‫‪‬‬

‫)‪/www.facebook.com/etcomed.e‬‬
‫‪(g‬‬
‫‪‬‬ ‫)‪(https://etcomed.com‬‬
‫‪‬‬
‫)‪nel/UCUNhdefxRiu2l2CB2fU3SA‬‬
‫‪g‬‬

‫دﻟﻴﻠﻚ اﻟﺸﺎﻣﻞ ﻟﻠﻌﻼج ﺑﺄﺟﻬﺰة اﻟﺸﻮﻛﻮﻳﻒ‪ :‬اﻻﺳﺘﺨﺪام‪ ،‬اﻟﻤﻮاﺻﻔﺎت‪ ،‬واﻷﺳﻌﺎر‬

‫‪ « (/Home (https://etcomed.com/ar/home-ar‬ﻋﻼج طﺑﻳﻌﻲ )‪ « (/https://etcomed.com/ar/category/physiotherapy‬دﻟﻳﻠك اﻟﺷﺎﻣل ﻟﻠﻌﻼج ﺑﺄﺟﮫﺰة اﻟﺷوﻛوﻳف‪ :‬اﻻﺳﺗﺧدام‪ ،‬اﻟﻣواﺻﻔﺎت‪ ،‬واﻷﺳﻌﺎر‬

‫ﻋﻼج ﻃﺒﻴﻌﻲ )‪(/https://etcomed.com/ar/category/physiotherapy‬‬ ‫‪‬‬ ‫ﻳﻮﻧﻴﻮ ‪(/https://etcomed.com/ar/2019/06/16)2019 ,16‬‬ ‫‪‬‬

‫اﺷﺘﺮك‬ ‫ﺿﻊ اﻳﻤﻴﻠﻚ ﻟﺘﺸﺘﺮك ﻓﻰ اﻟﻤﺪوﻧﻪ و ﺗﺼﻠﻚ ﻛﻞ ﻣﻘﺎﻻﺗﻨﺎ اﻟﺠﺪﻳﺪه‬

‫ﺗﻌﺪ ﺗﻘﻨﻴﺔ اﻟﺸﻮك وﻳﻒ ‪ ShockWave‬أي “اﻟﻤﻮﺟﺎت اﻟﺘﺼﺎدﻣﻴﺔ” ﻣﻦ أﻓﻀﻞ ﺑﺪاﺋﻞ اﻟﻌﻼج ﺑﺎﻟﺠﺮاﺣﺔ‬
‫واﻷدوﻳﺔ ﻟﻠﻜﺜﻴﺮ ﻣﻦ أﻣﺮاض اﻟﺠﻬﺎز اﻟﺤﺮﻛﻲ ﻣﺜﻞ اﻟﺸﻮﻛﺔ اﻟﻌﻈﻤﻴﺔ ‪ heel spurs‬اﻟﻤﺮﺗﺒﻄﺔ ﺑﺎﻟﺘﻬﺎب‬
‫اﻟﻠﻔﺎﻓﺔ اﻷﺧﻤﺼﻴﺔ ‪ Plantar Fasciitis‬واﻟﻜﺜﻴﺮ ﻣﻦ اﻷﻣﺮاض اﻷﺧﺮى اﻟﺘﻲ ﻳﻌﻨﻰ ﺑﻬﺎ ﻃﺐ اﻟﻌﻼج اﻟﻄﺒﻴﻌﻲ‪.‬‬

‫ﻋﻨﺎﺻﺮ اﻟﻤﻘﺎل )ﻳﻤﻜﻨﻚ اﻻﻧﺘﻘﺎل إﻟﻰ ﻫﺬه اﻟﻨﻘﺎط ﺑﺎﻟﻨﻘﺮ ﻋﻠﻴﻬﺎ ﻟﻠﻨﺰول إﻟﻰ ﻣﻜﺎﻧﻬﺎ ﻓﻲ اﻟﺼﻔﺤﺔ(‪:‬‬

‫اﻟﺼﺪﻓﺔ اﻟﺘﻲ ﺳﺒﺒﺖ اﺑﺘﻜﺎر اﻟﻌﻼج ﺑﺎﻟﺸﻮك وﻳﻒ واﺳﺘﺨﺪاﻣﻪ ﻓﻲ ﻋﻼج اﻟﻤﻼﻳﻴﻦ‬

‫ﻣﺎ ﻫﻲ ﻣﻮﺟﺎت اﻟﺸﻮك وﻳﻒ‪ ،‬وﻟﻤﺎذا أﺟﻬﺰة ﺗﻮﻟﻴﺪ ﻫﺬه اﻟﻤﻮﺟﺎت ﻣﺮﺗﻔﻌﺔ اﻟﺴﻌﺮ ﻣﻘﺎرﻧﺔ ﺑﻔﻮق اﻟﺼﻮﺗﻴﺔ‬
‫واﻟﻜﻬﺮﺑﻴﺔ؟‬

‫ﻣﺎ ﻧﻈﺮﻳﺔ وﺗﺎرﻳﺦ اﻟﻌﻼج ﺑﺎﻟﺸﻮﻛﻮﻳﻒ‬

‫ﻣﺎ ﻫﻲ اﻟﺘﺄﺛﻴﺮات اﻟﻄﺒﻴﺔ ﻋﻠﻰ اﻷﻧﺴﺠﺔ ﻋﻨﺪ اﺳﺘﺨﺪام اﻟﻤﻮﺟﺎت اﻟﺼﺎدﻣﺔ؟‬

‫ﻣﺎ ﻫﻲ اﻧﻮاع أﺟﻬﺰة ﺗﻮﻟﻴﺪ ‪ Applicators‬اﻟﻤﻮﺟﺎت اﻟﺼﺎدﻣﺔ؟‬

‫ﻣﺎ اﻟﺘﻘﻨﻴﺎت اﻟﻌﻼﺟﻴﺔ اﻷﺧﺮى؟‬

‫دراﺳﺎت ﻋﻦ اﻟﺘﺄﺛﻴﺮ اﻟﻌﻼﺟﻲ ‪ +‬ﺳﺮﻋﺔ اﻟﺸﻔﺎء‬

‫ﻣﺎ ﻫﻲ اﻷﻣﺮاض اﻟﺘﻲ ﻳﻌﺎﻟﺠﻬﺎ اﻟﺸﻮﻛﻮﻳﻒ ﻋﺎﻣﺔ‬

‫ﻣﺎ ﻫﻲ اﻷﻣﺮاض اﻟﺘﻲ ﻳﻌﺎﻟﺠﻬﺎ اﻟﺸﻮﻛﻮﻳﻒ اﻟﺨﺎص ﺑﻨﺎ‬

‫ﻣﺎ ﻫﻲ ﺑﻘﻴﺔ ﺳﻠﺴﻠﺔ ﻣﻨﺘﺠﺎت رﻳﻤﻴﺪ اﻟﺨﺎﺻﺔ ﺑﺎﻟﻌﻼج اﻟﻄﺒﻴﻌﻲ‬

‫أﺿﺮار اﻟﻄﺮق اﻵﺧﺮى‬

‫ﻋﻨﺎﺻﺮ ﻣﺆﺛﺮة ﻓﻲ ﻛﻔﺎءة ﺟﻬﺎز اﻟﺸﻮﻛﻮﻳﻒ )اﻷرﻗﺎم اﻟﺨﺎﺻﺔ ﺑﺎﻹﺟﻬﺰة‪ ( Bar Hz etc‬وﺗﺄﺛﻴﺮﻫﺎ ﻓﻲ ﻣﺴﺘﻘﺒﻞ‬
‫اﻟﺒﺤﺚ اﻟﻌﻠﻤﻲ اﻟﺨﺎص ﺑﺎﻟﻌﻼج ﺑﻬﺬه اﻟﺘﻘﻨﻴﺎت‬

