• Title/Summary/Keyword: Extracorporeal shock wave therapy

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The study on Focused Extracorporeal Shock Wave Prostate Therapy Apparatus using MCU and Spiral Coil (MCU와 나선형 코일을 이용한 촛점식 체외 충격파 전립선 치료 장치에 관한 연구)

  • Ryoo, Hee-Soo;Son, Byeong-Rae
    • The Journal of the Korea institute of electronic communication sciences
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    • v.16 no.1
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    • pp.203-210
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    • 2021
  • Difficulties in treating chronic prostatitis cause physical pain and mental problems not only for the treating doctor, but also for the patient. Accordingly, the device of the present research was developed to help patients suffering from prostate symptoms due to the vibration effect of shock wave energy caused by thermal and mechanical interaction of the external shock wave. The purpose of this study is to provide an effective treatment means for prostatitis and BPH(Benign prostatic hyperplasia) by devising an extracorporeal shockwave therapy device that effectively applies the heat and vibration effects of concentrated energy by MCU and spiral coil module.

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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The Effect of Applying Various Tools to the Stiffness and Muscle Tone of Hamstring Muscles (다양한 도구의 적용이 뒤넙다리근의 뻣뻣함과 근 긴장도에 미치는 영향)

  • Hwang, Sunghyun;Kim, Taeho
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.223-230
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    • 2020
  • Purpose : The purpose of this study was to examine the effects of tools (i., extracorporeal shock wave therapy, massage gun, and foam roller) on range of motion, muscle tone and pain threshold among patients with hamstring stiffness. Methods : Fourteen participants with hamstrings stiffness were recruited. Interventions were performed 6 times, and each session was for 30 seconds using the three tools. The range of motion, muscle tone, and pain threshold were measured. The order of the use of the three tools was randomly determined. The foam roller was made to move from the bottom of the hip crease to the upper part of the back of the hamstring. Additionally, velocity 5 vibration stimulation was performed on the hamstring using a massage gun. Moreover, vibration stimulation was performed on the hamstring with extracorporeal shock wave therapy 5 minutes, 5 Hz, and 1,500 strokes. The flexibility of the posterior thigh muscle was based on maintaining the knee and hip joints in a 90 ° bend in the supine position. The joint angle of the knee was measured, when the knee was actively extended, at the maximum point where the posterior thigh muscle was stretched. The elasticity of the posterior thigh muscle was measured while the subject was prone and in a relaxed state without any force. Measurements were made at the muscle abdominal area of the semitendinosus muscle of the posterior femur, and the area to be measured was marked with a pen. The measurement of the tenderness threshold of the posterior femur was measured using a tenderness meter(Commander Algometer, J-Tech, USA). The force value at the point at which the pressure sensation change to pain was measured after applying vertical pressure to the posterior femur muscle, which was the halfway point between the ischial tuberosity and the popliteal surface of the subject lying on their stomach. Results : The extracorporeal shock wave therapy increased stiffness and, muscle tone, and caused changes in the pain threshold, whereas the other two tools had no effect on these indices. Conclusion : Extracorporeal shock wave therapy has important effects on range of motion and muscle stiffness and can be used in warmup protocols.

The Effects of the Extracorporeal Shock Wave Therapy on Complex Pain Scales of Neck-Shoulder in 20s Adults with VDT Syndrome due to prolonged Smartphone Use (장시간 스마트폰 사용으로 VDT증후군을 가진 20대 성인의 체외충격파적용이 목-어깨의 복합적 통증지수에 대한 효과)

