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KMID : 1129920230200010049
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Journal of Korean Society of Health Sciences
2023 Volume.20 No. 1 p.49 ~ p.62
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Clinical Study of Extracorporeal Shock Wave Therapy
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Lee Jea-Kap
Lee Eun-Bin
Shim Jae-Hun
Lee Sang-Wan
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Abstract
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In ESWT using low-energy shock waves serves as a regenerative medicine that induces angiogenesis and tissue regeneration in the musculoskeletal system. The indications of ESWT are musculoskeletal diseases such as calcified tendonitis (calcified tendonitis of the rotator cuff band, gluteus medius calcified tendonitis), patellar tendonitis, Achilles tendonitis, medial and lateral epicondylitis, foot fasciitis, shoulder-neck pain syndrome, and knee arthritis. In general, in the case of radial ESWT, the frequency is 5Hz, the intensity is 1.0bars, and the frequency is 1500 strokes. For Focus ESWT, 1500 strokes are performed with an energy of 4Hz and 0.3 mJ/mm2. The period was the most common for four weeks, twice a week. ESWT generally corresponds to contraindication if you are pregnant, taking anticoagulants, have coagulation disorders or hypersensitivity to local anesthetics, have heartbeats, hemorrhagic diseases, and have acute inflammation, arthrosis, or neuropathy. Currently, the commonly used ESWT area is the pain area complained by the patient. In particular, muscles and tendons are the main applications of ESWT, and the origin or insertion of those muscles and tendons are the main applications of ESWT. However, research on various application strengths is required depending on the disease or region, and further research on the application period or number of applications is also considered necessary.
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KEYWORD
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Extracorporeal Shock Wave Therapy, Radial type, Foccus type, Muscles, Tendon
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