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Search Results: 1 - 10 of 22138 matches for " Low Intensity Shockwave Therapy "
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Treatment of Vasculogenic Erectile Dysfunction with Piezowave2 Device. Application of Low Intensity Shockwaves Using Novel Linear Shockwave Tissue Coverage (LSTC-ED®) Technique. A Prospective, Multicentric, Placebo-Controlled Study  [PDF]
Igor Motil, Ivan Kubis, Tatana Sramkova
Advances in Sexual Medicine (ASM) , 2016, DOI: 10.4236/asm.2016.62002
Abstract: Low intensity shockwave (LiSW) treatment is known to improve revascularization. The method has been evaluated and is used to treat vasculogenic erectile dysfunction (ED). The present study aimed to demonstrate the efficacy of a linear focused piezoelectric shockwave device (Richard Wolf/ELvationPiezowave2) to treat patients with vasculogenic ED using a novel linear shockwave tissue coverage LSTC-ED® technique. A total of 75 patients were treated using the Piezowave2 device and the LSTC-ED® technique. Patients’ erectile function was evaluated using the modified IIEF-5 (International Index of Erectile Function) scale at the beginning of treatment and at 1 month post treatment; patients were additionally questioned using our own Treatment Satisfaction Questionnaire (TSQ). The study also included a group of 50 patients treated by placebo; the outcomes of both groups were compared. The average IIEF-5 score of patients in the treatment group increased from 14.4 at baseline to 18.6 at 1 month post treatment. According to the IIEF-5 scale, treatment was successful in 81.33% of patients (61/75). According to the Treatment Satisfaction Questionnaire (answers 1 to 3 of the TSQ), treatment was successful in 77.3% of patients (58/75). In the placebo group of 50 patients only 5 patients showed an improvement based on IIEF score, and 8 reported an improvement based on their answers to the TSQ. No significant adverse effects were observed during treatment or in the follow-up period. The
Healing activity of laser InGaAlP (660nm) in rats
Tacon, Kelly Cristina Borges;Santos, Hugo Campos Oliveira;Parente, Leila Maria Leal;Cunha, Luiz Carlos da;Lino-Júnior, Ruy de Souza;Ribeiro-Rotta, Rejane Faria;Tacon, Fernanda Sardinha de Abreu;Amaral, Waldemar Naves do;
Acta Cirurgica Brasileira , 2011, DOI: 10.1590/S0102-86502011000500008
Abstract: purpose: to evaluate the effect the healing activity of diode laser indium gallium aluminum phosphorus (ingaalp) ?660nm on healing of surgical wounds in rats. methods: fifty-four female wistar rats were used, divided into three groups (n=18) and subdivided into three subgroups (n=6) to be studied in 5, 10 and 15th days after surgical procedures. the wound was induced in the dorsal-cervical using punch. the lesions were irradiated on alternate days with ingaalp laser, the energy densities of 3j/cm2 (l3) or 6j/cm2 (l6). the control group received no irradiation. at 5, 10 and 15th days after surgery the animals were euthanized and the repair area was removed and histological sections were stained with hematoxylin-eosin and picrossírius. we evaluated macroscopic and histological lesions in the times cited, as well as morphometric analysis of angiogenesis and collagen content. results: the wound healing activity ingaalp laser was evidenced by increased angiogenesis group l3 and l6 in relation to control group (cg) at the 5th day (p=0.0001) and decreased polymorphonuclear infiltrate and hemorrhage (p=0.045 and p=0.07 respectively) in the groups l3 and l6 in relation to control group (gc). on the 10 and 15th days was also observed in groups treated with laser l3 and l6 stimulation was pronounced fibroplasia (p=0.0003 and p=0.034 respectively) when compared with the control group (cg). conclusion: the ingaalp laser acted positively on the healing of skin wounds in rats.
