{"id":83,"date":"2013-10-28T14:05:14","date_gmt":"2013-10-28T13:05:14","guid":{"rendered":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/?page_id=83"},"modified":"2013-10-28T14:05:14","modified_gmt":"2013-10-28T13:05:14","slug":"terapija-udarnim-valom-swt","status":"publish","type":"page","link":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/usluge-i-postupci\/terapija-udarnim-valom-swt\/","title":{"rendered":"Terapija udarnim valom &#8211; SWT"},"content":{"rendered":"<blockquote><p>Najnovije dostignu\u0107e u kontroli boli i obnavljanju pokretljivosti<br \/>\nRadijalni udarni val s izvrstnim omjerom ulo\u017eeno\/efektivno<br \/>\nPrimjena u: <strong>sportskoj medicini, ortopediji, i fizioterapiji<\/strong><\/p><\/blockquote>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-77\" alt=\"SWT_aplikacija-BTL\" src=\"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-content\/uploads\/2013\/10\/SWT_aplikacija-BTL.jpg\" width=\"550\" height=\"375\" srcset=\"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-content\/uploads\/2013\/10\/SWT_aplikacija-BTL.jpg 550w, http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-content\/uploads\/2013\/10\/SWT_aplikacija-BTL-300x204.jpg 300w, http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-content\/uploads\/2013\/10\/SWT_aplikacija-BTL-140x94.jpg 140w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p><strong>Klini\u010dka istra\u017eivanja pokazuju uspje\u0161nost iznad 75%<\/strong><\/p>\n<p style=\"text-align: justify;\">Tijekom terapije udarnim valom (shockwave terapije) zvu\u010dni val visokog intenziteta djeluje na tjelesna tkiva. Svojim djelovanjem donosi niz pozitivnih u\u010dinaka kao \u0161to je npr. poticanje neovaskularizacije, lije\u010denje kroni\u010dnih upala, stimulacija kolagena i rastvaranje nakupina kalcija. Stimulacija ovih biolo\u0161kih mehanizama stvara okru\u017eje pogodno za zacjeljivanje. Kako se ozlije\u0111eno podru\u010dje vra\u0107a u normalnu funkciju, dolazi do obnavljanja funkcionalnosti i ubla\u017eavanja boli.<\/p>\n<p style=\"text-align: justify;\"><strong>&#8220;Rezultati su daleko iznad na\u0161ih o\u010dekivanja. Ova proku\u0161ana tehnologija je brza te jednostavna za primjenu, a pacijentima pru\u017ea jedinstvenu mogu\u0107nost izbjegavanja operacijskih zahvata.&#8221;<\/strong> Jiri Nedelka, M.D.<\/p>\n<p>Neinvazivno rje\u0161enje za kroni\u010dnu bol u ramenima, le\u0111ima, petama, koljenima ili laktovima.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-82\" alt=\"udarni-val-aplikacije\" src=\"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-content\/uploads\/2013\/10\/udarni-val-aplikacije.jpg\" width=\"600\" height=\"127\" srcset=\"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-content\/uploads\/2013\/10\/udarni-val-aplikacije.jpg 600w, http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-content\/uploads\/2013\/10\/udarni-val-aplikacije-300x63.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/p>\n<p style=\"text-align: justify;\"><strong>Definicije udarnog vala<\/strong><br \/>\nUdarni val je akusti\u010dki val s iznimno visokom izlaznom energijom, poput onih koji se pojavljuju u atmosferi nakon nekog prirodnog eksplozivnog doga\u0111aja, kao \u0161to je udar munje ili probijanje zvu\u010dnog zida. Udarni se val razlikuje od ultrazvuka po izrazito velikoj amplitudi tlaka. Nadalje, ultrazvuk obi\u010dno sa\u010dinjavaju periodi\u010dke oscilacije, dok je kod udarnog vala rije\u010d o jednom pulsu.