‫ﻣﻘﺎرﻧﺔ ﻣﻊ اﻟﻤﻨﺎﻓﺴﻴﻦ‬

‫ﻣﺤﺎذﻳﺮ ﻋﻨﺪ اﺳﺘﺨﺪام اﻟﺸﻮﻛﻮﻳﻒ ﻟﻠﻌﻼج وﻧﺼﺎﺋﺢ ﻣﻊ وﺑﻌﺪ اﻟﻌﻼج‬

‫ﻟﻸﻃﺒﺎء ﻓﻲ ﻣﺼﺮ‪ :‬دراﺳﺔ ﺟﺪوى اﻗﺘﺼﺎدﻳﺔ ‪ +‬اﻟﻔﺌﺔ اﻟﺴﻌﺮﻳﺔ ‪150000‬إﻟﻰ ‪ 20000‬ج م‬

‫ﻟﻠﻤﺮﺿﻰ ﻓﻲ ﻣﺼﺮ‪ :‬أﻃﺒﺎء ﻳﺴﺘﻌﻤﻠﻮن اﻟﺸﻮك وﻳﻒ ﻗﺮﻳﺒﻮن ﻣﻨﻜﻢ‬

‫ﺷﻬﺎدات اﻷﻃﺒﺎء‬

‫ﺷﻬﺎدات اﻟﻤﺮﺿﻰ‬

‫‪ ‬ﺗﺎﺑﻊ اﻟﻤﺪوﻧﻪ‬ ‫ﻣﻨﺘﺠﺎﺗﻨﺎ ؟ﺑﺎﻟﺸﻮك‬

‫اﺑﺘﻜﺎرﻋﻠﻰاﻟﻌﻼج‬
‫ﺗﻌﺮف‬
‫“اﻟﺼﺪﻓﺔ اﻟﺘﻲ ﺳﺒﺒﺖ‬
‫)‪(/https://etcomed.com/ar/home-ar/products-ar‬وﻳﻒ”‬

‫‪  ‬‬ ‫ﺷﺎرك اﻟﻤﻘﺎﻟﻪ ﻋﻠﻰ‬

 ‫ﺗﺮﺗﺪ ﻫﺬه اﻟﻄﻠﻘﺔ إﻟﻰ ﻣﺆﺧﺮة اﻟﻤﺴﺪس ﻣﺮة أﺧﺮى ﻟﺘﻨﺘﻈﺮ دﻓﻌﺔ أﺧﺮى ﻣﻦ اﻟﺠﻬﺎز ﺣﺘﻰ ﺗﻜﺘﻤﻞ ﺟﻠﺴﺔ اﻟﻌﻼج‪.‬‬
‫‪‬‬
‫)‪/www.facebook.com/etcomed.e‬‬
‫وﻫﺬا ﻫﻮ ﺳﺒﺐ ارﺗﻔﺎع ﺳﻌﺮ ﻣﻮﻟﺪات اﻟﺸﻮك وﻳﻒ اﻟﻄﺒﻴﺔ ‪ ،ESWT Devices‬ﻷﻧﻬﺎ‪:‬‬
‫‪(g‬‬
‫‪‬‬ ‫)‪(https://etcomed.com‬‬
‫‪‬‬ ‫ﺗﺼﻤﻴﻢ أﺟﻬﺰة اﻟﺸﻮك وﻳﻒ ‪ ESWT Devices‬ﻳﺤﺘﺎج إﻟﻰ دﻗﺔ ﻋﺎﻟﻴﺔ ﻟﺘﺤﺪﻳﺪ ﻗﻮة دﻓﻊ اﻟﻬﻮاء وﺳﺮﻋﺔ اﻟﻄﻠﻘﺎت‪.‬‬
‫)‪nel/UCUNhdefxRiu2l2CB2fU3SA‬‬ ‫ﻛﺬﻟﻚ ﻳﺤﺘﺎج إﻟﻰ ﺟﻮدة وﻗﻮة ﻓﻲ اﻟﺨﺎﻣﺎت ﻧﻈﺮا ﻷﻧﻪ ﻳﻌﺘﻤﺪ ﻋﻠﻰ اﻟﺘﺤﻜﻢ ﻓﻲ ﻃﺎﻗﺔ ﺣﺮﻛﻴﺔ وﺳﺮﻋﺔ ﻋﺎﻟﻴﺔ ﺟﺪا‪.‬‬
‫‪g‬‬
‫“ﻣﺎ ﻧﻈﺮﻳﺔ وﺗﺎرﻳﺦ اﻟﻌﻼج ﺑﺎﻟﺸﻮﻛﻮﻳﻒ”‬

‫أول اﻟﺨﻄﻮات‬

‫ﺗﺎرﻳﺦ اﻻﺳﺘﺨﺪام اﻟﻄﺒﻲ ﻟﻤﻮﺟﺎت اﻟﺸﻮك وﻳﻒ ﺗﺎرﻳﺦ ﻣﻤﺘﻊ وﻣﻠﻬﻢ ﻓﻲ ﻧﻔﺲ اﻟﻮﻗﺖ‪ .‬ﺣﻴﺚ ﺗﻜﺮرت ﻓﻴﻪ اﻟﻜﺜﻴﺮ ﻣﻦ اﻻﻛﺘﺸﺎﻓﺎت اﻟﻌﺮﺿﻴﺔ واﻟﺘﻲ ﻟﻢ ﻳﻜﻦ اﻟﺒﺎﺣﺜﻮن ﻳﺒﺤﺜﻮن ﻋﻨﻬﺎ ﻋﻨﺪ ﺑﺪاﻳﺔ‬
‫ﻋﻤﻠﻬﻢ‪ ،‬ﻧﻠﺨﺺ ﻓﻴﻤﺎ ﻳﻠﻲ ﻗﺼﺔ اﻻﻧﺘﺒﺎه إﻟﻰ ﻫﺬه اﻟﻈﺎﻫﺮة اﻟﻄﺒﻴﻌﻴﺔ وﺗﺄﺛﻴﺮاﺗﻬﺎ‪:‬‬

‫أﺛﻨﺎء اﻟﺤﺮب اﻟﻌﺎﻟﻤﻴﺔ اﻟﺜﺎﻧﻴﺔ‪ ،‬ﻟﻮﺣﻆ أن ﻗﻨﺎﺑﻞ اﻟﻤﺎء واﻟﺘﻲ ﺗﺤﺪث ﻣﻮﺟﺔ ﺻﺪﻣﻴﺔ ﻓﻲ ﻣﺎء اﻟﺒﺤﺚ‪ ،‬ﺗﺆدي إﻟﻰ ﺗﺼﺪع ﻓﻲ رﺋﺖ اﻟﻐﺎرﻗﻴﻦ ﻓﻲ اﻟﻤﺎء‪ ،‬وﻟﻜﻦ اﻟﻐﺮﻳﺐ ﻓﻲ اﻷﻣﺮ أﻧﻪ ﻟﻢ ﺗﻈﻬﺮ أي‬
‫أﻋﺮاض ﻟﻺﺻﺎﺑﺔ ﺧﺎرج اﻟﺠﺴﻢ‪ .‬ﻳﻌﻨﻲ ﻫﺬا أن اﻟﻤﻮﺟﺔ اﻟﺼﺎدﻣﺔ اﻧﺘﻘﻠﺖ ﻓﻲ ﻧﺴﻴﺞ اﻟﺠﻨﺪي ﺣﺘﻰ وﺻﻠﺖ إﻟﻰ ﻧﺴﻴﺞ اﻟﺮﺋﺔ اﻟﻀﻌﻴﻒ وﻣﺰﻗﺘﻪ‪.‬‬

‫وﻣﻦ ﻫﺬه اﻟﻠﺤﻈﺔ ﺑﺪأ اﻟﻌﻤﻞ ﻋﻠﻰ اﺧﺘﺒﺎر ﺗﺄﺛﻴﺮ ﻫﺬا اﻟﻨﻮع ﻣﻦ اﻟﻤﻮﺟﺎت ﻋﻠﻰ اﻷﻧﺴﺠﺔ اﻟﺤﻴﺔ‪.‬‬

‫ﺻﺪرت أول ﺑﺮاءة اﺧﺘﺮاع ﻟﻤﻮﻟﺪ ﻣﻮﺟﺎت ﺗﺼﺎدﻣﻴﺔ ﻣﻌﻤﻠﻴﺎ ﻓﻲ اﻟﻮﻻﻳﺎت اﻟﻤﺘﺤﺪة اﻷﻣﺮﻳﻜﻴﺔ ﻓﻲ ﺧﻤﺴﻴﻨﻴﺎت اﻟﻘﺮن اﻟﻤﺎﺿﻲ‪.‬‬