Influence of low-intensity laser therapy on spatial perception threshold and electroneurographic finding in patients with diabetic polyneuropathy
Peri? Zoran
Srpski Arhiv za Celokupno Lekarstvo , 2007, DOI: 10.2298/sarh0706257p
Abstract: Introduction: Low-intensity laser therapy (LILT) can be applied in cases when patients with diabetic polyneuropathy (DPN) suffer from chronic severe neuropathic pain. Objective. We wanted to analyze influence of LILT on spatial perception threshold (SPT) and electroneurographic (ENG) parameters in patients with painful DPN. Method. We analyzed 45 patients (25 males), average age 54.3 years (54.3±10.9), with clinical and ENG signs of painful DPN. The patients were divided into two groups: A and B. Group A consisted of 30 patients with DPN who had 30 LILT treatments over the period of 12 weeks and group B consisted of 15 patients with DPN who received only vitamin therapy per os within the same period. Prior to and after 12 weeks of treatment, the following ENG parameters were determined using surface electrodes: motor (MCV) and sensory conduction velocities (SCV) values (in m/s) of nervus (n.) peroneus (NP), n. tibialis (NT) and n. medianus (NM) and their motor distal latency (MDL) values (in ms). SPT value (score as number from 1 to 8) was determined with Tactile Circumferential Discriminator on dorsal part of foot’s big toe skin. For statistical analysis, we used Student’s t-test and Pearson correlation (sig. 2 tailed) study. Results. We registered statistically significant difference between SPT (p<0.01) values prior to (5.25±1.11) and after (4.87±0.90) LILT, as well as NMMCV (p<0.05) values prior to (47.18±5.08) and after (49.12±3.72) LILT. Besides, we registered, only after LILT, statistically significant correlation between SPT and NMDML (p<0.01) values and also between SPT and NMSCV (p<0.05) values. The differences and correlations between other analyzed parameters before and after treatments were not significant (p>0.05). Conclusion. In this study we registered significant decrease of SPT and increase of NMMCV after LILT and that indicated a favorable effect of this treatment in analyzed patients with painful DPN. In our opinion these results need further investigation. .
Extracorporeal shockwave therapy in musculoskeletal disorders
Ching-Jen Wang
Journal of Orthopaedic Surgery and Research , 2012, DOI: 10.1186/1749-799x-7-11
Abstract: Extracorporeal shockwave therapy (ESWT) began with an incidental observation of osteoblastic response pattern during animal studies in the mid-1980 that generated an interest in the application of ESWT to musculoskeletal disorders. In the past 10 to 15 years, shockwave therapy had emerged as the leading choice in the treatment of many orthopedic disorders including proximal plantar fasciitis of the heel [1-6], lateral epicondylitis of the elbow [7-10], calcific tendinitis of the shoulder [11,12] and. non-union of long bone fracture [13-15]. More recently, the use of ESWT had expanded to the treatment of patellar tendinopathy (jumper's knee) and Achilles tendinopathy [16-19], and avascular necrosis of the femoral head [20-22]. ESWT has gained significant acceptance from Europe (Germany, Austria, Italy and others) to South America (Brazil, Columbia, Argentina and others), Asia (Korea, Malaysia, Taiwan and others) and North America (Canada and USA), and this had led to the change of European Society for Musculoskeletal Shockwave Therapy to International Society for Musculoskeletal Shockwave Therapy (ISMST) in 2000. In USA, FDA (Food and Drug Administration) first approved the specific shockwave device, OssaTron (High Medical Technology, Lengwil, Switzerland, now Sanuwave/Alpharetta, GA) for the treatment of proximal plantar fasciitis in 2000 and lateral epicondylitis of the elbow in 2003. FDA also approved Epos (Dornier Medical System, Kennesaw, GA) for the treatment of plantar fasciitis and Sonocur (Siemens Medical Systems, Iselin, NJ) for the treatment of lateral epicondylitis of the elbow in 2002, Orthospec (Medispec, Germantown, MD) and Orbasone (Orthometrix, White Plains, NY) for the treatment of plantar fasciitis in 2005. In the meantime, many off-label uses of ESWT were also studied including calcific tendinitis of the shoulder, patellar tendinopathy, Achilles tendinopathy, and non-union of long bone fracture, avascular necrosis of the femoral head and others. T
Influência de diferentes comprimentos de onda da laserterapia de baixa intensidade na regenera??o tendínea do rato após tenotomia
Arruda, ERB;Rodrigues, NC;Taciro, C;Parizotto, NA;
Brazilian Journal of Physical Therapy , 2007, DOI: 10.1590/S1413-35552007000400007
