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Principles of shock wave therapy.
J A Ogden1, A Tóth-Kischkat, R Schultheiss
1Department of Orthopaedics, Atlanta Medical Center, GA, USA.
Clinical Orthopaedics and Related Research
|June 13, 2001
Summary
Shock waves are pressure disturbances causing tissue effects like cavitation. This review covers shock wave physics and energy parameters for musculoskeletal treatments.
Area of Science:
- Biophysics
- Biomedical Engineering
- Musculoskeletal Medicine
Background:
- Shock waves are transient pressure disturbances characterized by a rapid pressure rise.
- The negative phase of shock wave propagation can induce cavitation, a significant tissue effect.
- Understanding shock wave physics is crucial for therapeutic applications.
Purpose of the Study:
- To summarize the fundamental physics of shock waves.
- To outline physical parameters for quantifying energy delivered to tissues.
- To compare different energy levels of shock wave devices used in clinical settings for musculoskeletal conditions.
Main Methods:
- Review of the basic physics governing shock wave propagation.
- Identification and explanation of key physical parameters for energy assessment.
- Comparative analysis of high- and low-energy shock wave devices.
Main Results:
- Detailed explanation of shock wave characteristics, including pressure dynamics.
- Discussion of parameters like energy flux density and peak pressure.
- Comparison of device outputs relevant to clinical efficacy in musculoskeletal therapy.
Conclusions:
- A comprehensive understanding of shock wave physics is essential for effective clinical use.
- Standardized assessment of physical parameters is needed for comparing therapeutic devices.
- Shock wave therapy holds promise for various musculoskeletal applications, requiring careful device selection based on energy parameters.