‫وﻓﻲ ﺳﻨﺔ ‪ 1966‬ﺣﺪﺛﺖ اﻟﺼﺪﻓﺔ اﻟﺘﻲ ﺗﻜﻠﻤﻨﺎ ﻋﻨﻬﺎ ﻓﻲ أول اﻟﻤﻘﺎﻟﺔ ﻓﻲ ﻣﻌﺎﻣﻞ دورﻧﻴﺮ ‪ Dornier‬واﻟﺘﻲ ﻋﻠﻰ أﺛﺮﻫﺎ ﻗﺎﻣﺖ وزارة اﻟﺪﻓﺎع اﻷﻟﻤﺎﻧﻴﺔ ﺑﺘﻤﻮﻳﻞ أﺑﺤﺎث ﺗﺪرس ﻃﺮﻳﻘﺔ اﻧﺘﺸﺎر‬
‫اﻟﻤﻮﺟﺎت ﻓﻲ اﻷﻧﺴﺠﺔ وأﻣﺎﻛﻦ ﺗﺮﻛﺰﻫﺎ وﺗﺄﺛﻴﺮﻫﺎ ﻋﻠﻰ اﻷﻧﺴﺠﺔ‪.‬‬

‫أول اﻟﻐﻴﺚ‬

‫أول ﻧﺘﻴﺠﺔ ﻋﻤﻠﻴﺔ ﺣﻘﻴﻘﺔ وﻣﺆﺛﺮة إﻟﻰ ﻳﻮﻣﻨﺎ ﻫﺬا ﻫﻲ ﺗﻮﺻﻞ ﻫﺬه اﻷﺑﺤﺎث إﻟﻰ اﻟﻘﺪرة ﻋﻠﻰ ﺗﻔﻜﻴﻚ ﺣﺼﻮات اﻟﻜﻠﻰ‪ ،‬وﺗﻢ ﻋﻼج أول ﻣﺮﻳﺾ ﻋﻦ ﻃﺮﻳﻖ ﻧﻤﻮذج أوﻟﻲ ﻣﻦ دورﻧﻴﻴﺮ ﺑﺎﺳﻢ ‪HM1‬‬
‫ﺳﻨﺔ ‪ 1983‬اﻟﻈﺎﻫﺮ ﻓﻲ اﻟﺼﻮرة‬

‫أول ﺟﻬﺎز ﻟﺘﻔﺘﻴﺖ ﺣﺼﻮات اﻟﻜﻠﻰ ﻣﻦ دورﻧﻴﺮ ﺑﺄﻟﻤﺎﻧﻴﺎ‬

‫اﻟﻤﺼﺪر ﻣﻦ ورﻗﺔ ﺑﺤﺜﻴﺔ ﻋﻦ ﺗﺎرﻳﺦ اﺳﺘﻌﻤﺎل اﻟﺸﻮﻛﻮﻳﻒ ﻓﻲ اﻟﻤﺴﺎﻟﻚ اﻟﺒﻮﻟﻴﺔ‬
‫)‪https://www.researchgate.net/profile/Achim_Loske/publication/25702344‬‬
‫‪3_Shock_Wave_Physics_for_Urologists/links/00b7d52435acd67df6000000/‬‬
‫‪(Shock-Wave-Physics-for-Urologists.pdf?origin=publication_detail‬‬
‫وﺗﻼه ﺟﻬﺎز ﻟﺘﻔﺘﻴﺖ ﺣﺼﻮات اﻟﻤﺮارة‪ ،‬ﺛﻢ ﺗﺤﺴﻨﺖ اﻟﻤﻨﺘﺠﺎت اﻟﺘﺎﻟﻴﺔ ﻟﺘﻌﻤﻞ دون اﻟﺤﺎﺟﺔ إﻟﻰ ﺣﻮض اﻟﻤﺎء ﺛﻢ اﻻﺳﺘﻐﻨﺎء ﻋﻦ اﻟﺘﺨﺪﻳﺮ‪.‬‬

‫إﻟﻰ ﻫﺬا اﻟﻮﻗﺖ ﻛﺎن اﻻﺳﺘﺨﺪام ﻣﻨﺤﺼﺮا ﻓﻲ ﺗﻔﺘﻴﺖ اﻟﺤﺼﻮات‪ ،‬ﺛﻢ ﺟﺎءت اﻟﻤﺼﺎدﻓﺔ اﻟﺘﺎﻟﻴﺔ اﻟﺘﻲ أﺣﺪﺛﺖ ﺛﻮرة ﻓﻲ اﻟﻌﻼج ﺑﺎﻟﻤﻮﺟﺎت اﻟﺼﺪﻣﻴﺔ‬

‫اﻛﺘﺸﺎف ﺗﺄﺛﻴﺮ اﻟﻤﻮﺟﺎت اﻟﺘﺼﺎدﻣﻴﺔ ﻋﻠﻰ اﻟﻌﻈﺎم‪:‬‬

‫ﺑﻤﺎ أن اﻟﻤﻮﺟﺎت اﻟﺼﺎدﻣﺔ اﻟﺘﻲ ﺗﻔﺘﺖ ﺣﺼﻮات اﻟﻜﻠﻰ ﻟﻬﺎ ﺗﺄﺛﻴﺮ ﻫﺪام ﻋﻠﻰ ﻫﺬه اﻟﺤﺼﻮات‪ ،‬ﻛﺎن ﻫﻨﺎك ﺗﺨﻮف ﻣﻦ أن ﻳﻤﺘﺪ ﻫﺬا اﻟﺘﺄﺛﻴﺮ إﻟﻰ ﻋﻈﺎم اﻟﺤﻮض وﻳﺴﺒﺐ ﻟﻬﺎ اﻟﺘﻔﺘﺖ واﻟﻬﺸﺎﺷﺔ‪.‬‬
‫وﻟﺬﻟﻚ ﺗﻮﺳﻌﺖ اﻷﺑﺤﺎث ﻟﺘﺸﻤﻞ ﻣﺮاﻗﺒﺔ اﻟﻤﺮﺿﻰ اﻟﺬﻳﻦ ﺗﻢ ﺗﻔﺘﻴﺖ ﺣﺼﻮات اﻟﻜﻠﻰ ﻟﺪﻳﻬﻢ ﻋﻦ ﻃﺮﻳﻖ اﻟﻤﻮﺟﺎت اﻟﺘﺼﺎدﻣﻴﺔ وﻛﺎن اﻻﻛﺘﺸﺎف اﻟﻤﺒﻬﺮ ﺣﻴﻦ ﻇﻬﺮ واﺿﺤﺎ أن ﻟﻤﻮﺟﺎت اﻟﺸﻮﻛﻮﻳﻒ‬
‫ﺗﺄﺛﻴﺮ ﺗﻮﻟﻴﺪي ﻟﻠﻌﻈﺎم ‪ osteogenetic potential‬ﻳﺤﻔﺰ اﻟﺠﺴﻢ ﻋﻠﻰ ﺑﻨﺎء اﻟﻨﺴﻴﺞ اﻟﻌﻈﻤﻲ ﻛﻤﺎ ﻳﺤﺪث ﺑﻌﺪ اﻟﻜﺴﻮر ﻋﻨﺪ اﻟﺘﺌﺎﻣﻬﺎ‪.‬‬

‫‪In 1988 the first shock wave treatment of non-union in human was successfully performed in Bochum/Germany. At the same time Valchanow et. al. reported about‬‬
‫‪shock wave therapy on non-unions and delayed unions. His success rate was 85% but the requirements of his clinical study were not exactly specified. In the next years‬‬
‫‪different clinical studies reported about success rates between 60% and 90%. Two essential circumstances exert influence on the success of the shock wave therapy on‬‬
‫‪non-unions or delayed unions. The influence of shock waves on hypertrophic non-unions seems to be more effective as on atrophic non-unions. The stabilization of the‬‬
‫‪fracture after shock wave therapy seems to be an essential condition for the success of the therapy. As side effects local haematomas, petechial hemorrhage and local‬‬
‫‪.swelling were found. These side effects disappeared within a few days without any complications‬‬

‫‪The first investigations and treatments on humans were performed with lithotripters, which are designed for the requirements of shock wave application in urology.‬‬
‫‪Because of the anatomical decentralization of the therapy areas (shoulder to food) it was necessary to develop a special orthopedic shock wave device. In 1993 a special‬‬
‫‪.orthopaedic shock wave device, OssaTron (HMT AG) with a free moveable therapy head became available‬‬