  • Seo, Kyo-Chul;Park, Seung-Hwan;Cho, Mi-Suk
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.135-142
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    • 2021
  • The purpose of this study was to determine the effect of extracorporeal shock wave therapy for the neck-shouler muscles of complex pain scales of the 20s adults with VDT Syndrome to prolonged smartphone use. Twenty subjects with neck pain due to VDT syndrome participated in the experiment. They were randomly divided into 10 experimental groups and 10 control groups. Experimental subjects were conducted for 4 weeks, 5 days a week. The experimental group was subjected to extracorporeal shock wave therapy 2000 times at an intensity of 5 Hz and 2.0 bar once, and the control group performed self-stretching exercise for 30 minutes once. Subjects measured and compared neck-shoulder pain with VAS and PPT before and after the experiment. Data analysis was performed with SPSS win 18.0, and correspondence comparison was performed to analyze the results of the experimental group and the control group before and after the experiment. After the experiment, the experimental group decreased more in VAS and PPT of the neck-shoulder muscle. but the control group was no difference. Though these results, extracorporeal shock wave therapy was showed a reduction in pain after treatment than before treatment but there are no difference in the pain reduction after self-stretching exercise. Thus, extracorporeal shock wave therapy is expected to be used as a variety of treatments to reduce neck-shoulder pain as a cause of VDT syndrome.

Extracorporeal Shock Wave Therapy for Painful Heterotopic Ossification after Traumatic Transtibial Amputation (외상성 하퇴 절단지에 발생한 이소성 골화증에 대한 체외충격파 치료)

  • Jeon, Hyun Min;Yang, Hee Seung;Seo, Jin Seok;Han, Seok Cheol;Kim, Wan Tae
    • Clinical Pain
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    • v.19 no.1
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    • pp.28-31
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    • 2020
  • The incidence of heterotopic ossification (HO) was reported to be higher in combat-injured patients than in civilian trauma patients. HO is often considered a possible cause of residual limbs pain in amputee. Here, we report the case of a 21-year-old male, who underwent a traumatic right transfemoral and left transtibial amputation with two segments of painful HO around his left amputation site. We report the effect of extracorporeal shock wave therapy (ESWT) on size and pain associated with HO. After ESWT, the visual analog scale score decreased from 5~6 to 0~1 and the size of two masses decreased from 13.1 × 6.7 mm and 12.5 mm to 11.9 × 4.7 mm and 12.2 mm, respectively. To the best of our knowledge, this is the first case that has reported on the treatment of HO using ESWT for a traumatic transtibial amputation patient. The case suggests that ESWT could serve as a complementary treatment for HO in traumatic amputation patient.

An Electromagnetic Shock Wave Generator Employing a Solenoid Coil for Extracorporeal Shock Wave Therapy: Construction and Acoustical Properties (체외 충격파 치료술을 위한 솔레노이드 코일을 이용한 전자기식 충격파 발생기: 구성 및 음향학적 특성)

  • Choi Min Joo;Lee Jong Soo;Kang Gwan Suk;Paeng Dong Guk;Lee Yoon Joon;Cho Chu Hyun;Rim Geun Hie
    • The Journal of the Acoustical Society of Korea
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    • v.24 no.5
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    • pp.271-281
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    • 2005
  • An electromagnetic type shock wave generator suitable for extracorporeal shock wave therapy has been constructed by employing a solenoid coil. The Property of the shock waves produced by the shock wave generator was evaluated using a needle hydrophone. It was shown that, as the capacitor discharging voltage increased from 8 to 18 kV, the Positive Peak Pressure (P+) of the shock wave increased non-linearly from 10 to 77 Wa. In contrast. the negative peak Pressure (f) varied between -3.2 and -6.8 MPa. had its absolute maximum of -6.9 ma at 14 kV The peak amplitudes P+ measured repeatedly under the same voltage setting varied within $5\;\%$ from mean values and this is very small compared to about $50\;\%$ for electrohydraulic type shock wave generators. It could be observed, from the hydrophone signal recorded over 1 ms. several sequential acoustic impulses representing bubble collapses. namely. acoustic cavitation. induced by the shock wave. A technique based on wavelet transformation was used to accurately measure the time delay between the 1st and 2nd collapse known to be closely related to the shock strength. It was observed that the measured time delay increased almost linearly from 120 to $700\;{\mu}s$ with the shock wave Pressure P+ increasing from 10 to 77 MPa.

