• Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
• /
• v.9 no.3
• /
• pp.533-540
• /
• 2019

This study investigated the effect of extracorporeal shock wave therapy on nerve regeneration in nerve injured rats. In this study, we used 30 male Sprague-Dawley rats weighing 230-280g and 6 weeks old. Study groups were divided into two groups using a random sampling method: experimental group (n=15) treated with extracorporeal shock wave after sciatic nerve injury and control group (n=15) treated without extracorporeal shock wave after sciatic nerve injury. In this study, extracorporeal shock wave therapy equipment (OPTIMUS, SALUS TALENT 3, Korea) was used to apply extracorporeal shock wave therapy and applied to the sciatic nerve crush area of the right hind limb using low intensity. We measured the stance time and stride distance of the affected side using dartfish software. There was a statistically significant difference in the change of stance time and stride distance of the affected side between the experimental group using extracorporeal shock wave therapy and the control group without extracorporeal shock wave treatment. In conclusion, extracorporeal shock wave therapy has a positive effect on nerve regeneration.

• Proceedings of the Acoustical Society of Korea Conference
• /
• spring
• /
• pp.389-392
• /
• 2002

체외 충격파 쇄석술 (ESWL)은 인체 외부에서 발생된 충격파를 인체 내부의 결석 부위에 집속하여 결석을 분쇄하고 치료 효과를 얻는 혁신적 치료술이다. 충격파의 압력 및 파형은 결석의 분쇄 효과 즉 치료 효과를 좌우한다. 체외에서 충격파의 압력은 고감도 하이드로폰을 이용하여 측정할 수 있지만, 인체 체내에서, 특히, 비침습적으로 충격파를 측정하기는 매우 어렵다. 본 논문에서는 ESWL 충격파에 의해 활성화된 체내의 기포군으로부터 방출된 음향 신호 (CIAE)를 측정하여 비침습적으로 충격파의 압력을 추정하는 방법을 실험하였다. 충격파 압력의 추정은 측정된 CIAE 신호에서 1차 기포군 파열음과 2차 파열음 간의 시간 지연은 충격파의 압력과 선형적인 관련성 가진다는 실험 결과 (Coleman et al 1996)에 근거하고 있다. 본 논문에서는 충격파 압력 측정 시스템을 구성하여 생체 외 실험을 수행하였고, 개발된 시스템의 임상적인 활용 가능성을 확인하였다.

• Proceedings of the Acoustical Society of Korea Conference
• /
• spring
• /
• pp.379-384
• /
• 2004

체외 충격파 쇄석술 (ESWL)은 체외에서 발생된 충격파를 체내의 결석이 위치한 부위에 집속하여 결석을 분쇄하는 비 침습적인 치료술이다. 최근 충격파를 이용하여 근관절 질환을 치료하는 체외 충격 파 치료술 (ESWT)이 또한 임상적으로 주목을 받고 있다. 아직 ESWT를 위한 최적의 충격파 노출 조건은 알려져 있지 않지만, 일반적으로 ESWL에 비해 상대적으로 충격파장의 초점 영역이 넓고 낮은 강도의 충격파를 사용한다. 본 연구에서는 ESWT에 적합할 것으로 예상되는 테이퍼 원통형 충격파 발생 방식을 제안하고자 한다. 본 연구에서는 테이퍼 원통형 충격 파 발생 의 초점 부위의 파형을 수치 해석하여 평가하고, 기존 원통형의 경우와 비교하였다. 테이퍼 원통형 충격파 발생기의 시제품을 제작하고, 발생된 강도를 평가하기 위해, 모의 결석을 제작하여 분쇄 효율을 측정하였으며, 결과를 원통형 충격파 발생기와 비교하였다.

• Clinics in Shoulder and Elbow
• /
• v.12 no.1
• /
• pp.21-26
• /
• 2009

Purpose: The aim of this study was to examine the dose-related effect of extracorporeal shock wave therapy (ESWT) for lateral epicondylitis. Materials and methods: Thirty patients with refractory lateral epicondylitis despite conservative treatment for 6 months were enrolled in this study. The patients were divided randomly into a low- and high-energy group. All patients were treated 3 times with ESWT with an interval of 1 week in a double blinded manner. The mean energy level in the low- and high-energy group was $0.12 mJ/mm^2$ and $0.24 mJ/mm^2$, respectively. The upper extremity functional scales and Mayo elbow scores were measured prospectively at the baseline, 1, 3 and 6 months after ESWT. Results: Significant clinical improvement was observed in both groups after ESWT. The high-energy group showed better pain improvement at 6 months after ESWT (p=0.019). The effect of ESWT was dominant between 1 and 6 months after ESWT than within 1 month. Conclusion: ESWT for lateral epicondylitis demonstrated showed good results regardless of the energy dose. However, a high-energy level was more effective in pain improvement after 6 months of treatment.

