Extracorporeal Shockwave Applicator for Spinal Pain and Muscular Contracture: A New Design Approach

Shockwave therapy is a noninvasive treatment technique used in multidisciplinary fields, such as sports medicine, physical therapy, and orthopedics. This method of treatment is recommended for medical conditions, such as muscle contractions, intramuscular hematoma, or Dupuytren’s contracture. The sh...

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Bibliographic Details
Main Authors: Lucian Daniel Dobreci, Valentin Zichil, Elena Nechita, Cosmin Constantin Grigoraș, Vlad Andrei Ciubotariu
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/10/23/8710
Description
Summary:Shockwave therapy is a noninvasive treatment technique used in multidisciplinary fields, such as sports medicine, physical therapy, and orthopedics. This method of treatment is recommended for medical conditions, such as muscle contractions, intramuscular hematoma, or Dupuytren’s contracture. The shockwaves are high-energy pressure waves characterized by nonlinearity, high frequency, and peak pressure followed by low-pressure amplitude which are transmitted through an applicator to the affected tissue. In the case of spinal muscles, the conventional applicator can only be used on one side of the spinal cord at a time. Taking this into consideration, the approach suggested in this paper involves the design of a dedicated dual-tip applicator. This process implied predesign, finite element analysis, statistical analysis of the data, and optimization. We analyzed the input factors, such as frequency, pressure, applicator tip distance, shape, flatness, and material along with their effects, namely induced stress, tissue contact pressure, total strain energy, and propagation velocity. The proposed final design of the applicator uses geometric features suggested by the optimization analysis and also mechanical design features.
ISSN:2076-3417