• Title/Summary/Keyword: Extracorporeal Shock Wave

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A Literature Review on the Use of Extracorporeal Shock Wave with Syndrome Differentiation Theory (한방 변증 이론에 근거하여 사용된 체외충격파 연구에 대한 문헌 고찰)

  • Lee, Sang-Hyun;Kim, Hyun-Tae;Park, Sun-Young;Heo, In;Hwang, Man-Suk;Shin, Byung-Cheul;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.2
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    • pp.95-103
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    • 2020
  • Objectives This report aimed to review literatures using extracorporeal shock wave with syndrome differentiation theory. Methods By March 3, 2020, five foreign electronic databases (PubMed, Web of Science, Cochrane Library, EMBASE, CAJ) and six Korean medical electronic databases (KMBASE, KISTI, KISS, NDSL, DBpia, RISS) were reviewed with the key word 'extracorporeal shock wave' and 'syndrome differentiation'. We did not impose restrictions on age, gender, treatment methods, duration, results and the design of the paper. Results Twelve papers met the inclusion criteria. Seven papers used extracorporeal shock wave lithotripsy with syndrome differentiation theory and six out of seven papers treated urologic stones using extracorporeal shock wave lithotripsy. The other five papers used extracorporeal shock wave therapy with syndrome differentiation theory and four of them treated musculoskeletal disorders. However, the data of the characteristics of extracorporeal shock wave was insufficient. Conclusions After thorough review, it is considered to be meaningful to treat urologic stones and musculoskeletal disorders using extercorporeal shock wave with syndrome differentiation theory. However, some of the literatures were limited in their feasibility and reliability in terms of research design. In addition, the data regarding the strength of the extracorporeal shock wave applied on each acupoints was insufficient. Therefore, further study on the use of extracorporeal shock wave on acupoints should be conducted.

Impact of Shock Wave on Nerve Regeneration in Motion Analysis of Affected Side after Nerve Injury (신경 손상 후 환측의 동작분석을 통한 충격파가 신경재생에 미치는 영향)

  • Lee, Jung-Ho;Choi, Yeong-Deok;Sung, Youn-Bum
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.3
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    • pp.533-540
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    • 2019
  • This study investigated the effect of extracorporeal shock wave therapy on nerve regeneration in nerve injured rats. In this study, we used 30 male Sprague-Dawley rats weighing 230-280g and 6 weeks old. Study groups were divided into two groups using a random sampling method: experimental group (n=15) treated with extracorporeal shock wave after sciatic nerve injury and control group (n=15) treated without extracorporeal shock wave after sciatic nerve injury. In this study, extracorporeal shock wave therapy equipment (OPTIMUS, SALUS TALENT 3, Korea) was used to apply extracorporeal shock wave therapy and applied to the sciatic nerve crush area of the right hind limb using low intensity. We measured the stance time and stride distance of the affected side using dartfish software. There was a statistically significant difference in the change of stance time and stride distance of the affected side between the experimental group using extracorporeal shock wave therapy and the control group without extracorporeal shock wave treatment. In conclusion, extracorporeal shock wave therapy has a positive effect on nerve regeneration.

Extracorporeal Shock Wave Therapy: Its Acoustical Aspects

  • Choi, Min-Joo;Cho, Sung-Chan;Paeng, Dong-Guk;Lee, Kang-Il
    • The Journal of the Acoustical Society of Korea
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    • v.29 no.3E
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    • pp.119-130
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    • 2010
  • Extracorporeal shock wave therapy (ESWT) is simply evolved from extracorporeal shock wave lithotripsy known as a revolutionary non-invasive technique for treating kidney stone diseases. Since ESWT was approved for treating plantar fasciitis by FDA in 2000, it has been rapidly accepted into various clinical practices. Its indication includes chronic tendinitis and pseudoarthrosis, and has been widened to various applications other than orthopeadics. Little has been reported on their acoustic properties, yet, even if a number of clinical ESWT systems are readily available. This article reviews the acoustical aspects of ESWT and discusses critical issues towards acoustic exposure optimization and shock wave dosimetry.

