Extracorporeal shock wave therapy: Clinical applications and regulation

@article{McClure2003ExtracorporealSW,
  title={Extracorporeal shock wave therapy: Clinical applications and regulation},
  author={Scott R McClure and Tom Weinberger},
  journal={Clinical Techniques in Equine Practice},
  year={2003},
  volume={2},
  pages={358-367}
}
Abstract Shock wave therapy is a relatively new modality for use in equine practice. The application of shock waves is dependent on an accurate diagnosis and localization of the lesion. At this time we are still gaining knowledge on proper application and what musculoskeletal problems will respond to treatment. This chapter describes how we use shock wave therapy and what we currently treat with shock wave therapy. 

Figures from this paper

Review of the application and efficacy of extracorporeal shockwave therapy in equine tendon and ligament injuries

Extracorporeal shockwave therapy has been implemented as a treatment for musculoskeletal injuries in horses and has been shown to improve lameness, decrease time of healing and improve ultrasonographic appearance of tendon and ligament injuries.

Continuing Study of Analgesia Resulting From Extracorporeal Shock Wave Therapy

In the force plate analysis, it is found that there is a 2-day period of analgesia in horses with naturally occurring forelimb lameness, and horses should not be allowed to compete for 2 days after ESWT.

The Effect of Extracorporeal Shock Wave Therapy on Myofascial Pain Syndrome

The ESWT in patients with MPS in trapezius muscle are as effective as TPI and TENS for the purpose of pain relief and improving cervical range of motion.

Extracorporeal Shockwave Therapy Increases Growth Factor Release from Equine Platelet-Rich Plasma In Vitro

Data indicate that the application of ESWT to PRP increases the expression of growth factors in vitro, which suggests that the combination therapy of local PRP injection followed by ESWT may stimulate release of growth factor from platelets after they have been injected into the area of injury.

Extracorporeal shockwave therapy raises mechanical nociceptive threshold in horses with thoracolumbar pain.

Three treatments of ESWT 2 weeks apart raised MNT over a 56-day period in horses with back pain, but did not influence change in CSA of the multifidus muscle.

Focused extracorporeal versus Radial shock wave therapy in treatment of chronic lateral epicondylitis ( randomized control trial )

It was concluded that Radial shock wave therapy (B) had only effects on pain more than Focused shockWave therapy (A) but Focusedshock wave therapy(A) had effects on muscle function and inflammation and tendon changes more than Radialshock wave Therapy (B).

The Effect of the Extracorporeal Shock Wave Therapy on Scaphoid Fracture Nonunions

ESWT is an effective method in treatment of scaphoid fracture nonunion with significant statistical differences between the 2 groups, where the treatment group showed greater improvement in the healing response.

Inflammatory mediators are potential biomarkers for extracorporeal shockwave therapy in horses.

Plans to test the hypothesis that a single application of ESWT will alter the circulating protein concentrations of 10 inflammatory mediators in horse plasma showed success, and plasma concentrations of TNF-α, IL-1β,IL-1RA, Il-6 and TLR2 were significantly affected by ESWT, and deserve further investigation as possible biomarkers of ES WT.

Effect of extracorporeal shock wave therapy on equine umbilical cord blood mesenchymal stromal cells in vitro

Evaluated the effects of ESWT on equine umbilical cord blood mesenchymal stromal cells (CB-MSCs) proliferative, metabolic, migrative, differentiation, and immunomodulatory properties in vitro to determine if synergistic effects occur in the treatment of musculoskeletal injuries if ESWT and equine CB-MSC therapies are combined.

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