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Chapter 11: Extracorporeal Shockwave Therapy

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

a. True

b. False

b. False

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

a. True

b. False

b. False

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

a. True

b. False

b. False

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

a. Focal volume

b. Pressure field

c. Total acoustical energy

d. Energy flux density

d. Energy flux density

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

a. .04 J/mm2

b. .28 J/mm2

c. .60 J/mm2

d. 1.2 J/mm2

b. .28 J/mm2

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

a. Neovascularization

b. Cell permeability

c. Stromal cells

d. Inflammation

d. Inflammation

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

a. High, 1000

b. Low, 2000

c. High, 2000

d. Low, 1000

c. High, 2000

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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