<\/p>\n<p style=\"text-align: justify;\"><strong>Razvitak terapije udarnim valom<\/strong><br \/>\nTermin \u201cterapija udarnim valom\u201d (engl. \u201cshockwave therapy\u201d) odnosi se na mehani\u010dke pulseve koji se u obliku vala \u0161ire kroz ljudsko tijelo. Metoda udarnog vala je 1980. godine prvi put iskori\u0161tena za razbijanje bubre\u017enih kamenaca kod pacijenta (Journal of Urology, 1982). U poslijednja dva desetlje\u0107a ova je metoda postala standardni tretman izbora za bubre\u017ene i uretralne kamence.<br \/>\n<strong><\/strong><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"\/\/www.youtube.com\/embed\/JuRHrWP6L5A?list=UU-HjQ3ORSAGhpCoQUegYO3Q\" height=\"315\" width=\"560\" allowfullscreen=\"\" frameborder=\"0\"><\/iframe><\/p>\n<p style=\"text-align: justify;\"><strong>Terapijski u\u010dinci udarnih valova<\/strong><br \/>\nVantjelesna terapija akusti\u010dnim valom (za razliku od litotripsije) ne koristi se za dezintegraciju tkiv\u00e2, ve\u0107 izaziva mikroskopske intersticijalne i ekstracelularne biolo\u0161ke u\u010dinke, me\u0111u kojima je i regeneracija tkiva. U modernoj terapiji lije\u010denja boli, energija akusti\u010dnih valova provodi se od izvori\u0161ne to\u010dke, koju predstavlja generator akusti\u010dkog vala (putem provodljivog gela) do podru\u010dja tijela u kojima se osje\u0107a bol. Tamo se primjenjuje njihov zacjeljuju\u0107i u\u010dinak.<\/p>\n<p><strong>Klini\u010dke indikacije<\/strong><br \/>\nVremenom su se akusti\u010dni valovi pokazali kao u\u010dinkovita i neinvazivna metoda za lije\u010denje lokaliziranih muskuloskeletalnih patologija kao \u0161to su: <strong>epikondilitis, petni trn i plantarni fascitis, poreme\u0107aji rotatorne man\u017eete, trigger to\u010dke, niz kroni\u010dnih tendinopatija i mnoge druge indikacije.<\/strong><br \/>\n<strong><\/strong><\/p>\n<p><strong>Polja primjene udarnog vala<\/strong><br \/>\nVantjelesna terapija udarnim valom naj\u010de\u0161\u0107e se primjenjuje u fizioterapiji, ortopediji i sportskoj medicini.<\/p>\n<p><strong>Popis indikacija:<\/strong><\/p>\n<ul>\n<li><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-89\" alt=\"BTL-shockwave_man2\" src=\"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-content\/uploads\/2013\/10\/BTL-shockwave_man2.jpg\" width=\"200\" height=\"300\" \/>acute muscle spasm<\/li>\n<li>achillodynia<\/li>\n<li>calcar calcanei, plantar fasciitis<\/li>\n<li>calcification extraarticular<\/li>\n<li>exostoses of small hand joints in case of grade 1 arthrosis<\/li>\n<li>healing enhancement<\/li>\n<li>knee arthrosis<\/li>\n<li>low back pain<\/li>\n<li>muscle regeneration<\/li>\n<li>muscle strain<\/li>\n<li>pain in the area of the hip and the iliotibial tract<\/li>\n<li>pain in the groin area<\/li>\n<li>pain in the hamstring insertions<\/li>\n<li>pain on the palmar side of the wrist<\/li>\n<li>painful shoulder(calcification, tendonitis, impingement syndrome)<\/li>\n<li>patellar tendinopathy (jumpers knee)<\/li>\n<li>pseudoarthrosis<\/li>\n<li>radial\/ulnar epicondylitis<\/li>\n<li>sacroiliac joint pain<\/li>\n<li>Spondylitis ankylosing &#8211; Bechterev&#8217;s disease<\/li>\n<li>stimulation of acupuncture points<\/li>\n<li>tibial edge syndrome<\/li>\n<li>trigger points<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">&#8220;Poliklinika dr. Bla\u017eenka Neki\u0107&#8221; je ovla\u0161teni partner BTL za primjenu, dijagnostiku i edukaciju na ure\u0111ajima <a href=\"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/terapija-udarnim-valom-swt\/\">SWT &#8211; udarni val<\/a> i <a href=\"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/terapija-laser\u2026teta-hil-laser\/\">Laser visokog intenziteta<\/a>. Ukoliko \u017eelite dodatne informacije vezane za rad i stru\u010dnu edukaciju slobodno nam se obratite.