非侵入性技术治疗卒中后肩痛的研究进展

Research Progress on Non-Invasive Technologies for Post-Stroke Shoulder Pain

摘要: 卒中后肩痛(post-stroke shoulder pain, PSSP)作为脑卒中后的常见并发症，阻碍康复治疗计划的正常实施，并导致卒中后抑郁和生活质量下降。本文旨在系统综述近年来新兴于PSSP治疗的非侵入性技术的最新研究进展和临床疗效证据，并对比分析各技术优势和适用场景。并在此基础上，结合患者临床分期与病理特征，提出了一套完整的个体化临床决策指导路径，为临床实践中精准应用这些新技术提供了可操作性的临床决策体系。同时，本综述强调，仍需开展更多严谨的临床试验以验证上述技术的有效性，并探索其在个体化康复方案中的最优整合策略，从而为临床决策路径的完善提供更坚实的科学依据。

Abstract: Post-stroke shoulder pain (PSSP), a common complication following a stroke, impedes the normal implementation of rehabilitation treatment plans and leads to post-stroke depression and a decline in the quality of life. This article aims to systematically review recent advances in non-invasive technologies for post-stroke shoulder pain (PSSP) and their clinical efficacy, and to conduct a detailed comparative analysis of each technology’s advantages and optimal indications. Based on these findings and integrating patients’ clinical stages and core pathological characteristics, we propose a comprehensive individualized clinical decision-making pathway, thereby providing an operational framework for the precise application of these emerging technologies in future clinical practice. Furthermore, this review emphasizes that more rigorous clinical trials are still needed to verify the effectiveness of the aforementioned technologies and to explore the optimal integration strategies for them in individualized rehabilitation programs, thereby providing a more solid scientific basis for the improvement of clinical decision-making pathways.