Gauss = unit de mesure de la densit du flux magnetic

Tesla = SI (cest la meme chose sauf cest en 4 dimension)

1 tesla = 10 000 gauss (en maxell/cm2)

1.5 T = IRM = 15 000 gauss (force du champs magntique)

shockwave energie = 0,1 mJ/mm^2 55mJ/mm^2

extracorpal shockwave = fait du remodela osseux

A shock wave is an acoustic (pressure) wave with very high amplitude and rapid rise time.

Extracorporeal shock wave therapy (ESWT) is an effective treatment for soft tissue and bone.
Indications include tendinitis, desmitis, osteoarthritis, and deep muscle pain.

The primary biological effects of ESWT include

reduced levels of inflammatory mediators,
increased levels of
o angiogenic cytokines resulting in vessel proliferation, (os myocardium)
o growth factors that result in tissue healing,
o osteoblasts,
o recruitment of mesenchymal stem cells.
Up regulation of cytokines in tissues and thourght gene expressions.
mechanism which appears to be a cellular response to the physical shock wave
stimulating the cell.

ESWT is indicated for treatment of :

insertional desmopathy (such as at the origin or insertion of the suspensory ligament)
dorsal cortical stress fractures
incomplete fractures of the proximal sesamoid bone
arthritis
navicular disease
tendonitis.
Pain relief has also been identified following shockwave treatment.
Tissue compression and shear loads occur as the shock wave passes tissue interfaces,
resulting in stimulation of bone and soft tissue healing.
Chronic suspensory desmitis was successfully treated in 24 of 30 horses after 3 ESWT
treatments.
Decrease lamness

Histologically there were more new collagen fibrils and increase proteoglycan deposition.

The move of ESW therapy into soft tissue applications in human medicine has shown promise.
A 10 year old study that showed improved epithelialization in skin wounds in pigs went largely
unnoticed until recently.
decrease in necrosis of epigastric skin flaps in rats that were treated with shock waves.
Initial clinical studies in humans show promise in treating diabetic ulcers with shock wave
therapy.
Recent studies in the horse show distal limb wounds can be stimulated to heal faster following
shock wave therapy. Another study showed shock wave treated distal limb wounds had less
inflammation and less exuberant granulation tissue.

the negatives must be considered.

period of analgesia following treatment. (4 jours apres traitement)
decrease in pain in the area treated, lasting up to a week, then some return of the original
pain that gradually decreases as the underlying problem heals.

There was a significant analgesic effect following ESW therapy from 8 hours through 48 hours
after treatment. There was not a significant difference between baseline lameness from day three
through the end of the study on day seven. Importantly, this study relates only to the use of SWT,
and not to the use of RPWs. A previous study involving force platform gait analysis of horses
with navicular syndrome following RPWs found no analgesic effects.

require a withdrawal period after treatment before the horse is allowed to perform.
For example, ESW therapy is not permitted during competition and for a period of 5 days prior to
the first Horse Inspection. Additionally, the indications for shock wave therapy would indicate
most horses should be on a decreased level of activity while healing.