Abstract: objective: the aim of this study was to compare the effect of the low level laser therapy in the organization of the collagen fibers with 3 j/cm2 of dose in two wavelengths (670nm and 904nm) and in the combination of both on the tissue repair of the calcaneus tendon. methods: we used 37 female wistar rats divided in 5 groups which had been submitted to the total tenotomy. group ga (n= 8) was submitted to the laser irradiation in l= 904nm, gaas diode, pulsated emission, peak power 15w and dose of 3j/cm2, group gb (n= 8) was submitted to laser irradiation l= 670nm algainp diode, continuous emission, power 30 mw and dose 3j/cm2, group gab (n= 8) was submitted to association of both of lasers and group gcl (n= 7) which the calcaneum tendon was submitted to placebo treatment. the group gp (n= 6) was a standard group without lesion and treatment. the animals received 12 sessions of lasertherapy and submitted to euthanasia on 14th day after surgery. the tendons were submitted to histological procedure and were analyzed to evaluate the optic retardation (in nm) for the birefringence measurement. results: the statistic analysis showed that the irradiated groups have higher values of optic retardation statistically significant than placebo group (p= 0,00001). it indicates that all the treated groups show better organization of collagen fibers in the longitudinal axis of the tendon, evidencing better quality in the tissue repair. the group gab was that shown best results (p= 0,00001) when compared to another groups.
Bone stimulation for fracture healing: What′s all the fuss?
Victoria Galkowski,Petrisor Brad,Drew Brian,Dick David
Indian Journal of Orthopaedics , 2009,
Abstract: Approximately 10% of the 7.9 million annual fracture patients in the United States experience nonunion and/or delayed unions, which have a substantial economic and quality of life impact. A variety of devices are being marketed under the name of "bone growth stimulators." This article provides an overview of electrical and electromagnetic stimulation, ultrasound, and extracorporeal shock waves. More research is needed for knowledge of appropriate device configurations, advancement in the field, and encouragement in the initiation of new trials, particularly large multicenter trials and randomized control trials that have standardized device and protocol methods.
Dose linearity and uniformity of Siemens ONCOR impression plus linear accelerator designed for step-and-shoot intensity-modulated radiation therapy
Bhangle Janhavi,Sathiya Narayanan V,Deshpande Shrikant
Journal of Medical Physics , 2007,
Abstract: For step-and-shoot type delivery of intensity-modulated radiation therapy (IMRT), beam stability characteristics during the first few monitor units need to be investigated to ensure the planned dose delivery. This paper presents the study done for Siemens ONCOR impression plus linear accelerator before commissioning it for IMRT treatment. The beam stability for 6 and 15 MV in terms of dose monitor linearity, monitor unit stability and beam uniformity is investigated in this work. Monitor unit linearity is studied using FC65G chamber for the range 1-100 MU. The dose per MU is found to be linear for small monitor units down to 1 MU for both 6 and 15 MV beams. The monitor unit linearity is also studied with portal imaging device for the range 1-20 MU for 6 MV beam. The pixel values are within ±1σ confidence level up to 2 MU; for 1 MU, the values are within ±2σ confidence level. The flatness and symmetry analysis is done for both energies in the range of 1-10 MU with Kodak diagnostic films. The flatness and symmetry are found to be within ±3% up to 2 MU for 6 MV and up to 3 MU for 15 MV.
A litotripsia extracorpórea no tratamento de cálculos urinários em crian?as
Duarte, Ricardo J.;Mitre, Anuar I.;Dénes, Francisco T.;Giron, Amilcar M.;Koch, Vera;Arap, Sami;
Jornal de Pediatria , 2002, DOI: 10.1590/S0021-75572002000500005
Abstract: objective: urolithiasis affects between five and 10% of the human population during their lifetime, only 2-3% of whom are children. therapy of urolithiasis in the pediatric age group with minimally invasive methodology represents an attractive alternative. this study presents results of extracorporeal shockwave lithotripsy, a minimally invasive methodology, for the treatment of urolithiasis in children. methods: in the period between september 1991 and september 2000, 87 children were submitted to extracorporeal shockwave lithotripsy; as six of them presented with two calculi 93 urinary calculi were treated over that period. the dornier-philips lithotriptor was used in the procedures. results: pelvic, superior and medium caliceal calculi were fragmented and eliminated in 87.7% and 77.8% of cases, respectively. inferior caliceal stones were eliminated in 64.7% of cases. only one of the three patients with staghorn calculi became stone-free after therapy (33.3%). all patients with ureteral calculi were stone-free after therapy. bladder stones were fragmented and eliminated in 60% of cases. conclusions: extracorporeal shockwave lithotripsy is a safe and effective treatment for pelvic, caliceal, ureteral and bladder urolithiasis in children. staghorn calculi have not shown satisfactory results when treated by this method. extracorporeal shockwave lithotripsy results were influenced in our experience by the position and size of the treated calculi.