‫‪At the beginning of the 90’ies the first reports about shock wave therapy on tendinitis calcarea were published. Further investigations lead to successful treatment of‬‬
‫‪epicondylitis and heel spur with reported success rates between 70% and 80%. Because of the increasing significance‬‬ ‫‪of shock‬‬
‫ﻣﻨﺘﺠﺎﺗﻨﺎ ؟‬ ‫‪wave therapy on soft tissue diseases,‬‬
‫ﺗﻌﺮف ﻋﻠﻰ‬
‫‪ ‬ﺗﺎﺑﻊ اﻟﻤﺪوﻧﻪ‬ ‫)‪(/https://etcomed.com/ar/home-ar/products-ar‬‬
‫‪HMT developed a special shock wave device, the ReflecTron. The new concept of its electrode (ReflecTrode) is an increased durability of 50000 shock waves. For the‬‬

‫‪  ‬‬ ‫ﺷﺎرك اﻟﻤﻘﺎﻟﻪ ﻋﻠﻰ‬

 scientific evaluation of the ESWT for orthopedic diseases many clinical studies and publications are available. Design, protocol and contents of the published studies are

/www.facebook.com/etcomed.e) .different but all publications agree that ESWT show high efficiency but very low complications and side effects

(g
 (https://etcomed.com)

nel/UCUNhdefxRiu2l2CB2fU3SA)
g
…‫اﺳﺘﺨﺪام ﻣﻮﺟﺎت اﻟﺸﻮﻛﻮﻳﻒ ﻃﺒﻴﺎ ﻣﻦ أﻟﻤﺎﻧﻴﺎ‬

(https://en.wikipedia.org/wiki/Extracorporeal_shockwave_therapy#History (https://en.wikipedia.org/wiki/Extracorporeal_shockwave_therapy#History

Beginning in 1969 and funded by the German Ministry of Defense, Dornier began a study of the effects of shock waves on tissue. In 1972, on the basis of preliminary
studies performed by Dornier Medical Systems, an agreement was reached with Egbert Schmiedt, director of the urologic clinic at the University of Munich. The
development of the Dornier lithotripter progressed through several prototypes, ultimately culminating in February 1980 with the first treatment of a human by SWL.The
production and distribution of the Dornier HM3 lithotripter began in late 1983, and SWL was approved by the U.S. Food and Drug Administration in 1984.[23]
((https://en.wikipedia.org/wiki/Extracorporeal_shockwave_therapy#cite_note-23

In the 1980s people using ESWT for kidney stones noticed that it appeared to increase bone density in nearby bones, leading them to explore it for orthopedic
(purposes.[24] (https://en.wikipedia.org/wiki/Extracorporeal_shockwave_therapy#cite_note-Chamberlain2016rev-24

‫ﻣﻠﺨﺺ ﺗﺎرﻳﺨﻲ ﻣﻦ ﺳﺘﻮرز‬

https://www.storzmedical.com/en/news-press/entry/history-of-shock-wave-therapy-pseudarthroses.html (https://www.storzmedical.com/en/news-press/entry/history-of-
(shock-wave-therapy-pseudarthroses.html

After its introduction in 1980, extracorporeal shock wave lithotripsy (SWL) permanently established itself by the early 1990’s and revolutionized urological stone therapy.
As a result of the extraordinarily positive successes in urological stone therapy and in the treatment of non-urological intracorporeal concretions, using shock waves in
.other fields was obvious. This often occurred according to the principle of »trial and error«. One of these new fields was that of pseudarthroses

Home (https://www.storzmedical.com/en/) / News/Press (https://www.storzmedical.com/en/news-press.html) / History of Shock Wave Therapy: Pseudarthroses

History of Shock Wave Therapy: Pseudarthroses

Disorders called pseudarthroses can occur in rare cases when bone fractures heal. Certain bones are more frequently affected than others, such as the long bones (lower
leg, upper leg, upper arm and ulna with radius) or the scaphoid bone. Conventional treatment occurs via surgical intervention. Today, however, shock wave therapy is
.being used more and more frequently as an alternative, to great success; a success story which began in the early 1990’s

ESWT in a femoral non-union fracture

After its introduction in 1980, extracorporeal shock wave lithotripsy (SWL) permanently established itself by the early 1990’s and revolutionized urological stone therapy.
As a result of the extraordinarily positive successes in urological stone therapy and in the treatment of non-urological intracorporeal concretions, using shock waves in
.other fields was obvious. This often occurred according to the principle of »trial and error«. One of these new fields was that of pseudarthroses

ESWT in a radius non-union fracture

The Start of a Success Story

The osteogenetic potential of shock waves was already discovered in 1990 by Haupt et al. in a rat fracture model with an experimental lithotripter. Based on the
radiological, histological and biochemical results, a stimulation of healing of the fracture with shock waves was demonstrated. In parallel to this, Valchanov et al. (Sofia,
Bulgaria) reported on the first shock wave treatments of pseudarthroses in 1991. In 1992, at the Ruhr University of Bochum, Germany, trials performed on rats indicated
that ESWT is a very effective treatment method in the case of pseudarthroses. In the same year, R. Schleberger and T. Senge (Bochum) also reported on the treatment
.of four patients: Callus formation occurred in three patients within six weeks as a result of an ESWT treatment

As a result, additional patients were treated at the Ruhr University of Bochum. In a retrospective investigation, G. Haupt and P. Katzmeier (Bochum) evaluated the
treatment results of 30 patients with pseudarthroses. A consolidation of the bone, recognizable in X-ray images, was achieved after a one-time treatment in the case of
.22 patients. Since that time, numerous additional studies have proven the effectiveness of extracorporeal shockwave therapy in the treatment of pseudarthroses

Today, extracorporeal shockwave therapy is successfully used around the world in the treatment of non-healing bone fractures. Leading scientists and researchers
recommend the method as a therapy option for treating non-healing fractures of the long bones. Current studies published in respected scientific journals (Cacchio et
.al. 2009; Furia et al. 2010) show that shock wave therapy is practically free of complication and low-stress for the patient

‫ﺗﻌﺮف ﻋﻠﻰ ﻣﻨﺘﺠﺎﺗﻨﺎ ؟‬

‫ ﺗﺎﺑﻊ اﻟﻤﺪوﻧﻪ‬ (/https://etcomed.com/ar/home-ar/products-ar)

