| 标题： | 中国儿童肌肉痉挛体外冲击波治疗临床实践指南（2024） |
| title： | Clinical Practice Guideline for Extracorporeal Shockwave Therapy of Muscle Spasticity in Children (2024) |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 标准指南 |
| classification： | Standard guideline |
| 领域： | 治疗 |
| field： | Treatment |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 本指南适用于所有级别的医疗与保健机构。目标使用人群为儿童肌肉痉挛相关临床治疗领域医务人员（包括康复医学科、神经科、骨科等学科专业人员）、医学教育以及研究人员。 |
| Guide users： | This guidance is applicable to all medical and healthcare settings, targeting medical personnel from various disciplines such as rehabilitation medicine, neurology, orthopedics, as well as professionals in medical education and researchers focusing on clinical treatment of childhood muscle spasticity. |
| 证据分级方法： | 指南推荐意见采用证据推荐分级评估、制订与评价方法（grading of recommendations assessment, development and evaluation, GRADE）进行评估、制订和评价，并按照卫生保健实践指南报告条目（reporting items for practice guidelines in healthcare，RIGHT）进行报告。 |
| Evidence grading method： | Recommendations are assessed, developed, and evaluated using the grading of recommendations assessment, development and evaluation (GRADE）approach, and reported in accordance with the Reporting Items for Practice Guidelines in Healthcare (RIGHT). |
| 制定单位： | 中国康复医学会儿童康复专业委员会；中国研究型医院学会冲击波医学专业委员会 |
| Formulating unit： | Pediatric Rehabilitation Committee of China Association Rehabilitation Medicine; Shockwave Medicine Committee of Chinese Research Hospital Association |
| 注册时间： | 2024-04-21 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN564 |
| Registration number： | |
| 指南制订的目的： | 体外冲击波疗法（extracorporeal shock wave therapy, ESWT）是一种非侵入性、安全、有效的治疗方法，被广泛应用于多个临床领域。中国研究型医院学会冲击波医学专业委员会于2019年制定了第一版《中国骨肌疾病体外冲击波疗法指南（2019版）》，并于2023年进行了更新，中华医学会物理医学与康复分会于2019年制定了《肌肉骨骼疾病体外冲击波治疗专家共识》，中国疼痛学专家于2023年制定了《体外冲击波疗法临床应用中国疼痛学专家共识（2023版）》，为规范ESWT在国内的推广应用发挥了良好作用。然而，现有专家共识和临床指南主要关注ESWT治疗肌肉骨骼疾病和慢性疼痛性疾病，对其在治疗肌肉痉挛方面的应用较少提及。特别是针对儿童人群，ESWT的临床治疗关键技术和治疗方案尚未统一。近年来，随着ESWT在儿童康复医学领域的推广应用，大量新的治疗经验和研究成果不断涌现，ESWT治疗儿童肌肉痉挛的临床证据也不断丰富。鉴于此，中国康复医学会儿童康复专业委员会、中国研究型医院学会冲击波医学专业委员会联合发起制订《中国儿童肌肉痉挛体外冲击波治疗临床实践指南（2024）》。本指南旨在为儿童康复科、神经科、骨科的从业人员应用ESWT治疗儿童肌肉痉挛提供循证医学依据，促进ESWT更加规范、合理使用。 |
| Purpose of the guideline： | Extracorporeal shock wave therapy (ESWT) is a widely used non-invasive, safe, and effective treatment method in various clinical fields. In 2019, the Shockwave Medicine Committee of the Chinese Research Hospital Association released the first edition of the "Chinese Extracorporeal Shock Wave Therapy Guidelines for Musculoskeletal Diseases," which was updated in 2023. The Physical Medicine and Rehabilitation Branch of the Chinese Medical Association established the "Expert Consensus on Extracorporeal Shock Wave Therapy for Musculoskeletal Diseases" in 2019. In 2023, pain experts in China developed the "Expert Consensus on Clinical Application of Extracorporeal Shock Wave Therapy by Pain Experts in China." These guidelines have significantly contributed to standardizing ESWT's promotion and application within China. However, current expert consensus and clinical guidelines primarily focus on using ESWT for musculoskeletal diseases and chronic pain conditions, with less attention given to its application for muscle spasms, especially among children where there is no unified approach to key clinical techniques and treatment plans. Over recent years, as ESWT has been increasingly utilized in pediatric rehabilitation medicine, numerous new treatment experiences and research findings have emerged that continuously enhance the clinical evidence supporting ESWT's effectiveness in treating muscle spasms among children. Recognizing this progress, a collaboration between the Pediatric Rehabilitation Committee of China Association Rehabilitation Medicine and Shockwave Medicine Committee of Chinese Research Hospital Association led to formulating "Clinical Practice Guideline for Extracorporeal Shockwave Therapy of Muscle Spasticity in Children (2024)." This guideline aims to offer evidence-based support to practitioners specializing in pediatric rehabilitation, neurology, orthopedics when applying ESWT to treat muscle spasticity among children while promoting more standardized use of ESWT. |
