Characterization of Unfocused / Weakly Focused Pressure Pulse Sources for Extracorporeal Pain Therapy (“Radial Shock Wave Therapy” Sources)

Ueberle, Friedrich; Rad, Abtin Jamshidi

doi:10.1515/bmt-2013-4130

Cited by 8 publications

(3 citation statements)

References 2 publications

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“…Shockwaves generated by ESWT devices are considered mechanical acoustic energy waves which rapidly create high pressures [34]. This positive high pressure is quickly followed by negative pressure, which returns to ambient values within microseconds [35]. The high pressures generated from shockwaves induce cavitation within human tissue, which involves rapid formation, expansion and forceful collapse of vapor bubbles in liquids due to rapid pressure changes [36].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

Burton¹

2020

Preprint

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Background: Plantar heel pain (PHP) is a common musculoskeletal disorder, with both extracorporeal shockwave therapy (ESWT) and specific exercise such as plantar fascia specific stretching shown to be effective treatments. This review aimed to evaluate the effectiveness of combined ESWT and exercise interventions versus other interventions in treating PHP. Methods: A systematic review of effectiveness was conducted, adhering to the PRISMA guidelines. Five databases were searched for studies published between January 2000 and March 2020, with 12 studies meeting the inclusion criteria. The Grading of Recommendations Assessment Development and Evaluation (GRADE) framework was used to determine quality of recommendations. Results: The 12 included studies (n = 861) compared ESWT and stretching with various other treatments. Due to clinical and methodological heterogeneity, pooling of data was not possible, and a narrative synthesis of findings was provided. There was high quality evidence that combined ESWT and stretching interventions are more effective than those using either alone or botulinum toxin injections, and low-quality evidence of superiority versus ultrasound and stretching. There was moderate quality evidence that combined ESWT and stretching is no more effective than corticosteroid injection (CSI), and high quality evidence that the combination is no more effective than blood-derived injection therapies, custom orthotics or low-level laser therapy (LLLT) combined with stretching. There is high quality evidence that the use of topical corticosteroid or laser therapy in combination with ESWT and stretching increases effectiveness compared to ESWT and stretching alone, and moderate quality evidence for the additive effective of dry needling. Conclusions: Combined ESWT and stretching treatments are effective and may be recommended where they are available and practical to implement. Further high-quality studies with larger sample sizes and longer follow-up durations comparing combined interventions for PHP, including different exercise types such as resistance training are required.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

Burton¹

2020

Preprint

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show abstract

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Combined Shockwave Therapy and Exercise for Plantar Heel Pain: A Systematic Review Protocol

Burton¹

2020

Preprint

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Review Objective: To synthesize the best available evidence on the effectiveness of interventions that have used a combination of extracorporeal shockwave therapy and any type of exercise to treat plantar heel pain compared to any other treatment intervention. Introduction: Recent evidence suggests combining shockwave therapy and exercise may be more effective than other treatments for plantar heel pain. However, no systematic reviews have been conducted on the topic and optimal treatment protocols and clinical recommendations are lacking.Inclusion criteria: Randomised controlled trials assessing the effectiveness of combined shockwave therapy and exercise for plantar heel pain in adults will be included. Methods: The authors will search for a wide range of sources to find both published and unpublished studies via EBSCOhost, including, but not limited to, MEDLINE, SPORTDiscus, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), and Allied and Complementary Medicine Database (AMED). Studies published in a language other than English will only be considered if a translation is available. The JBI systematic review methodology will be followed when conducting the review. Data synthesis will be conducted using meta-analysis or narrative synthesis, where appropriate. Systematic review registration number: CRD42020213286

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“…The existing devices can treat at pulse repetition rates (PRR) of up to 25 Hz.Two methods are described in the IEC 63045:2020 standard: the wet test bench and the dry test bench. Pressure measurements of ballistic devices have been performed in water (wet benches) 2-5 and behind a silicon pad (dry benches) [6][7][8] . Wet test benches have the advantage that the spatial distribution of the sound field can be determined.…”

mentioning

confidence: 99%

Influence of the pulse repetition rate on the acoustic output of ballistic pressure wave devices

Reinhardt

Wegenaer

Fuente

2022

Sci Rep

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Ballistic devices that generate radial pressure waves are used for the treatment of different therapeutic indications. In order to assess the effectiveness of these devices and to interpret and transfer the results of clinical trials, it is important to know their acoustic output. In this paper, two ballistic devices and their reproducibility at different clinically relevant settings were investigated in the same in-vitro test setup. Pressure curves were measured in water at different intensity levels and pulse repetition rates. The sound field parameters (peak pressures, positive pulse intensity integral) were calculated from the pressure curves. Additionally, the surface velocity of the applicator was determined in air using a vibrometer. Both devices show a good pulse-to-pulse reproducibility. While the peak maximum pressure and the positive pulse intensity integral decrease only slightly (pmax up to 12%, PII+ up to 18.8%) comparing 1 Hz and 25 Hz for one device, they drop sharply (pmax up to 68.4%, PII+ up to 90.2%) for the other device comparing 1 Hz to 21 Hz. The same effect was observed in the vibrometer measurements. The results show that with increasing pulse repetition rate the stability of the parameters varies between different devices. Hence, all sound field parameters should be compared before transferring settings from one device to another.

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Characterization of Unfocused / Weakly Focused Pressure Pulse Sources for Extracorporeal Pain Therapy (“Radial Shock Wave Therapy” Sources)

Cited by 8 publications

References 2 publications

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

The Effectiveness of Combined Shockwave Therapy and Exercise for Plantar Heel Pain: A Systematic Review Protocol

Influence of the pulse repetition rate on the acoustic output of ballistic pressure wave devices

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