   ‫ﺷﺎرك اﻟﻤﻘﺎﻟﻪ ﻋﻠﻰ‬

 ‫ﺳﻨﺔ ‪1966‬م ﻓﻲ ﻣﻌﺎﻣﻞ ﺷﺮﻛﺔ دورﻧﻴﺮ ﻓﻲ أﻟﻤﺎﻧﻴﺎ‪ ،‬وأﺛﻨﺎء ﻗﻴﺎﻣﻬﻢ ﺑﻌﻤﻞ اﺧﺘﺒﺎرات ﻋﻠﻰ اﻟﻄﻠﻘﺎت ﻋﺎﻟﻴﺔ اﻟﺴﺮﻋﺔ ﻋﻨﺪ ﺻﺪﻣﻬﺎ ﻟﺴﻄﺢ ﺻﻔﻴﺤﺔ ﺳﻴﺮاﻣﻴﻜﻴﺔ‪ ،‬ﻛﺎن أﺣﺪ اﻟﻌﺎﻣﻠﻴﻦ ﻳﻼﻣﺲ‬
‫‪‬‬
‫اﻟﺼﻔﻴﺤﺔ ﻣﻦ اﻟﺠﻬﺔ اﻷﺧﺮى وﺷﻌﺮ وﻛﺄن ﺻﺪﻣﺔ ﻛﻬﺮﺑﻴﺔ ﺳﺮت ﻓﻲ ﻳﺪه‪ .‬وﺑﻌﺪ ﻋﻤﻞ اﻟﻘﻴﺎﺳﺎت ﺗﺒﻴﻦ أﻧﻪ ﻟﻢ ﻳﻮﺟﺪ أي ﻛﻬﺮﺑﺎء ﻓﻲ اﻟﻮﺳﻂ‪ ،‬وﻣﻦ ﻫﻨﺎ اﻛﺘﺸﻔﻮا أن ﻟﻠﻤﻮﺟﺔ اﻟﺘﺼﺎدﻣﻴﺔ‬
‫)‪/www.facebook.com/etcomed.e‬‬
‫اﻟﻤﺘﻮﻟﺪة ﻣﻦ اﺿﻄﺪام اﻟﻄﻠﻘﺔ اﻟﺴﺮﻳﻌﺔ ﻟﻬﺎ ﺗﺄﺛﻴﺮ ﻋﻠﻰ اﻷﻧﺴﺠﺔ اﻟﺤﻴﺔ‪ ،‬وﺑﺪأت ﺗﺠﺎرب اﻟﺘﺄﺛﻴﺮ اﻟﺒﻴﻮﻟﻮﺟﻲ ﻋﻠﻰ أﻧﺴﺠﺔ اﻟﺤﻴﻮاﻧﺎت ﺑﻴﻦ ﻋﺎﻣﻲ ‪ 1968‬و‪ .1971‬اﻟﻤﺼﺪر‬
‫‪(g‬‬
‫‪‬‬ ‫)‪(https://etcomed.com‬‬
‫)‪(/https://www.shockwavetherapy.org/about-eswt/shockwave-history‬‬
‫‪‬‬
‫)‪nel/UCUNhdefxRiu2l2CB2fU3SA‬‬
‫“ﻣﺎ ﻫﻲ ﻣﻮﺟﺎت اﻟﺸﻮك وﻳﻒ‪ ،‬وﻟﻤﺎذا أﺟﻬﺰة ﺗﻮﻟﻴﺪ ﻫﺬه اﻟﻤﻮﺟﺎت ﻣﺮﺗﻔﻌﺔ اﻟﺴﻌﺮ ﻣﻘﺎرﻧﺔ ﺑﻔﻮق اﻟﺼﻮﺗﻴﺔ‬
‫‪g‬‬
‫واﻟﻜﻬﺮﺑﻴﺔ؟”‬

‫اﻟﻤﻮﺟﺔ اﻟﺼﺎدﻣﺔ أو اﻟﻤﻮﺟﺔ اﻟﺼﺪﻣﻴﺔ أو ﻣﻮﺟﺔ اﻟﺼﺪﻣﺔ ﺗﺘﻜﻮن ﻋﻨﺪ ﺗﺤﺮك ﺟﺴﻢ ﺑﻴﻦ ﻃﺒﻘﺎت اﻟﻬﻮاء ﺑﻨﻔﺲ ﺳﺮﻋﺔ اﻟﻤﻮﺟﺎت اﻟﺼﻮﺗﻴﺔ أو ﺑﺴﺮﻋﺔ أﻛﺒﺮ‪ .‬وﻫﻲ ﻛﺎﻻﺿﻄﺮاب ﻓﻲ اﻟﻬﻮاء أو‬
‫ﻓﺮﻗﻌﺔ‪ .‬و ﺑﺼﻔﺔ أﻋﻢ ﺗﻨﺘﺞ ﻣﻮﺟﺔ اﻟﺼﺪﻣﺔ ﻋﻨﺪ ﺗﺤﺮك ﺟﺴﻢ ﻣﺎ ﻓﻲ ﻣﺎﺋﻊ ﺑﺴﺮﻋﺔ ﺗﻔﻮق ﺳﺮﻋﺔ إﻇﻄﺮاﺑﺎت او إﻫﺘﺰازات اﻟﻤﺎﺋﻊ‪ .‬ﻓﻤﺜﻼ ﺳﺮﻋﺔ إﻫﺘﺰازات اﻟﻬﻮاء‪ ،‬اﻟﻤﻌﺮوﻓﺔ ﺑﺴﺮﻋﺔ اﻟﺼﻮت‪ ،‬ﺗﺒﻠﻎ‬
‫ﺣﻮاﻟﻲ ‪ 340‬م‪/‬ث‪ ،‬وﺗﺨﺘﻠﻒ ﺣﺴﺐ اﻟﻮﺳﻂ اﻟﺬي ﺗﺨﺘﺮﻗﻪ اﻟﻤﻮﺟﺔ اﻟﺼﻮﺗﻴﺔ‪ .‬اﻟﻤﺼﺪر‬
‫)‪(https://ar.wikipedia.org/wiki/%D9%85%D9%88%D8%AC%D8%A9_%D8%B5%D8%A7%D8%AF%D9%85%D8%A9‬‬

‫ﻟﻨﻔﻬﻢ ﺳﺒﺐ اﻟﻔﺮق ﺑﻴﻦ اﻟﻤﻮﺟﺎت اﻟﺼﺎدﻣﺔ واﻟﻤﻮﺟﺎت اﻟﺼﻮﺗﻴﺔ اﻟﺘﻲ ﻧﺴﻤﻌﻬﺎ ﻳﻤﻜﻨﻨﺎ ﺗﺪﺑﺮ اﻷﻣﺜﻠﺔ اﻟﺘﺎﻟﻴﺔ‪:‬‬

‫ﻋﻨﺪﻣﺎ ﺗﺴﻤﻊ ﺻﻮت اﻟﻄﺎﺋﺮة اﻟﻤﻘﺎﺗﻠﺔ ﻋﻨﺪﻣﺎ ﺗﺴﻴﺮ ﺑﺴﺮﻋﺔ ﺗﻔﻮق ﺳﺮﻋﺔ اﻟﺼﻮت‪ ،‬ﻓﺈن اﻟﺼﻮت اﻟﺬي ﺗﺴﻤﻌﻪ ﻫﻮ ﺧﻠﻴﻂ ﻣﻦ ﺻﻮﺗﻴﻦ‪ ،‬ﻣﻊ ﻃﺎﺋﺮة ﺗﺨﺘﺮق اﻟﻬﻮاء ﺑﺴﺮﻋﺔ ﺗﻔﻮق ﻗﺪرة اﻟﻬﻮاء‬
‫ﻋﻠﻰ اﻻﻧﺘﻘﺎل ﺟﺎﻧﺒﺎ ﻟﻠﺴﻤﺎح ﻟﻠﻄﺎﺋﺮة ﺑﺎﻟﻤﺮور‪.‬‬

‫أﻗﺼﻰ ﺳﺮﻋﺔ ﺗﺴﺘﻄﻴﻊ ﺟﺰﻳﺌﺎت اﻟﻬﻮاء أن ﺗﻨﺘﻘﻞ ﺑﻬﺎ ﻫﻲ ﻣﺎ ﻧﺴﻤﻴﻪ “ﺳﺮﻋﺔ اﻟﺼﻮت”‪ .‬ﻧﻌﻢ‪ ،‬اﻟﺼﻮت ﻳﺼﻞ إﻟﻴﻨﺎ ﺑﻬﺬه اﻟﺴﺮﻋﺔ ﻷن ﺟﺰﻳﺎت اﻟﻬﻮاء ﺗﺴﺘﻄﻴﻊ ﻓﻘﻂ أن ﺗﻨﻘﻞ ﻣﻮﺟﺔ أو ﺟﺴﻢ أو‬
‫ﺗﻨﺘﻘﻞ ﺑﻨﻔﺴﻬﺎ ﺑﺴﺮﻋﺔ ﻻ ﺗﻔﻮق ﻫﺬه اﻟﺴﺮﻋﺔ‪.‬‬

‫ﻫﺬه اﻟﻄﺎﺋﺮات ﻓﺎﺋﻘﺔ اﻟﺴﺮﻋﺔ ﺗﺨﺘﺮق اﻟﻬﻮاء وﺗﺴﺒﺐ ﺗﻜﺘﻞ ﺟﺰﻳﺌﺎت اﻟﻬﻮاء أﻣﺎم ﺟﺴﻢ اﻟﻄﺎﺋﺮة ﻟﻌﺪم إﻣﻜﺎﻧﻴﺔ اﻧﺰﻳﺎﺣﻬﺎ واﻧﺴﻴﺎﺑﻬﺎ ﻣﻦ ﺣﻮل ﺟﺴﻢ اﻟﻄﺎﺋﺮة‪ .‬وﻳﻨﺘﻘﻞ ﺿﻐﻂ ﻫﺬا اﻟﺤﻤﻞ‬
‫اﻟﺸﺪﻳﺪ ﻣﻦ أﻣﺎم ﺟﺴﻢ اﻟﻄﺎﺋﺮة إﻟﻰ اﻷﻣﺎم ﻓﻲ ﻣﻮﺟﺔ ارﺗﺪادﻳﺔ ﻗﻮﻳﺔ ﺗﺴﻤﻰ ﺑﺎﻟﻤﻮﺟﺔ اﻟﺼﺎدﻣﺔ )اﻟﺸﻮﻛﻮﻳﻒ أو اﻟﺸﻮك وﻳﻒ ‪ Acoustic Shockwave‬أو ‪ Shock-Wave‬أو ‪(Shock Wave‬‬