Extracorporeal Shock Wave Therapy for Myofascial Pain Syndrome of Upper Trapezius (충격파치료를 이용한 상부 등세모근의 근막통증증후군 치료)

  • Lee, Jung-Ho;Jung, Kang-Hoon;Park, Young-Han
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.2
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    • pp.183-190
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    • 2012
  • Purpose : The purpose of this study was to evaluate whether extracorporeal shock wave therapy (ESWT) is an effective treatment for myofascial pain syndrome (MPS) of upper trapezius. Methods : Study subject were 20 patients (7 male and 13 female). The patients were evaluated by assessing of pain and function using visual analog scale (VAS) and pressure pain threshold (PPT) and Constant-Murley scale (CMS). Statistical analysis was used paired T-test to know significance probability between pre-test and post-test. Results : There was no statistical significance in the change in PPT. But, VAS scores were significantly improved after ESWT (p<.05). Using the Constant-Murley score, this study showed a significant decrease in pain and a significant increase in range of motion of shoulder (p<.05). Conclusion : These results indicate that extracorporeal shock waves therapy could be considered as an effective and efficient treatment modality for myofascial pain syndrome of upper trapezius.

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.

Comparison of the Effect of Ischemic Compression Therapy and Extracorporeal Shock Wave Therapy on the Trigger Point of the Upper Trapezius Muscle (위등세모근의 발통점에 대한 허혈성 압박치료와 체외충격파치료의 효과비교)

  • Joo, Ji-Kyun;Park, Sam-Ho;Shin, Won-Seob
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.2
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    • pp.141-152
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    • 2021
  • Purpose: This study aimed to compare the effects of ischemic compression (IC) therapy and extracorporeal shock wave therapy (ESWT) in patients with upper trapezius myofascial pain syndrome and to present an effective treatment method for these patients. Methods: A total of 42 patients with upper trapezius myofascial pain syndrome were randomly assigned to the IC group (n = 21) and ESWT group (n = 21). IC therapy and ESWT were performed in the IC and ESWT groups, respectively. Treatment was applied to the trigger point of the upper trapezius muscle. Visual analog scales (VAS), pain pressure threshold (PPT), range of motion, neck disability index (NDI), and fear-avoidance belief questionnaire (FABQ) were evaluated before and after the intervention to compare its effectiveness. Results: Both groups showed significant differences before and after the intervention in VAS, PPT, NDI, FABQ, flexion, extension, right side bending, and left side bending (p <.05). In addition, there were significant differences in the IC group compared to the ESWT group in VAS, PPT, and NDI (p <.05). Conclusion: IC therapy and ESWT applied to patients with upper trapezius myofascial pain syndrome are mediating methods of pain, function, and psychosocial effects. In addition, IC therapy may be a more effective mediating method for pain and dysfunction than ESWT.

Ultrasound-guided Exact Focusing of Extracorporeal Shock Wave Therapy for the Calcific Tendinitis of Gluteus Medius - A Case Report - (중둔건 석회화 건염의 초음파 유도하 정확한 조준에 의한 체외충격파치료 -증례 보고-)

  • Moon, Sang Ho;Lee, Song;Kim, Kwang Hai;Jeong, Jongpil;Hong, Seong Won
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.94-98
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    • 2012
  • Calcific tendinitis is characterized by inflammation around calcium hydroxyapatite crystal deposits. Minimally invasive extracorporeal shock wave therapy (ESWT) has been postulated to be an effective treatment option for treating calcific tendinitis. In clinical practice, shock waves usually are aimed at the painful area after palpation and not focused. It has been known that exact fluoroscopic focusing of ESWT at the calcific deposit for treatment of calcifying tendinopathy is highly effective. Ultrasound is a simple, inexpensive and radiation-free diagnostic tool that has been used to demonstrate tendinopathy including calcific tendinitis. However, focusing of shock wave under ultrasound is less well established. We present a patient in whom large calcific tendinitis of gluteus medius was completely resolved by exact focusing of ESWT by ultrasound with literature review.

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