shockwave therapy

Question 1

ESWT

Answer 1

extracorporeal shockwave therapy

acoustic pressure wave to body for healing

Question 2

whats considered low energy

whats considered high

Answer 2

.28

.6

Question 3

up to _ mhmm considered safe on tendon

Answer 3

.28

Question 4

Major cortical bone changes at ___ mJ/mm

Answer 4

0.6

Question 5

two types of shockwave therapy

Answer 5

focussed

and radial

Question 6

wheres max energy on focused

wheres max energy on radial

Answer 6

focused its at at the tip of triangle (target)

radial its at the source (base of triangle)

Question 7

focused shockwaves

Answer 7

single pulse with wide frequency range

high pressure amp
low tensile wave
small pulse width and short rise time

Question 8

Radial shockwaves

Answer 8

ordinary sound wave with pressure of 30 mpa

Question 9

which graph, focused or radial is sharp up

Answer 9

focussed

Question 10

which is a long rise time, radial or shockwave

Answer 10

radial

Question 11

what has more penetration depth, focussed or radial

Answer 11

focussed is deeper

Question 12

who delivers high energy

Answer 12

physicians (around .6 mJ/mm)

Question 13

How much is low-medium energy

who delivers

Answer 13

.04-.28

PT

Question 14

accorrding to international society of medical shockwave, who can do it

Answer 14

focused is by qualified physicians only

if physician has diagnosed then PT can do radial

Question 15

whats focussed shockwave produced by

Answer 15

electrohydraulic
electromagnetic
piezoelectric

Question 16

whats radial shockwave produced by

Answer 16

pneumatic

ballistic

Question 17

is there a difference in radial or focussed shockwave

Answer 17

nothing

Question 18

effects of shockwave in tissue

Answer 18

direct (mechanical)
physical chemical 
(change in membrane permeability)

chemical (molecular change)

biological (leading to physiological change)

Question 19

who delivers direct mechanical effects

Answer 19

physicians because its for non union fractions and needs anaesthesia

Question 20

cellular damage results in release of ___ which lead to ___ which lead to ____

Answer 20

free radicals
inflammatory response
tissue healing

Question 21

most important physical parameters impacting cellular effect of shockwave therapy

Answer 21

pressure distribution
energy density
total acoustic energy

Question 22

observed cellular effects of shockwave therapy

Answer 22

inc local blood flow
apoptosis (cell death if does is too high)
stimulation of inflammatory response to promote tissue healing

Question 23

indications for shockwave therapy

Answer 23

chronic tendinopathies
(tennis elbow, patellar, achilles, plantar)

Bone pathologies (delayed healing, non union, fracture)

skin pathologies (delayed wound healing, skin ulcer)

Question 24

contraindications for shockwave therapy

Answer 24

near bone growth centre
malignant disease near treatment area
over ischemic tissue in someone with vascular disease

coagulation disorders
anti-coagulant meds
prosthetic device in area being treated

Question 25

international society for mm shockwave therapy

Answer 25

malignant tumour in treatment area

fetus in the treatment area

Question 26

10 adverse effects shockwave

Answer 26

pain
skin reddening 
swelling
nausea
dizziness 
tremor
sweating
vasodilation

Question 27

5 potential adverse effects

Answer 27

bruising
tendon rupture
rupture of plantar fascia

Question 28

how unexpected adverse outcomes happen

Answer 28

contraindication
dose of condition
wrong area
equipment

Question 29

risk reduction strategies

Answer 29

operator training
complete med history
informed consent

Question 30

What do you need to decide

Answer 30

applied energy
number shocks
number of treatment
depth

Question 31

shock number

Answer 31

1000-1500

Question 32

number of shockwave treatments

Answer 32

3-5

5-10 days between treatment ?

Question 33

shockwave devices are classified as class __ by health and need license to import and sell

Answer 33

ii

Question 34

T/F need to attend a trainmen workshop before using shockwave clinically

Answer 34

T