‫ﻧﺴﻤﻊ ﺻﻮت ﻫﺬه اﻟﻤﻮﺟﺎت ﺑﺎﻷذن ﻋﻨﺪﻣﺎ ﺗﻤﺮ ﻃﺎﺋﺮة ﻣﻘﺎﺗﻠﺔ وﺗﺨﺘﺮق ﺣﺎﺟﺰ اﻟﺼﻮت‪.‬‬

‫ﺗﻐﻴﺮ ﻛﺜﺎﻓﺔ وﺣﺮارة اﻟﻬﻮاء ﻋﻨﺪ اﺻﻄﺪاﻣﻪ‬

‫ﺗﺼﻮﻳﺮ ﻣﻮﺟﺎت اﻟﺸﻮﻛﻮﻳﻒ اﻟﺘﻲ ﺗﻈﻬﺮ ﱡ‬
‫ﺑﺎﻟﻄﺎﺋﺮة ﻋﻨﺪ ﺗﺠﺎوزﻫﺎ ﺳﺮﻋﺔ اﻟﺼﻮت ﻣﺼﺪر اﻟﺼﻮرة‬
‫)‪https://www.nasa.gov/centers/armstrong/features/supersonic-shockwave-‬‬
‫‪(interaction.html‬‬
‫ﻧﻔﺲ ﻫﺬه اﻟﻤﻮﺟﺎت ﺗﺘﻮﻟﺪ أﻣﺎم ﻃﻠﻘﺔ )رﺻﺎﺻﺔ( اﻟﻤﺴﺪس‪ ،‬وﻳﻤﻜﻨﻜﻢ رؤﻳﺔ اﻟﻤﻮﺟﺔ اﻟﺼﺎدﻣﺔ ﺑﺎﻟﻌﻴﻦ ﻛﻤﺎ ﻓﻲ اﻟﻤﻘﻄﻊ اﻟﺘﺎﻟﻲ‪:‬‬

‫‪Bullet shockwave‬‬

‫ﺗﺨﺘﻠﻒ ﻫﺬه اﻟﻤﻮﺟﺎت ﻋﻦ اﻟﻤﻮﺟﺎت اﻟﺼﻮﺗﻴﺔ اﻟﻌﺎدﻳﺔ وﻛﺬﻟﻚ ﻋﻦ اﻟﻤﻮﺟﺎت ﻓﻮق اﻟﺼﻮﺗﻴﺔ‬

‫وذﻟﻚ ﻓﻲ ﻃﺮﻳﻘﺔ ﺗﺄﺛﻴﺮﻫﺎ ﻓﻲ اﻟﻮﺳﻂ اﻟﺬي ﺗﻨﺘﻘﻞ ﻓﻴﻪ وﺣﺪود اﻧﺘﻘﺎﻟﻬﺎ‪ .‬ﺣﻴﺚ ﺗﺘﻤﻴﺰ ﺗﻠﻚ اﻟﻤﻮﺟﺔ اﻻﺻﻄﺪاﻣﻴﺔ ﺑﻌﻨﺼﺮ ﻗﺼﺮ زﻣﻦ ﺣﺪوﺛﻬﺎ ‪ ،‬و ﺑﺘﻐﻴﻴﺮ ﻣﺘﻘﻄﻊ ﻓﻲ ﺧﺼﺎﺋﺺ اﻟﻮﺳﻂ اﻟﻤﺤﻴﻂ‪.‬‬
‫وﺗﺘﺴﺒﺐ اﻟﻤﻮﺟﺔ اﻟﺘﺼﺎدﻣﻴﺔ ﻓﻲ ارﺗﻔﺎع ﺳﺮﻳﻊ وﻫﺎﺋﻞ ﻓﻲ اﻟﻀﻐﻂ و درﺟﺔ اﻟﺤﺮارة واﻟﻜﺜﺎﻓﺔ ﻓﻲ اﻟﻮﺳﻂ ‪ .‬ﺗﻨﺘﻘﻞ اﻟﻤﻮﺟﺔ اﻟﺘﺼﺎدﻣﻴﺔ ﺧﻼل اﻟﻮﺳﻂ اﻟﻤﺤﻴﻂ ﺑﺴﺮﻋﺔ أﻋﻠﻰ ﺑﻜﺜﻴﺮ ﻣﻦ اﻟﻤﻮﺟﺔ‬
‫اﻟﻌﺎدﻳﺔ‪ .‬ﺗﺘﻼﺷﻰ ﻃﺎﻗﺔ ﻣﻮﺟﺔ اﻟﺼﺪﻣﺔ ﺑﺴﺮﻋﺔ ﺑﺎﻟﺘﻨﺎﺳﺐ ﻣﻊ اﻟﻤﺴﺎﻓﺔ اﻟﻤﺼﺪر‬
‫)‪(https://ar.wikipedia.org/wiki/%D9%85%D9%88%D8%AC%D8%A9_%D8%B5%D8%A7%D8%AF%D9%85%D8%A9‬‬

‫ﻛﻴﻒ ﻷﺟﻬﺰة اﻟﺸﻮﻛﻮﻳﻒ اﻟﻄﺒﻴﺔ أن ﺗﻮﻟﺪ ﻫﺬه اﻟﻤﻮﺟﺎت ﻣﻌﻤﻠﻴﺎ؟‬

‫ﺗﻌﺮف ﻋﻠﻰ ﻣﻨﺘﺠﺎﺗﻨﺎ ؟‬
‫‪ ‬ﺗﺎﺑﻊ اﻟﻤﺪوﻧﻪ‬ ‫)‪(/https://etcomed.com/ar/home-ar/products-ar‬‬
‫اﻷﻣﺮ ﻓﻲ ﻏﺎﻳﺔ اﻟﺒﺴﺎﻃﺔ‪ ،‬ﺟﻬﺎز اﻟﺸﻮﻛﻮﻳﻒ اﻟﻄﺒﻲ ﻫﻮ “ﻣﺴﺪس” وﻳﺴﻤﻴﻪ ﻣﺼﻨﻌﻮا أﺟﻬﺰة اﻟﻌﻼج ﺑﺎﻟﺸﻮك وﻳﻒ “‪ ”Gun‬وﻟﻜﻦ ﻫﺬا اﻟﻤﺴﺪس ﻻ ﻳﺘﺮك اﻟﺮﺻﺎﺻﺔ ﺗﺨﺮج ﻣﻦ ﻣﻘﺪﻣﺘﻪ ﻟﺘﻘﺘﻞ‬
‫ﻟﻨﻘﻞ اﻟﺼﺪﻣﺔ إﻟﻰ ﺟﺴﻢ اﻟﻤﺮﻳﺾ‪.‬‬
‫اﻟﻤﺴﺘﺨﺪم‪‬‬
‫ﻋﻠﻰﻣﻘﺪﻣﺘﻪ ﻟﺘﺼﻄﺪم ﺑﺎﻟﺮأس ﻣﻦ اﻟﺪاﺧﻞ واﻟﺘﻲ ﺗﺴﻤﻰ “‪ ”Applicator‬وﻫﻮ اﻟﺠﺰء‪ ‬‬
‫اﻟﻤﻘﺎﻟﻪإﻟﻰ‬
‫اﻟﻤﺴﺪس‬ ‫اﻟﻤﺮﻳﺾ وﻟﻜﻦ ﺗﻨﻄﻠﻖ اﻟﻄﻠﻘﺔ ﻣﻦ ﻣﺆﺧﺮ‬
‫ﺷﺎرك‬
  ”‫“ﻣﺎ ﻫﻲ اﻟﺘﺄﺛﻴﺮات اﻟﻄﺒﻴﺔ ﻋﻠﻰ اﻷﻧﺴﺠﺔ ﻋﻨﺪ اﺳﺘﺨﺪام اﻟﻤﻮﺟﺎت اﻟﺼﺎدﻣﺔ؟‬
/www.facebook.com/etcomed.e)
(g MEDICAL EFFECTS
 (https://etcomed.com)
 (https://www.shockwavetherapy.eu/subpage (https://www.shockwavetherapy.eu/subpage
nel/UCUNhdefxRiu2l2CB2fU3SA)
g