Cocktail Therapy for Hip Necrosis in SARS Patients
To Wong,Ching-Jen Wang,Shan-Lin Hsu,Wen-Yi Chou
Chang Gung Medical Journal , 2008,
Abstract: Background: There are no treatment guidelines for hip necrosis in severe acute respiratorysyndrome (SARS) patients. A new regimen of cocktail therapy that consistsof extracorporeal shockwave therapy (ESWT), hyperbaric oxygen therapy(HBO) and oral alendronate was utilized in four patients with eight hips.This study evaluated the outcomes of cocktail therapy with a 4-year followup.Methods: There were 3 women and 1 man with an average age of 26 ± 3.8 years. Eachhip was treated with 6000 impulses of ESWT at 0.62 mJ /mm2 energy fluxdensity in a single session. Each patient received HBO treatment for 100 sessionsand oral alendronate for one year. The evaluations included pain scoreand Harris hip score, radiographs and magnetic resonance imaging (MRI) ofthe affected hips.Results: At the 4-year follow-up, significant improvements in pain score and Harriship score were observed in all cases (p < 0.001). All patients returned towork as healthcare providers. None required surgical intervention includinghip replacement. MRI showed a trend of reduction in bone marrow edemaand the size of the lesion, but no changes in the stage of the lesion.Conclusion: Cocktail therapy seems promising in delaying the disease progression ofSARS-associated femoral head necrosis in the short-term.
Clinical Use of Extracorporeal Shockwave Therapy (ESWT) for the Treatment of Carpus Valgus Deformities in Young Foals: A Retrospective Study of 64 Cases (2006-2009)  [PDF]
Christian Bussy, Francois Auzas, Juan A. Mu?oz
Open Journal of Veterinary Medicine (OJVM) , 2013, DOI: 10.4236/ojvm.2013.31008

The purpose of this study was to report the use and assess the effects of extracorporeal shockwave therapy (ESWT) for the treatment of carpal joint valgus deformities (CJVDs) in young foals. Only foals with CJVDs greater than 5° were included in the study. Foals were assigned to 3 treatment groups based on their degree of CJVD measured during the initial evaluation: valgus deformity (VD) of 5° to 8.9° (Group 1), VD of 9° to 11.9° (Group 2) and VD greater than or equal to 12° (Group 3). ESWT was applied on the convex side of the angular deformity immediately following the initial radiographic evaluation. Foals were subsequently evaluated clinically and radiologically followed by treatment every 10 days until resolution of the VD, with resolution defined as a deviation less than 5 degrees. Each treatment group received specific exercise, hoof trimming and hoof/shoe extension recommendations. Sixty-four (64) foals were included in the study; ages ranged from 8 to 60 days old at inclusion in the study with a mean age of 26.7 days. Of the 28 foals included in Group 1, 10 had bilateral CJVD. There were 21 in Group 2, and 15 in Group 3. Treatment success was defined as a VD angle less than 5°, and was reached in all foals in Groups 1 and 2. Five (5) foals in Group 3 completed the study with a VD angle of 5° to 6.7° at the last radiographic assessment. No major complications were observed during the study. In conclusion, ESWT in conjunction with controlled exercise, hoof trimming and hoof/shoe extensions corrected severe CJVDs in young foals. The use of ESWT eliminates possible negative side effects of general anesthesia and surgical techniques to treat VDs. Future studies should include a control population, more severe cases, other types of angular limb deformities, and older foals.

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