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[Physical-technical principles of extracorporeal shockwave therapy (ESWT)]
L Gerdesmeyer1, M Maier, M Haake
1Klinik für Orthopädie und Sportorthopädie, Technische Universität, Ismaninger Strasse 22, 81675 München. Gerdesmeyer@aol.com
Der Orthopade
|September 11, 2002
Summary
Extracorporeal shock wave therapy is used for orthopedic conditions like tendinopathies and nonunions. Understanding its physical properties is crucial for consistent clinical outcomes and research comparability.
Area of Science:
- Orthopedics
- Biophysics
Background:
- Extracorporeal shock wave (ESW) therapy is utilized for chronic enthesiopathies (e.g., lateral epicondylitis, plantar heel spur), calcifying tendinitis, and bony nonunions.
- Standardization of ESW therapy is hindered by a lack of detailed understanding of its physical parameters.
Purpose of the Study:
- To provide an overview of the physical parameters and properties of shock waves used in therapy.
- To enhance comparability between different ESW devices, clinical studies, and basic science research.
Main Methods:
- Review of physical parameters and properties relevant to shock wave therapy.
- Description of measurement technologies used for shock waves.
- Overview of different types of shock wave devices and their mechanisms.
Main Results:
- Shock wave therapy involves specific physical parameters that influence therapeutic outcomes.
- Measurement technologies and device types vary, impacting shock wave properties.
- Understanding shock wave mechanisms is key to optimizing treatment.
Conclusions:
- Detailed knowledge of physical parameters is essential for establishing dose-effect relationships in ESW therapy.
- Standardizing ESW parameters and devices will improve clinical results and research reproducibility.

