冲击波疼痛治疗.ppt

病人仰卧位---肘关节外展。 用V-ACTOR按摩邻近肌肉。 Supine patient positioning – Extension of elbow joint. Smoothing of surrounding muscles with the V-ACTOR. 肱骨外上髁炎 Radial humeral epicondylitis ESWT New Treatment Guide Preliminary ultrasound/x-ray for localization of epicondyle 前期上髁超声或x线定位 Marking of therapy region 标记治疗区域 肱骨内上髁炎 Ulnar humeral epicondylitis ESWT New Treatment Guide Ulnar humeral epicondylitis 肱骨内上髁炎 Sessions 治疗次数 Energy 能级(bar) Pulses/session 每次治疗使用脉冲数 Freq 频率(Hz) Transmitter 探头 Tendon insertion (painful spot) 腱附着端 1. Pain points 痛点 5 – 8 1.8 – 4.0 1500 – 3000 12 – 15 R15 Adjacent upper arm and forearm muscles邻近的上臂与前臂的肌肉 2. Muscles 肌肉 1.8 – 3.0 2000 – 3000 15 – 21 D20-S Treatment interval: 5 - 7 days 治疗间隔：5 - 7 天 Supine patient positioning – Flexion of elbow joint approx. 30 to 40 degree, supination position. R-SW (R15) application at the tendon insertion. 病人仰卧位 – 肘关节弯曲大约30-40度，手心向上。R-SW(R15)应用于腱附着端。 Supine patient positioning – Extension of elbow joint, supination position. Smoothing of forearm muscles with D20-S.病人仰卧位 – 肘关节外展，手心向上。用D20-S按摩前臂肌肉。 肱骨内上髁炎Ulnar humeral epicondylitis 仅使用发散性冲击波疗法Only radial shock wave therapy 肱骨内上髁炎Ulnar humeral epicondylitis 病人仰卧位---肘关节外展。 用V-ACTOR按摩邻近肌肉。 Supine patient positioning – Extension of elbow joint. Smoothing of surrounding muscles with the V-ACTOR。 Preliminary ultrasound/x-ray for localization,determination of penetrationdepth 前期超声或X线定位，确定治疗深度 Marking of therapy region 标记治疗区域 转子肌腱炎Trochanteric Tendonitis ESWT New Treatment Guide 转子肌腱炎Trochanteric Tendonitis – DD Trochanteric tendonitis 转子肌腱炎 Sessions 治疗次数 Energy 能级(bar) Pulses/session 每次治疗使用脉冲数 Freq 频率(Hz) Transmitter 探头 Tendon insertion 腱附着端 1. Pain points 痛点 6 – 8 2.8 – 3.5 2000 – 3000 15 – 21 R15, DI15 Adjacent muscles 相关肌肉 2. Muscles 肌肉 2.0 – 3.5 2000 – 4000 21 D20-S, D35-S Treatment interval: 5 - 7 days 治疗间隔： 5 - 7天 Lateral patient positioning – Smoothing of associated muscles with D35.病人侧卧位 – 用D35按摩相关肌肉。 Lateral patient positioning – R-S