Tag: Andrzej Franek

Focused and radial shock wave in orthopedics and physiotherapy

Piotr Król, Andrzej Franek, Wiesław Zinka, Janusz Kubacki, Anna Polak, Ewa Franek

Piotr Król, Andrzej Franek, Wiesław Zinka, Janusz Kubacki, Anna Polak, Ewa Franek – Focused and radial shock wave in orthopedics and physiotherapy. Fizjoterapia Polska 2009; 9(1); 1-20

Abstract
This article aims at presenting current knowledge about shock wave therapy and especially analysing the results of research on the influence of focused and radial shock wave in the treatment of pseudarthrosis, tendinosis calcarea of the shoulder, calcanean spurs, plantar fasciitis, tendinitis and enthesitis, etc. Orthopaedics and physiotherapy have been using focused shock wave therapy for two decades now, but radial shock wave therapy has a history of only several years. As a consequence, there is a dearth of studies corroborating the thera-peutic efficacy of this method, although the available results are very encouraging. Most studies concentrate on presenting the effects of focused shock wave in the treatment of pseudarthrosis, where the shock wave impact is purely destructive. In other conditions, the mechanism of action of both focused and radial shock wave is obscure, although the procedures are very effective. Because the only alternative available to many patients, especially those with tendinosis calcarea of the shoulder and calcanean spurs, is a surgical procedure, the application of shock wave, a low-invasive and highly effective method, is fully justified.
Key words:
focused shock wave, radial shock wave, physiotherapy
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An attempt at using focused shockwave therapy to treat selected orthopedic diseases – a preliminary report

Andrzej Franek, Damian Kusz, Jacek Durmała, Piotr Król, Robert Wilk, Ewa Detko, Bartosz Wnuk, Paweł Dolibog, Edward Błaszczak, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj

Andrzej Franek, Damian Kusz, Jacek Durmała, Piotr Król, Robert Wilk, Ewa Detko, Bartosz Wnuk, Paweł Dolibog, Edward Błaszczak, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj – An attempt at using focused shockwave therapy to treat selected orthopedic diseases – a preliminary report. Fizjoterapia Polska 2012; 12(2); 147-158

Abstract
Background. Focused shockwaves have been successfully used in orthopaedics and physiotherapy for over twenty years. The aim of this study was to evaluate the usefulness of focused shockwaves in treating patients with osteonecrosis of the femoral head (OFH), as well as their effectiveness as a therapy for tennis elbow and symptomatic heel spurs.Material and methods. The study has covered to date 6 patients with osteonecrosis of the femoral head (OFH) (stages I, II and III on the ARCO scale), 10 patients with tennis elbow (TE) and 6 patients with symptomatic heel spurs (HS). The patients were treated using focused shockwaves.Results. After treatment ended, pain intensity was noted to be statistically significantly lower in all groups of patients. In the OFH patients functional improvement could also be observed, as well as increased strength of wrist flexors and extensors and of finger flexors in the TE patients. The OFH and HS patients obtained better results in tests carried out on the tensometric platform. Conclusion. Focused shockwave is an effective and safe physical modality for treating early stages of osteonecrosis of the femoral head, tennis elbow and symptomatic calcaneal spurs; its main advantage is good analgesic effect right after treatment. However, the delayed effects of the therapy need to be investigated to confirm its effectiveness.
Key words:
focused shockwave, necrosis of the femoral head, tennis elbow, calcaneal spurz
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The current state of knowledge about focused and radial shockwave in orthopedics and physiotherapy. Part 1

Piotr Król, Andrzej Franek, Lidia Wiercigroch, Beata Porębska, Ewa Franek, Patrycja Dolibog, Paweł Dolibog, Wiesław Zinka, Tomasz Król

Piotr Król, Andrzej Franek, Lidia Wiercigroch, Beata Porębska, Ewa Franek, Patrycja Dolibog, Paweł Dolibog, Wiesław Zinka, Tomasz Król – The current state of knowledge about focused and radial shockwave in orthopedics and physiotherapy. Part 1. Fizjoterapia Polska 2012; 12(2); 83-100

