ESWT TO ENHANCE REHABILITATION AND GRAFT MATURATION
ESWT (Extracorporeal Shockwave Therapy), which encompasses both Radial Shockwave (RSW) and Focus Shockwave (FSW) therapy, is a non-invasive treatment option that has support in the literature for helping improve patient outcomes following ACL reconstruction. 11,12
Two ESWT Technologies Radial Pressure Wave Therapy (RPWT) or Extracorporeal Pulse Activation Therapy (EPAT)
Focus shockwave (FSW)
Radial shockwave (RSW, RPW, EPAT) “Pressue wave”
A wave is produced by a small explosion generated underwater inside an ‘applicator’. This wave is focused through a lens and transmitted into the tissue. Energy values - mJ/mm 2 (EFD)
Radial shockwaves properly called Pressure waves are balistically generated by compressed air or electromagnetic energy. The compressed air or electromagnetic field is used to drive a projectile through a cylinder located inside the handpiece to a ‘shock transmitter’. Energy values - Bar pa
How does ESWT help tissue? High energy waves, called shockwaves, which can be created via different mechanisms, results in a phenomenon called mechanotransduction. Simply put, it is the process of imparting brief, physical deformation to cells that leads to biochemical changes. These changes have the potential to positively impact pain and tissue repair. 13
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