of extracorporeal shock wave combined with flubinofen gel paste in the treatment of rotator cuff injury. Journal of Clinical Anesthesiol. 2021;37(7):752–4.
Zhiyong Z, Ming Z, Junqu L, Shuye P. Clinical observation of extracorporeal shock wave therapy combined with floating needle therapy for rotator cuff injury. Chinese Journal of Modern Drug Application. 2020;14(22):226–7.
Gumucio JP, Korn MA, Saripalli AL, Flood MD, Phan AC, Roche SM, Lynch EB, Claflin DR, Bedi A, Mendias CL. Aging-associated exacerbation in fatty degeneration and infiltration after rotator cuff tear. J Shoulder Elbow Surg. 2014;23(1):99–108.
pubmed: 23790676 doi: 10.1016/j.jse.2013.04.011
Ryskalin L, Morucci G, Natale G, Soldani P, Gesi M: Molecular Mechanisms Underlying the Pain-Relieving Effects of Extracorporeal Shock Wave Therapy: A Focus on Fascia Nociceptors. Life (Basel, Switzerland) 2022, 12(5):743.
Kim SH, Ha KW, Kim YH, Seol PH, Kwak HJ, Park SW, Ryu BJ. Effect of Radial Extracorporeal Shock Wave Therapy on Hemiplegic Shoulder Pain Syndrome. Ann Rehabil Med. 2016;40(3):509–19.
pubmed: 27446789 pmcid: 4951371 doi: 10.5535/arm.2016.40.3.509
Schleusser S, Song J, Stang FH, Mailaender P, Kraemer R, Kisch T. Blood Flow in the Scaphoid Is Improved by Focused Extracorporeal Shock Wave Therapy. Clin Orthop Relat Res. 2020;478(1):127–35.
pubmed: 31592777 doi: 10.1097/CORR.0000000000000993
Yoon SY, Kim YW, Shin IS, Moon HI, Lee SC. Does the Type of Extracorporeal Shock Therapy Influence Treatment Effectiveness in Lateral Epicondylitis? A Systematic Review and Meta-analysis. Clin Orthop Relat Res. 2020;478(10):2324–39.
pubmed: 32332245 pmcid: 7491893 doi: 10.1097/CORR.0000000000001246
Pellegrino R, Di Iorio A, Brindisino F, Paolucci T, Moretti A, Iolascon G. Effectiveness of combined extracorporeal shock-wave therapy and hyaluronic acid injections for patients with shoulder pain due to rotator cuff tendinopathy: a person-centered approach with a focus on gender differences to treatment response. BMC Musculoskelet Disord. 2022;23(1):863.
pubmed: 36109717 pmcid: 9479346 doi: 10.1186/s12891-022-05819-3
Notarnicola A, Moretti L, Tafuri S, Panella A, Filipponi M, Casalino A, Panella M, Moretti B. Shockwave therapy in the management of complex regional pain syndrome in medial femoral condyle of the knee. Ultrasound Med Biol. 2010;36(6):874–9.
pubmed: 20447749 doi: 10.1016/j.ultrasmedbio.2010.03.012
Ko JY, Siu KK, Wang FS, Wang CJ, Chou WY, Huang CC, Kuo SJ. The Therapeutic Effects of Extracorporeal Shock Wave Therapy (ESWT) on the Rotator Cuff Lesions with Shoulder Stiffness: A Prospective Randomized Study. Biomed Res Int. 2020;2020:6501714.
pubmed: 35912378 pmcid: 9334095 doi: 10.1155/2020/6501714
Cosentino R, De Stefano R, Selvi E, Frati E, Manca S, Frediani B, Marcolongo R. Extracorporeal shock wave therapy for chronic calcific tendinitis of the shoulder: single blind study. Ann Rheum Dis. 2003;62(3):248–50.
pubmed: 12594112 pmcid: 1754476 doi: 10.1136/ard.62.3.248
Hsu CJ, Wang DY, Tseng KF, Fong YC, Hsu HC, Jim YF. Extracorporeal shock wave therapy for calcifying tendinitis of the shoulder. J Shoulder Elbow Surg. 2008;17(1):55–9.
pubmed: 18069011 doi: 10.1016/j.jse.2007.03.023
Schroeder AN, Tenforde AS, Jelsing EJ. Extracorporeal Shockwave Therapy in the Management of Sports Medicine Injuries. Curr Sports Med Rep. 2021;20(6):298–305.
pubmed: 34099607 doi: 10.1249/JSR.0000000000000851