Extracorporeal Shock Wave Therapy for the Treatment of Refractory Plantar Fasciitis (난치성 족저 근막염의 체외충격파를 이용한 치료)

  • Choi, Woo-Jin;Lee, Jin-Woo;Kwak, Yoon-Hae
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.51-56
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    • 2007
  • Purpose: The objective of this study was to report the outcomes of patients treated with extracorporeal shock wave therapy (ESWT) for refractory plantar fasciitis of the foot. Materials and Methods: From November 2005 to October 2006, a total of sixty-two patients with refractory plantar fasciitis were treated with extracorporeal shock wave therapy. The main outcome measurements were visual analogue scale (VAS) and Roles and Maudsley score evaluated before treatment and at one and six months after treatment. Results: Roles and Maudsley score was excellent (0%), good (6.4%), fair (35.4%) and poor (58.2%) before treatment which improved to excellent (56.5%), good (38.7%), fair (4.8%) and poor (0%) at final follow-up. VAS scores also significantly improved after ESWT (p<0.05). There was no statistically significant correlation between clinical results and body mass index (BMI) (p=0.102). Conclusion: Extracorporeal shock wave therapy appears to be an effective and safe treatment modality for refractory plantar fasciitis and may help the patient to avoid surgery for refractory heel pain.

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Removal of Pancreatic Calcification Stones by Extracorporeal Shock- Wave Lithotripsy under the Entangled Basket and the Endoscopy. (포획한 바스켓과 내시경이 얽힌 환자에서 체외충격파 쇄석술을 적용한 췌관결석의 치료 1예)

  • Son, S.Y.;Lee, W.H.;Lee, H.J.;Um, J.Y.;Chin, J.H.;Kim, K.C.
    • Journal of radiological science and technology
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    • v.22 no.1
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    • pp.87-90
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    • 1999
  • Treatment of human calculi by extracorporeal shock-wave lithotripsy(ESWL) was introduced for kidney stones in 1980. This technology was then applied to the treatment of bile duct stones and pancreatic stones. Some reports have also shown that disintegration of pancreatic stones by extracorporeal shock-wave lithotripsy is possible with successful subsequent endoscopic extraction of the fragments at home ana abroad. We tried removal of pancreatic calcification stones by endoscopic procedures, but could't be removed because the basket got entagled in the endoscopy. We report one case of this pancreatic calcification stones ; the stones were successfully fragmented and completely removal by extracorporeal shock-wave lithotripsy.

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Cavitation Effects on Radiated Sounds and Break Efficiency Induced by Piezoelectric Extracorporeal Shock Wave Lithotripter (ESWL 장치에 의한 방사음 및 파쇄효율에 미치는 캐비테이션의 영향)

  • 장윤석
    • Journal of Biomedical Engineering Research
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    • v.22 no.2
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    • pp.205-210
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    • 2001
  • The effectiveness of extracorporeal shock wave lithotripter for the therapy of calculus has been well known in the field of urology. There are many studies about the performance of that and the influence into human body. Among them, it is an impertant issue that cavitation is always deal with shock wave. A medium of the shock wave is related to the cavitation phenomenon. In this paper, therefore, we analysis the spectra of radiated sounds and the break efficiency on focal region due to the medium of shock wave. The results show that the cavitation bubbles produce a harmful on the break efficiency and the stability of the radiated sounds due to the ESWL.

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Fragmentation of Common Bile Duct and Pancreatic Duct Stones by Extracorporeal Shock-wave Lithotripsy (체외충격파쇄석술을 이용한 총담관 및 췌관 결석의 치료)

  • Kim, Ham-Gyum;Son, Soon-Yong;Lee, Won-Hong
    • Journal of radiological science and technology
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    • v.21 no.1
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    • pp.40-45
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    • 1998
  • To determine its usefulness and safety of extracorporeal shock-wave lithotripsy in common bile duct and pancreatic duct stones, we analyzed the results of 13 patients with common bile duct stones and 6 patients with pancreatic duct stones which were removed by endoscopic procedures using the balloon or basket, who was performed the extracorporeal shock-wave lithotripsy using the ultrasonography for stone localization with a spark gap type Lithotriptor(Dernier MPL 9000, Germany). Fragmentation and complete clearance of the common bile duct and pancreatic duct stones were obtained in 19 of 19 patients(100%). Apart from transient attacks of fever in 2 of 13 patients with common bile duct stones(15%) and mild elevation of serum amylase and lipase in 2 of 6 patients with pancreatic duct stones(33%), no other serious side effects were observed. In our experiences, extracorporeal shock-wave lithotripsy is a safe and useful treatment for endoscopically unretrievable common bile duct and pancreatic duct stones.

