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The use of a shock wave in the physiotherapy
NOVÁK, Jan
Except a few scientific studies there is not yet enough available literature, written in Czech language, which would summarize theoretical information on the effects of shock wave therapy. In my thesis I tried to clarify physical conditions associated with emergence and specific spread of shock waves in various media and other physical principles which explain behavior and effects of shock waves passing through different types of tissues. From the results of expert studies and articles I made a survey of the most common possibilities of use of shock waves in medicine - especially in physiotherapy. In the practical part I evaluate the effects and course of shockwave therapy in three randomly selected patients diagnosed with epicondylitis radialis humeri (tennis elbow). Patients were treated by a series of applications of radial shock waves, when one session amounted to 1500 - 2000 shocks of varying frequency of 4-21 Hz and the pneumatic pressure of 2 - 3.2 bar. The results show that the patient may respond differently to shockwave therapy. Due to the fact that in a relatively small research sample quite disparate results have been recorded - the first patient significantly improved, the second improved slightly and the third got worse on the contrary - we can better understand the diversity of opinions of the professional public on the meaningfulness of the shock waves use in orthopedic diagnoses. For the practical part the method of qualitative research was chosen. Interview techniques, observations, case reports, data analysis and research were used. The research was conducted in the rehabilitation centre OLMA R + in České Budějovice and Rehabilitation Department of Polyclinic South MEDIPONT Ltd. in the time period from January to April 2012.

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