<\/p>\n<div class='et-box et-shadow'>\r\n\t\t\t\t\t<div class='et-box-content'>Iskustva specijalista iz Europe:<\/div><\/div>\n<p style=\"text-align: justify;\">\u201cIn case of acute strain injury, the shockwave therapy is part of my standard therapeutic procedure. I have successfully used it for all my patients, top tennis players, including Tomas Berdych (2010 Wimbledon finalist) and other Czech Davis Cup Team members.\u201d<br \/>\n<strong>Kloc Rene, MD, Prostejov Tennis Club, Czech Republic<\/strong><\/p>\n<p style=\"text-align: justify;\">&#8220;I had a case of a badminton player with bilateral Achilles Tendinitis. After trying almost all types of physical therapy over a fairly long period of treatment time, we have decided to try the shockwaves, and it worked!!!!! It was fantastic. It was a gradual process indicating success from the beginning. After the fourth treatment there was still some pain but after a month of the last treatment the pain completely disappeared. It was possible for the player to return back to his sporting activity without any complaint, and he was eternally grateful for it.&#8221;<br \/>\n<strong>Filipa Galv\u00e3o, Physiotherapist, CLINUS, Portugal<\/strong><\/p>\n<p style=\"text-align: justify;\">&#8220;Shockwave therapy is a novel method for the treatment of the musculoskeletal system in sport physiotherapy. It is a non-invasive, safe and efficient method. In approximately 10 days, shockwave therapy treatments can reduce pain in extremity motor function disorders acquired through competitive sports in 84% of cases. My findings are based on two years observation with approximately 5000 separate shockwave treatments.&#8221;<br \/>\n<strong>Krzysztof Kijewski, MD, PhD, Olympic Medical Centre, Warsaw, Poland<\/strong><\/p>\n<p style=\"text-align: justify;\">&#8220;Shockwave therapy is optimally a part of a complex treatment approach concentrated on optimization of the inflammation and reduction of the healing interval. Early activation of the injured muscle and healing stimulation with shockwave energy plays a crucial role in faster muscle recovery. My patients recruiting from top soccer and ice-hockey teams (Sparta Prague, Slavia Prague) appreciate shortening of the healing interval and short return to full sport endurance.&#8221;<br \/>\n<strong>Barna Milos, MD, Sports Medicine Specialist, Vulcano Medical Centre, Prague, Czech Republic<\/strong><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Najnovije dostignu\u0107e u kontroli boli i obnavljanju pokretljivosti Radijalni udarni val s izvrstnim omjerom ulo\u017eeno\/efektivno Primjena u: sportskoj medicini, ortopediji, i fizioterapiji Klini\u010dka istra\u017eivanja pokazuju uspje\u0161nost iznad 75% Tijekom terapije udarnim valom (shockwave terapije) zvu\u010dni val visokog intenziteta djeluje na tjelesna tkiva. Svojim djelovanjem donosi niz pozitivnih u\u010dinaka kao \u0161to je npr. poticanje neovaskularizacije, lije\u010denje [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9,"menu_order":1,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-83","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/pages\/83","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/comments?post=83"}],"version-history":[{"count":1,"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/pages\/83\/revisions"}],"predecessor-version":[{"id":91,"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/pages\/83\/revisions\/91"}],"up":[{"embeddable":true,"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/pages\/9"}],"wp:attachment":[{"href":"http:\/\/poliklinika-blazenka-nekic.hr\/hr\/wp-json\/wp\/v2\/media?parent=83"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}