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Chapter 11: Extracorporeal Shockwave Therapy

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The most important parameter to know when assessing therapeutic effectiveness is energy flux density of the ESWT unit.

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a. True

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b. False

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b. False

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ESWT is thought to be effective in promoting tendon healing primarily by breaking down cell membranes through direct tensile and shear forces

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a. True

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b. False

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b. False

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ESWT has been shown to be an effective in the treatment of rotator cuff tendinopathy.

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a. True

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b. False

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b. False

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When considering the effect of ESWT on biologic tissues one should first know the

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a. Focal volume

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b. Pressure field

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c. Total acoustical energy

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d. Energy flux density

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d. Energy flux density

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When choosing the appropriate dosage of ESWT for tendons, dosage should not exceed

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a. .04 J/mm2

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b. .28 J/mm2

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c. .60 J/mm2

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d. 1.2 J/mm2

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b. .28 J/mm2

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The mechanisms outlined by which bone healing is thought to be promoted include changes in all except

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a. Neovascularization

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b. Cell permeability

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c. Stromal cells

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d. Inflammation

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d. Inflammation

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_____ energy ESWT at no more than _____ pulses are suggested to stimulate bone growth without overwhelming the potential for healing.

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a. High, 1000

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b. Low, 2000

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c. High, 2000

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d. Low, 1000

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c. High, 2000

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Which of the following patients is most likely to respond to ESWT after failing conservative treatment for the 9 months prior to seeing you?

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