• The Journal of the Acoustical Society of Korea
• /
• v.16 no.6
• /
• pp.36-40
• /
• 1997

The effectiveness of Extracorporeal Shock Wave Lithotripter(ESWL) for the therapy of calculus has been generally known in the field of urology. However, there are very little paper investigated about physical characteristics of sounds radiated when phantom is shotting with shock waves. Therefore, this paper, firstly, investigates the sounds radiated when impact is applied to the phantom with a single shot by an impact hammer and a clinical ESWL Next, it determines the variance of the sounds radiated during the breaking process using a piece of chalk as a phantom of a calculus. These results will be applied to the examination of the existence of the calculus at the focus and the monitoring the breaking process.

• The Journal of the Korea institute of electronic communication sciences
• /
• v.16 no.1
• /
• pp.203-210
• /
• 2021

Difficulties in treating chronic prostatitis cause physical pain and mental problems not only for the treating doctor, but also for the patient. Accordingly, the device of the present research was developed to help patients suffering from prostate symptoms due to the vibration effect of shock wave energy caused by thermal and mechanical interaction of the external shock wave. The purpose of this study is to provide an effective treatment means for prostatitis and BPH(Benign prostatic hyperplasia) by devising an extracorporeal shockwave therapy device that effectively applies the heat and vibration effects of concentrated energy by MCU and spiral coil module.

• The Journal of Korean Orthopaedic Ultrasound Society
• /
• v.5 no.2
• /
• pp.94-98
• /
• 2012

Calcific tendinitis is characterized by inflammation around calcium hydroxyapatite crystal deposits. Minimally invasive extracorporeal shock wave therapy (ESWT) has been postulated to be an effective treatment option for treating calcific tendinitis. In clinical practice, shock waves usually are aimed at the painful area after palpation and not focused. It has been known that exact fluoroscopic focusing of ESWT at the calcific deposit for treatment of calcifying tendinopathy is highly effective. Ultrasound is a simple, inexpensive and radiation-free diagnostic tool that has been used to demonstrate tendinopathy including calcific tendinitis. However, focusing of shock wave under ultrasound is less well established. We present a patient in whom large calcific tendinitis of gluteus medius was completely resolved by exact focusing of ESWT by ultrasound with literature review.

• The Journal of the Acoustical Society of Korea
• /
• v.41 no.5
• /
• pp.570-588
• /
• 2022

We scrutinized the acoustic outputs from the 70 shock wave generators of the 15 product models whose technical documents were available, among the 46 ballistic extracorporeal shock wave therapeutic devices of 11 domestic and 6 foreign manufacturers, approved by the Minster of Food & Drug Safety (Rep. Korea). We found that the acoustic Energy Flux Density (EFD), the most popular exposure parameter, was different by up to 563.64 times among shock wave generators at their minimum output settings and by up to 74.62 times at their maximum settings. In the same product model, the EFD was shown to vary depending on shock wave transmitters by up to 81.82 times at its minimum output setting and by up to 46.15 times at its maximum setting. The lowest EFD 0.013 mJ/mm² at the maximum output settings was much lower (2.1 %) than the maximum value 0.62 mJ/mm² at the minimum settings. The Large acoustic output differences (tens to hundreds of times)from the therapeutic devices approved for the same clinical indications imply that their therapeutic efficacy & safety may not be assured. The findings suggest the regulatory authority to revise her guideline to give clearer criteria for clinical approval and equality in performance, and recommend the authority to initiate a post-approval surveillance as well as a test in conformance between the data in technical documents and the real acoustic outputs clinically used.

• Proceedings of the Acoustical Society of Korea Conference
• /
• autumn
• /
• pp.319-322
• /
• 2000

솔레노이드 코일을 이용하여 전자기식 충격파 발생기를 제작하고 발생된 충격파의 음향학적인 특성을 측정하였다. 충격파의 생물학적 효과에 가장 중요한 과정으로 알려진 초점 부위의 기포군의 파열 현상을 바늘형 하이드로폰을 이용하여 평가하였다. 하이드로폰 신호의 웨이브렛 변환을 이용하여 초점 부근에서 기포 파열 지연 시간을 정확히 측정할 수 있음을 보였다.

• The Journal of the Acoustical Society of Korea
• /
• v.24 no.5
• /
• pp.271-281
• /
• 2005

An electromagnetic type shock wave generator suitable for extracorporeal shock wave therapy has been constructed by employing a solenoid coil. The Property of the shock waves produced by the shock wave generator was evaluated using a needle hydrophone. It was shown that, as the capacitor discharging voltage increased from 8 to 18 kV, the Positive Peak Pressure (P+) of the shock wave increased non-linearly from 10 to 77 Wa. In contrast. the negative peak Pressure (f) varied between -3.2 and -6.8 MPa. had its absolute maximum of -6.9 ma at 14 kV The peak amplitudes P+ measured repeatedly under the same voltage setting varied within $5\;\%$ from mean values and this is very small compared to about $50\;\%$ for electrohydraulic type shock wave generators. It could be observed, from the hydrophone signal recorded over 1 ms. several sequential acoustic impulses representing bubble collapses. namely. acoustic cavitation. induced by the shock wave. A technique based on wavelet transformation was used to accurately measure the time delay between the 1st and 2nd collapse known to be closely related to the shock strength. It was observed that the measured time delay increased almost linearly from 120 to $700\;{\mu}s$ with the shock wave Pressure P+ increasing from 10 to 77 MPa.