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Literature Review and Applicability of Extracorporeal Shock Wave with Meridian and Acupoint Theory (경혈 경락 이론에 근거하여 사용된 체외 충격파 문헌 검색 및 활용 가능성 연구)

  • Jong-Hyeog, Jeong;Yoon-A, Kim;Sang-Hyun, Lee;Byung-Jun, Kim;Eui-Hyoung, Hwang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.6
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    • pp.213-220
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    • 2022
  • We investigated the current status of research using extracorporeal shock waves on the basis of meridian and acupoint theory. By March 2022, five foreign databases (CAJ, Pubmed, Web of Science, EMBASE, Cochrane Library) and six Korean databases (Dbpia, RISS, KMBASE, scienceON, KISS, NDSL) were searched with the terms using 'Extracorporeal shock wave' and '(Acupoint or Acupuncture point)'. The search terms were adapted according to the language of the database. There were no restrictions on the study design. As a result of the search, twenty-seven papers were selected for analysis. One study was searched in English database, and the remaining twenty-six studies were searched in Chinese database. There were nineteen pain-related diseases, four obsterics and gynecology diseases, two bone-related diseases, and two other diseases. The most frequently used acupoints were GB34, ST36, and KI3. A total of six adverse events were reported in five papers. The use of extracorporeal shock wave on the basis of meridian and acupoint theory is considered to have sufficient meaning in Korean Medicine. It is expected to use extracorporeal shock wave as a new treatment method for Korean Medicine doctors in the near future.

Effects of 6 Week Kinesiotaping and Extracorporeal Shock Wave Therapy on the Joint Range of Motion in Patients with Frozen Shoulder

  • Choi, Jung Hyun;Kim, Soon Hee;An, Ho Jung;Koo, Ja Pung;Kim, Nyeon Jun
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.1
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    • pp.1095-1099
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    • 2017
  • This study used both kinesiotaping and extracorporeal shock wave therapy on patients diagnosed with frozen shoulder - a common musculoskeletal disorder in adults - in order to observe the effects on the joint range of motion. 21 adult(male 12, female 9) were selected and distributed into randomized groups. One group received kinesiotaping (n=10) and the other group received kinesiotaping together with extracorporeal shockwave therapy (n=11). After a 6 week duration of receiving kinesiotaping and extracorporeal shockwave therapy, changes in the joint range of motion in the patients were observed. Post-treatment of frozen shoulder, the changes in abduction within the shoulder joint were as follows: in both groups there was a noticeable increase in the joint range of motion (p<.05). Post-treatment of frozen shoulder, the changes in external rotation within the shoulder joint were as follows: both groups showed a significant increase in the joint range of motion (p<.05). The result of suggest that, it can be inferred that both the extracorporeal shockwave therapy and kinesiotaping are effective in increasing the joint range of motion in patients with frozen shoulder.

Effects of Extracorporeal Shock Wave Therapy in Pain Point on Range of Motion, Pain and Mechanical Muscle Properties in Myofascial Pain Syndrome (근막통증증후군 환자에게 통증점 체외충격파 치료가 경추의 가동 범위, 통증, 근육의 기계적 특성에 미치는 영향)

  • Jung, Koo-Young;Yoon, Tae-Lim;Lee, Jun-Hee
    • Physical Therapy Korea
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    • v.28 no.1
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    • pp.53-58
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    • 2021
  • Background: To evaluate whether extracorporeal shock wave therapy (ESWT) in the pain point is a more effective treatment than the trigger point for myofascial pain syndrome (MPS) of the upper trapezius. Objects: The purpose of this study was to compare the most effective areas when applying extracorporeal shock wave therapy. Methods: A total of 30 patients with MPS were randomly assigned to the trigger point in the ESWT (n = 15) and pain point ESWT (n = 15) groups. Interventions in both groups were performed in one session, i.e., 2,000 shocks with 1.5 bar intensity. Pain and function were assessed using the visual analog scale (VAS) and cervical range of motion (ROM) and based on mechanical muscle properties. Statistical analysis was performed using the repeated measures two-way analysis of variance to determine the significance probability between pre- and post-test. Results: Changes in mechanical muscle properties were not statistically significant between the two groups. However, VAS and cervical ROM showed statistically significant differences at pre- and post-intervention, regardless of the group (p < 0.05). Conclusion: Although no significant difference was observed in the intervention effect, applying an extracorporeal shock wave to the pain point rather than the pain trigger point should be considered in order to save time in effectively and accurately identifying the pain trigger point and site.