Journal ArticleDOI
Clinical application of extracorporeal shock wave therapy in orthopedics: focused versus unfocused shock waves.
Casper Bindzus Foldager,Casper Bindzus Foldager,Casper Bindzus Foldager,Cathal J. Kearney,Myron Spector,Myron Spector +5 more
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TLDR
The aim of the present review is to investigate differences in outcome in select orthopaedic applications using focused and unfocused shock waves.Abstract:
For the past decade extracorporeal shock wave therapy has been applied to a wide range of musculoskeletal disorders. The many promising results and the introduction of shock wave generators that are less expensive and easier to handle has added to the growing interest. Based on their nature of propagation, shock waves can be divided into two types: focused and unfocused. Although several physical differences between these different types of shock waves have been described, very little is known about the clinical outcome using these different modalities. The aim of the present review is to investigate differences in outcome in select orthopaedic applications using focused and unfocused shock waves.read more
Citations
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Stimulation of bone repair with ultrasound: a review of the possible mechanic effects.
TL;DR: This work reviews the several options available for the use of ultrasound, either to induce a direct physical effect (LIPUS, shock waves), to deliver bioactive molecules such as growth factors, or to transfect cells with osteogenic plasmids; with a main focus on LIPUS as it is the most widespread and studied technique.
Journal ArticleDOI
Biological strategies for improved osseointegration and osteoinduction of porous metal orthopedic implants
Eric A. Lewallen,Scott M. Riester,Carolina A. Bonin,Hilal Maradit Kremers,Amel Dudakovic,Sanjeev Kakar,Robert C. Cohen,Jennifer J. Westendorf,David G. Lewallen,Andre J. Van Wijnen +9 more
TL;DR: It is concluded that integration of new biological, chemical, and mechanical methods is likely to yield more effective strategies to control and modify the implant-bone interface and thereby improve long-term clinical outcomes.
Journal ArticleDOI
Effect of radial shock wave therapy on muscle spasticity in children with cerebral palsy.
TL;DR: There is a significant reduction in the spasticity of plantar flexor muscles in children with cerebral palsy after a single session of RSWT and this improvement remains at the 4-week follow-up.
Journal ArticleDOI
Efficient Promotion of Autophagy and Angiogenesis Using Mesenchymal Stem Cell Therapy Enhanced by the Low-Energy Shock Waves in the Treatment of Erectile Dysfunction.
Guan Qun Zhu,Seung Hwan Jeon,Woong Jin Bae,Sae Woong Choi,Hyun Cheol Jeong,Kang Sup Kim,Su Jin Kim,Hyuk Jin Cho,U Syn Ha,Sung-Hoo Hong,Ji Youl Lee,Eunbi Kwon,Sae Woong Kim +12 more
TL;DR: Combination of LI-ESWT and MSCT can get a better result than a single treatment by expressing more VEGF which can take part in autophagy by triggering the PI3K/AKT/mTOR signaling pathway.
Journal ArticleDOI
Effects of Extracorporeal Shock Wave Therapy on Spasticity in Patients after Brain Injury: A Meta-analysis
TL;DR: ESWT has a significant effect on improving spasticity and further standardization of treatment protocols including treatment intervals and intensities needs to be established and long-term follow up studies are needed.
References
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Journal ArticleDOI
Introducing levels of evidence to the journal
TL;DR: In this article, the authors introduce orthopaedic surgeons to recent randomized trials relevant to the practice of orthopedic surgery published in forty-two journals other than The Journal of Bone and Joint Surgery.
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Principles of shock wave therapy.
TL;DR: The basic physics of shock waves and the physical parameters involved in assessing the amount of energy delivered to the target tissue and in comparing the various high- and low-energy devices being evaluated clinically for musculoskeletal applications are summarized.
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Eccentric Loading, Shock-Wave Treatment, or a Wait-and-See Policy for Tendinopathy of the Main Body of Tendo Achillis A Randomized Controlled Trial
TL;DR: The wait- and-see strategy was ineffective for the management of chronic recalcitrant tendinopathy of the main body of the Achilles tendon.
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Extracorporeal shock-wave lithotripsy (ESWL) for treatment of urolithiasis.
TL;DR: The experience with extracorporeal shock wave lithotripsy (ESWL) and the new therapeutic aspects it has generated and the current state of technology are discussed.
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Eccentric Loading Versus Eccentric Loading Plus Shock-Wave Treatment for Midportion Achilles Tendinopathy A Randomized Controlled Trial
TL;DR: At 4-month follow-up, eccentric loading alone was less effective when compared with a combination of eccentric loading and repetitive low-energy shock-wave treatment.