Kenmoku T, Nemoto N, Iwakura N, Ochiai N, Uchida K, Saisu T, Ohtori S, Nakagawa K, Sasho T, Takaso M. Extracorporeal shock wave treatment can selectively destroy end plates in neuromuscular junctions. Muscle Nerve. 2018;57(3):466–72.
pubmed: 28759703 doi: 10.1002/mus.25754
Frassanito P, Cavalieri C, Maestri R, Felicetti G. Effectiveness of Extracorporeal Shock Wave Therapy and kinesio taping in calcific tendinopathy of the shoulder: a randomized controlled trial. Eur J Phys Rehabil Med. 2018;54(3):333–40.
pubmed: 29185674 doi: 10.23736/S1973-9087.17.04749-9
Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, Hilfiker R. Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. Br J Sports Med. 2017;51(18):1340–7.
pubmed: 28630217 doi: 10.1136/bjsports-2016-096515
Li W, Zhang SX, Yang Q, Li BL, Meng QG, Guo ZG. Effect of extracorporeal shock-wave therapy for treating patients with chronic rotator cuff tendonitis. Medicine. 2017;96(35): e7940.
pubmed: 28858120 pmcid: 5585514 doi: 10.1097/MD.0000000000007940
Kvalvaag E, Roe C, Engebretsen KB, Soberg HL, Juel NG, Bautz-Holter E, Sandvik L, Brox JI. One year results of a randomized controlled trial on radial Extracorporeal Shock Wave Treatment, with predictors of pain, disability and return to work in patients with subacromial pain syndrome. Eur J Phys Rehabil Med. 2018;54(3):341–50.
pubmed: 28655271 doi: 10.23736/S1973-9087.17.04748-7
Kolk A, Yang KG, Tamminga R, van der Hoeven H: Radial extracorporeal shock-wave therapy in patients with chronic rotator cuff tendinitis: a prospective randomised double-blind placebo-controlled multicentre trial. The Bone Joint J. 2013, 95-b(11):1521–1526.
Speed CA, Richards C, Nichols D, Burnet S, Wies JT, Humphreys H, Hazleman BL: Extracorporeal shock-wave therapy for tendonitis of the rotator cuff. A double-blind, randomised, controlled trial. J Bone Joint Surgery British 2002, 84(4):509–512.
Kenmoku T, Iwakura N, Ochiai N, Saisu T, Ohtori S, Takahashi K, Nakazawa T, Fukuda M, Takaso M. Influence of different energy patterns on efficacy of radial shock wave therapy. Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association. 2021;26(4):698–703.
pubmed: 32868208 doi: 10.1016/j.jos.2020.07.009
Sayegh ET, Strauch RJ. Does nonsurgical treatment improve longitudinal outcomes of lateral epicondylitis over no treatment? A meta-analysis. Clin Orthop Relat Res. 2015;473(3):1093–107.
pubmed: 25352261 doi: 10.1007/s11999-014-4022-y
Pellegrino R, Di Iorio A, Filoni S, Mondardini P, Paolucci T, Sparvieri E, Tarantino D, Moretti A, Iolascon G: Radial or Focal Extracorporeal Shock Wave Therapy in Lateral Elbow Tendinopathy: A Real-Life Retrospective Study. Int J Environ Res Public Health 2023, 20(5)4371.

Auteurs

Xiali Xue (X)

School of Sports Medicine and Health, Chengdu Sport University, Chengdu, China.

Qingfa Song (Q)

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China.

Xinwei Yang (X)

Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Amila Kuati (A)

Department of Rehabilitation, Peking University Third Hospital, Beijing, 100191, China.

Hao Fu (H)

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China.

Guoqing Cui (G)

School of Sports Medicine and Health, Chengdu Sport University, Chengdu, China. drcuiguoqing1964@126.com.
Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China. drcuiguoqing1964@126.com.
Department of Rehabilitation, Peking University Third Hospital, Beijing, 100191, China. drcuiguoqing1964@126.com.

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