”‫ اﻟﻤﻮﺟﺎت اﻟﺼﺎدﻣﺔ؟‬Applicators ‫“ﻣﺎ ﻫﻲ اﻧﻮاع أﺟﻬﺰة ﺗﻮﻟﻴﺪ‬

radial and focus, high energy, low energy ‫اﻟﻔﺮق ﺑﻴﻦ‬

(http://eswt.net/radial-vs-focused (http://eswt.net/radial-vs-focused

https://www.vennhealthcare.com/blog/2018/8/7/radial-vs-focus-shockwave-therapy-what-is-the-difference (https://www.vennhealthcare.com/blog/2018/8/7/radial-vs-
(focus-shockwave-therapy-what-is-the-difference

Radial Shockwaves (Soft shock) – Larger treatment area of superficial indications

Radial shockwaves are generated by means of a pneumatic system. Using compressed air, a projectile is accelerated to a high-speed then suddenly decelerated by a
transmitter, which is held to the area being treated. The generated kinetic energy is than transmitted to the tissue from where it propagates outwards aspherically as a
radial wave into the tissue.The transmitter surface constitutes the highest pressure and highest energy density. The shockwave loses power the deeper it goes into the
.body

.The radial shockwave comprises three parts – Ultrasonic pulse, audio acoustic pulse and the relatively slow shear wave

.Focused Shockwaves (Hard shock) – Smaller focal point for greater accuracy and greater treatment depth

The focused shockwaves are generated electromagnetically through a cylindrical coil creating opposing magnetic fields when current is applied. This causes a
submerged membrane to move and generate a pressure wave in the surrounding fluid medium. These propagate through the medium without any loss in energy with
.a small focal zone

.At the site of actual wave generation the amount of energy dispersed is minimal. This limits damage at the skin and to underlying soft tissues

The focusing mechanism directs each shock to a defined point within the body. The location within the body is adjusted by altering the energy output of the machine
or by adjusting the focusing mechanism. Diagnostic imaging is commonly used to exactly localise the point of energy concentration. The STORZ devices can be
.(purchased with an Ultrasound diagnostic module (black/white or colour

”‫“ﻣﺎ اﻟﺘﻘﻨﻴﺎت اﻟﻌﻼﺟﻴﺔ اﻷﺧﺮى؟‬

‫ﺗﻨﺲ وأﻟﺘﺮاﺳﻮﻧﻴﻚ وإﺑﺮ و‬

(https://www.webmd.com/fitness-exercise/treatment-for-plantar-fasciitis#2 (https://www.webmd.com/fitness-exercise/treatment-for-plantar-fasciitis#2

https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/diagnosis-treatment/drc-20354851 (https://www.mayoclinic.org/diseases-conditions/plantar-
(fasciitis/diagnosis-treatment/drc-20354851

‫ﺑﺪاﺋﻞ ﻋﻼج اﻟﺸﻮﻛﺔ اﻟﻌﻈﻤﻴﺔ )ﻣﻨﻘﺎل ﻣﻨﻔﺮد( وﻏﻴﺮﻫﺎ‬

‫ ﻳﻜﺮر ﻟﻠﻄﺒﻴﺐ ﺑﺎﻹﻧﺠﻠﻴﺰﻳﺔ‬.‫ﻣﻘﺎﻻت ﺑﻌﻨﺎوﻳﻦ ﺗﺒﺪأ ب”اﻻﺗﺠﺎﻫﺎت اﻟﺤﺪﻳﺚ واﻟﻤﺨﺘﻠﻔﺔ ﻟﻌﻼج ﻣﺮض ﻛﺬا وﻛﺬا( ﻣﺤﺘﻮى ﻟﻠﻄﺒﻴﺐ واﻟﻤﺮﻳﺾ‬

”‫ ﺳﺮﻋﺔ اﻟﺸﻔﺎء‬+ ‫“دراﺳﺎت ﻋﻦ اﻟﺘﺄﺛﻴﺮ اﻟﻌﻼﺟﻲ‬

”‫اﻟﺸﻮﻛﻮﻳﻒ ﻋﺎﻣﺔ‬ ‫“ﻣﺎ ﻫﻲ اﻷﻣﺮاض اﻟﺘﻲ ﻳﻌﺎﻟﺠﻬﺎ‬

‫ﺗﻌﺮف ﻋﻠﻰ ﻣﻨﺘﺠﺎﺗﻨﺎ ؟‬
‫ ﺗﺎﺑﻊ اﻟﻤﺪوﻧﻪ‬ (/https://etcomed.com/ar/home-ar/products-ar)
(https://www.shockwavetherapy.eu/subpage (https://www.shockwavetherapy.eu/subpage
   ‫ﺷﺎرك اﻟﻤﻘﺎﻟﻪ ﻋﻠﻰ‬
 btl ‫ﺻﻮر وﺷﺮح ﻟﺒﻌﺾ اﻷﻋﺮاض اﻟﻤﻌﺎﻟﺠﺔ ﻣﻦ‬

/www.facebook.com/etcomed.e)
(g
 (https://etcomed.com)
 (/https://www.shockwavetherapy.org/about-eswt/indications/ (https://www.shockwavetherapy.org/about-eswt/indications
nel/UCUNhdefxRiu2l2CB2fU3SA)
g Introduction and prerequisites and minimal standards of performing ESWT

:In order to prevent improper treatment, the following list contents the minimum prerequisites and standard examinations performing ESWT

Clinical examination .1
Radiological imaging .2
.Neurological and/or laboratory-diagnostic tests and/or other investigations may be necessary to corroborate the diagnosis .3

Only a qualified physician (certified by National or International Societies) may use focused shockwave therapy to treat pathologies, which have been determined by
.diagnostic testing

.For the treatment on bones, a high-energy, focused shockwave with positioning technology has to be used

.In accordance with most scientific evidence ISMST recommends to use focused generators and high energy levels to treat calcifications

To treat superficial soft tissue conditions, devices with or without focusing technology may be utilized; close attention must be paid to the depth of penetration of the
.shockwave source when treating deep tissue structures

Indications

Approved standard indications .1

Chronic Tendinopathies .1.1
Calcifying tendinopathy of the shoulder .1.1.1
(Lateral epicondylopathy of the elbow (tennis elbow .1.1.2
Greater trochanter pain syndrome .1.1.3
Patellar tendinopathy .1.1.4
Achilles tendinopathy .1.1.5
Plantar fasciitis, with or without heel spur .1.1.6
Bone Pathologies .1.2
Delayed bone healing .1.2.1
(Bone Non-Union (pseudarthroses .1.2.2
Stress fracture .1.2.3
Avascular bone necrosis without articular derangement .1.2.4
Osteochondritis Dissecans (OCD) without articular derangement .1.2.5
Skin Pathologies .1.3
Delayed or non-healing wounds .1.3.1
Skin ulcers .1.3.2
Non-circumferential burn wounds .1.3.3
Common empirically-tested clinical uses .2
Tendinopathies .2.1
Rotator cuff tendinopathy without calcification .2.1.1
Medial epicondylopathy of the elbow .2.1.2
Adductor tendinopathy syndrome .2.1.3
Pes-Anserinus tendinopathy syndrome .2.1.4
Peroneal tendinopathy .2.1.5
Foot and ankle tendinopathies .2.1.6
Bone Pathologies .2.2
Bone marrow edema .2.2.1
Osgood Schlatter disease: Apophysitis of the anterior tibial tubercle .2.2.2
(Tibial stress syndrome (shin splint .2.2.3
Muscle Pathologies .2.3
Myofascial Syndrome .2.3.1
Muscle sprain without discontinuity .2.3.2
Skin Pathologies .2.4
Cellulite .2.4.1
Exceptional indications – expert indications .3
Musculoskeletal pathologies .3.1
Osteoarthritis .3.1.1
Dupuytren disease .3.1.2
(Plantar fibromatosis (Ledderhose disease .3.1.3
‫ﺗﻌﺮف ﻋﻠﻰ ﻣﻨﺘﺠﺎﺗﻨﺎ ؟‬ De Quervain disease .3.1.4
‫ ﺗﺎﺑﻊ اﻟﻤﺪوﻧﻪ‬ (/https://etcomed.com/ar/home-ar/products-ar)
Trigger finger .3.1.5

