热疗有助于治疗肌腱病吗？

我读到了同一研究小组（1,2,3）的一系列随机对照试验和病例研究，似乎表明热疗有助于治疗肌腱病。他们使用的热疗机结合了表层冷却系统和深层加热源与434MHz的微波发生器（准确的说是433.92MHz的微波发生器，最大输出功率为100W）。他们使用的是ALBA超热系统（Restek SRL，意大利罗马）。

然而，我无法找到其他研究小组的RCTs证实或证实这些结果。4）似乎在从家兔跟腱中分离出的肌腱细胞上显示，高热能上调肌腱细胞代谢，下调肌腱代谢：

和（5）表明肌腱高热可能是肌腱损伤的潜在原因。A. Di Cesare, G. Casciello, D. Sorrenti, S. Dragoni, and P. Gabriele. “Hyperthermia at 434 MHz in the treatment of overuse sport tendinopathies: a randomised controlled clinical trial.” International journal of sports medicine 23, no. 3 (2002): 207-211. https://scholar.google.com/scholar?cluster=8021114068092765088&hl=en&as\https://scholar.google.com/scholar?cluster=8021114068092765088&hl=en&as_sdt=0,22 - (2) Di Cesare, Annalisa, Arrigo Giombini, Stefano Dragoni, Luciano Agnello, Maurizio Ripani, Vincenzo Maria Saraceni, and Nicola Maffulli. “肩袖钙化肌腱病。Conservative management with 434 Mhz local microwave diathermy (hyperthermia): a case study.” Disability and rehabilitation 30, no.20-22 (2008): 1578-1583. https://scholar.google.com/scholar?cluster=16215083876154350362&hl=en&as\sdt=0,22; http://sci-hub.cc/10.1080/09638280701786351 - (3) Giombini, Arrigo, Annalisa Di Cesare, Marc R. Safran, Riccardo Ciatti, and Nicola Maffulli. “Hyperthermia治疗运动员肌腱病的短期随机对照研究"。The American journal of sports medicine 34, no. 8 (2006): 1247-1253. https://scholar.google.com/scholar?cluster=12855774679211931287&hl=en&as_sdt=0,22 - (4) Tashiro, Masataka, Eijiro Maeda, and Toshiro Ohashi. "101 Effect Of Hyperthermia On Tenocyte Physiological Functions.” British Journal of Sports Medicine 48, no. Suppl 2（2014）。A65-A66.British Journal of Sports Medicine 48, no. Suppl 2 (2014): A65-A66. http://sci-hub.cc/10.1136/bjsports-2014-094114.100 - （5）Farris，Dominic James，Grant Trewartha，and Miranda Polly McGuigan. “Could intra-tendinous hyperthermia during running explain chronic injury of the human Achilles tendon?” 。Journal of biomechanics 44, no. 5 (2011): 822-826. http://www.sciencedirect.com/science/article/pii/S0021929011000145 ; http://sci-hub.cc/10.1016/j.jbiomech.2010.12.015

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