Abstract
Despite the recently growing interest in the therapeutic use of shockwave in Poland, there is a shortage of scientific publications in the Polish language dealing with this modality. In 2009, an article was published in the Polish Journal of Physiotherapy, outlining the current state of knowledge about the therapeutic use of shockwave, but mainly analyzing the available research findings on the effects of focused and radial shockwave in treating pseudarthrosis, shoulder calcification, calcaneal spurs, plantar fasciitis, tendinitis and enthesitis, etc. The output of original research studies published worldwide in this field has greatly increased.The purpose of this paper was to complement the aforementioned analyses with new research findings published in recent years.The authors of this paper introduce readers to studies on shockwaves as used in the treatment of lesions that patients frequently report as requiring attention and which typically involve treatment with this type of stimulus.
Key words:
focused shockwave, radial shockwave, physiotherapy
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The current state of knowledge about focused and radial shockwave in orthopedics and physiotherapy: the new applications. Part 2

Piotr Król, Andrzej Franek, Lidia Wiercigroch, Beata Porębska, Ewa Franek, Patrycja Dolibog, Paweł Dolibog, Wiesław Zinka, Tomasz Król

Piotr Król, Andrzej Franek, Lidia Wiercigroch, Beata Porębska, Ewa Franek, Patrycja Dolibog, Paweł Dolibog, Wiesław Zinka, Tomasz Król – The current state of knowledge about focused and radial shockwave in orthopedics and physiotherapy: the new applications. Part 2. Fizjoterapia Polska 2012; 12(3); 191-200

Abstract
The review article published in the previous issue of The Polish Journal of Physiotherapy added the most recent findings to the analysis of focused and radial shockwaves applied to treat pseudarthrosis, tendinosis calcarea, heel spurs, plantar fasciitis, tendinitis and inflammation of muscle attachments, etc., which was published three years earlier. Considering that the range of shockwave application in orthopaedics and physiotherapy is constantly broadening, this review examines shockwaves with respect to their effect on patients with Peyronie’s disease, femoral head necrosis, soft tissue defects and other disease entities. This article aims to extend the two earlier reviews by adding the omitted applications and thereby to make the list of indications for shockwave therapy more comprehensive. Except for single instances, this review concentrates on presenting reports where shockwave therapy was used to treat lesions that patients frequently report as requiring medical intervention as well as representing the most frequent indications for this modality.
Key words:
focused shockwave, radial shockwave, physiotherapy
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Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota

Piotr Król, Andrzej Franek, Paweł Dolibog, Jacek Durmała, Ewa Detko, Bartosz Wnuk, Krzysztof Ficek, Edward Błaszczak, Tomasz Król, Patrycja Dolibog, Lidia Wiercigroch, Jakub Taradaj, Magdalena Piecha, Grzegorz Sobota – Focused and radial shockwave therapies in the treatment of symptomatic calcaneal spur. Fizjoterapia Polska 2012; 12(4); 341-354

Abstract
Pain experienced in the plantar part of the heel is the most common cause of its dysfunction in adults. In many cases the underlying reason is a calcaneal spur. This study aimed to assess and compare focused and radial shockwave therapies in terms of their efficacy in treating a symptomatic calcaneal spur. Twenty patients with a symptomatic calcaneal spur were enrolled in the experiment. The pa­tients were divided into 2 comparative groups A and B (each consisting of 10 patients) that received focused shockwave and radial shockwave therapies, respectively. Each patient was given 5 treatments at weekly intervals. Immediately after treatment ended a statistically significant reduction in all types of pain considered in the experiment was noted in both comparative groups. A further reduction in pain was observed after another three weeks. The comparative groups were similar in terms of relative changes in all types of pain. Additionally, focused shockwave therapy was found to have significantly affected patients’ stabilographic parameters. Both focused shockwave therapy and radial shockwave therapy are physical modalities that can be safely and effectively used to treat a symptomatic calcaneal spur. Their main advantage is good analgesic effect directly after treatment. This effect is even more distinct after another 3 weeks.
Key words:
focused shockwave, radial shockwave, calcaneal spur
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