   ‫ﺷﺎرك اﻟﻤﻘﺎﻟﻪ ﻋﻠﻰ‬ Neurological pathologies .3.2

 Spasticity .3.2.1

/www.facebook.com/etcomed.e) Polyneuropathy .3.2.2

(g Carpal Tunnel Syndrome .3.2.3

 (https://etcomed.com)
Urologic pathologies .3.3
 (Pelvic chronic pain syndrome (abacterial prostatitis .3.3.1
nel/UCUNhdefxRiu2l2CB2fU3SA) Erectile dysfunction .3.3.2
g Peyronie disease .3.3.3
Others .3.4
Lymphedema .3.4.1
Experimental Indications .4
Heart Muscle Ischemia .4.1
Peripheral nerve lesions .4.2
Pathologies of the spinal cord and brain .4.3
Skin calcinosis .4.4
Periodontal disease .4.5
Jawbone pathologies .4.6
(Complex Regional Pain Syndrome (CRPS .4.7
Osteoporosis .4.8

‫ﺗﻨﺰﻳﻞ ﻣﻠﻒ اﻟﻌﻼﺟﺎت‬

https://www.shockwavetherapy.org/fileadmin/user_upload/dokumente/PDFs/Formulare/ISMST_consensus_statement_on_indications_and_contraindications_20161012_final.
pdf
(https://www.shockwavetherapy.org/fileadmin/user_upload/dokumente/PDFs/Formulare/ISMST_consensus_statement_on_indications_and_contraindications_20161012_final
(.pdf

”‫“ﻣﺎ ﻫﻲ اﻷﻣﺮاض اﻟﺘﻲ ﻳﻌﺎﻟﺠﻬﺎ اﻟﺸﻮﻛﻮﻳﻒ اﻟﺨﺎص ﺑﻨﺎ‬

‫ﺟﺪول ﻋﻼﺟﺎت اﻟﺸﻮﻛﻮﻳﻒ ﻣﻊ اﻟﻤﺤﺪدات‬

”‫“ﻣﺎ ﻫﻲ ﺑﻘﻴﺔ ﺳﻠﺴﻠﺔ ﻣﻨﺘﺠﺎت رﻳﻤﻴﺪ اﻟﺨﺎﺻﺔ ﺑﺎﻟﻌﻼج اﻟﻄﺒﻴﻌﻲ‬

”‫“أﺿﺮار اﻟﻄﺮق اﻵﺧﺮى‬

‫ ( وﺗﺄﺛﻴﺮﻫﺎ ﻓﻲ ﻣﺴﺘﻘﺒﻞ اﻟﺒﺤﺚ‬Bar Hz etc‫“ﻋﻨﺎﺻﺮ ﻣﺆﺛﺮة ﻓﻲ ﻛﻔﺎءة ﺟﻬﺎز اﻟﺸﻮﻛﻮﻳﻒ )اﻷرﻗﺎم اﻟﺨﺎﺻﺔ ﺑﺎﻹﺟﻬﺰة‬
”‫اﻟﻌﻠﻤﻲ اﻟﺨﺎص ﺑﺎﻟﻌﻼج ﺑﻬﺬه اﻟﺘﻘﻨﻴﺎت‬

”‫“ﻣﻘﺎرﻧﺔ ﻣﻊ اﻟﻤﻨﺎﻓﺴﻴﻦ‬

‫ﻣﻘﺎرﻧﺔ ﺳﺎﻟﻮس ﻣﻊ ﺳﺘﻮرز ﻋﻨﺪﻧﺎ‬

”‫“ﻣﺤﺎذﻳﺮ ﻋﻨﺪ اﺳﺘﺨﺪام اﻟﺸﻮﻛﻮﻳﻒ ﻟﻠﻌﻼج وﻧﺼﺎﺋﺢ ﻣﻊ وﺑﻌﺪ اﻟﻌﻼج‬

https://www.shockwavetherapy.org/about-eswt/indications/ (https://www.shockwavetherapy.org/about-
(/eswt/indications

Contraindications

Radial and focused waves with low energy .1

(Malignant tumor in the treatment area (not as underlying disease .1.1
Fetus in the treatment area .1.2
High energy focused waves .2
Lung tissue in the treatment area .2.1
(Malignant tumor in the treatment area (not as underlying disease .2.2
Epiphyseal plate in the treatment area .2.3
Brain or Spine in the treatment area .2.4
Severe coagulopathy .2.5
‫ﺗﻌﺮف ﻋﻠﻰ ﻣﻨﺘﺠﺎﺗﻨﺎ ؟‬
‫ ﺗﺎﺑﻊ اﻟﻤﺪوﻧﻪ‬ Fetus in the treatment area .2.6
(/https://etcomed.com/ar/home-ar/products-ar)

   ‫ﺷﺎرك اﻟﻤﻘﺎﻟﻪ ﻋﻠﻰ‬

  ”‫ ج م‬20000 ‫إﻟﻰ‬150000 ‫ اﻟﻔﺌﺔ اﻟﺴﻌﺮﻳﺔ‬+ ‫ دراﺳﺔ ﺟﺪوى اﻗﺘﺼﺎدﻳﺔ‬:‫“ﻟﻸﻃﺒﺎء ﻓﻲ ﻣﺺ‬
/www.facebook.com/etcomed.e)
(g ”‫ أﻃﺒﺎء ﻳﺴﺘﻌﻤﻠﻮن اﻟﺸﻮك وﻳﻒ ﻗﺮﻳﺒﻮن ﻣﻨﻜﻢ‬:‫“ﻟﻠﻤﺮﺿﻰ ﻓﻲ ﻣﺼﺮ‬
 (https://etcomed.com)
 ”‫“ﺷﻬﺎدات اﻷﻃﺒﺎء‬
nel/UCUNhdefxRiu2l2CB2fU3SA)
g ”‫“ﺷﻬﺎدات اﻟﻤﺮﺿﻰ‬

‫ﻣﻘﺎﻻت ﻣﺸﺎﺑﻬﻪ‬

‫ﻋﻼج ﻃﺒﻴﻌﻲ‬ ‫ﻋﻼج ﻃﺒﻴﻌﻲ‬

‫ واﻷﺳﻌﺎر‬،‫ اﻟﻤﻮاﺻﻔﺎت‬،‫ اﻻﺳﺘﺨﺪام‬:‫دﻟﻴﻠﻚ اﻟﺸﺎﻣﻞ ﻟﻠﻌﻼج ﺑﺄﺟﻬﺰة اﻟﺸﻮﻛﻮﻳﻒ‬ https://etcomed.com/ar/physiotherapy/tens-) ‫ﺗﻘﻨﻴﺔ اﻟﺘﺤﻔﻴﺰ اﻟﻜﻬﺮﺑﺎﺋﻲ ﻟﻠﻌﻀﻼت واﻷﻋﺼﺎب‬
https://etcomed.com/ar/physiotherapy/ultimate-guide-shockwave-treatment-use-prices-) vs-ems-ar-%d8%aa%d9%82%d9%86%d9%8a%d8%a9-
(/ar %d8%a7%d9%84%d8%aa%d8%ad%d9%81%d9%8a%d8%b2-
HTTPS://ETCOMED.COM/AR/PHYSIOTHERAPY/ULTIMATE-GUIDE-SHOCKWAVE-) ‫ﻗﺮأة اﻟﻤﺰﻳﺪ‬ (/%d8%a7%d9%84%d9%83%d9%87%d8%b1%d8%a8%d8%a7%d8%a6%d9%8a

(/TREATMENT-USE-PRICES-AR HTTPS://ETCOMED.COM/AR/PHYSIOTHERAPY/TENS-VS-EMS-AR-) ‫ﻗﺮأة اﻟﻤﺰﻳﺪ‬

%D8%AA%D9%82%D9%86%D9%8A%D8%A9-
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