{"id":1796,"date":"2019-05-03T10:00:04","date_gmt":"2019-05-03T08:00:04","guid":{"rendered":"https:\/\/www.cematec.org\/ones-de-xoc\/"},"modified":"2022-06-16T21:58:47","modified_gmt":"2022-06-16T19:58:47","slug":"ones-de-xoc","status":"publish","type":"page","link":"https:\/\/www.cematec.org\/ca\/tractaments\/tractaments-fisics\/ones-de-xoc\/","title":{"rendered":"Ones de xoc"},"content":{"rendered":"

Ones<\/span> de xoc<\/span> ( ESWT<\/span> )<\/strong> s\u00f3n ultrasons<\/span> de alta<\/span> pot\u00e8ncia<\/span> que<\/span> es utilitzen<\/span> des de<\/span> fa<\/span> anys<\/span> a litotr\u00edcia<\/span> per<\/span> trencar els c\u00e0lculs<\/span> del rony\u00f3<\/span> . Els seus efectes<\/span> es transmeten<\/span> per<\/span> l’ aigua<\/span> del cap\u00e7al<\/span> i mitjan\u00e7ant<\/span> el gel a la pell<\/span> del pacient<\/span> .<\/p>\n

Les ones<\/span> de xoc<\/span> focalitzades<\/span><\/strong> poden<\/span> ser<\/span> electromec\u00e0niques<\/span> , electrohidr\u00e0uliques<\/span> o piezoel\u00e8ctriques<\/span> , de alta<\/span> o baixa<\/span> energia<\/span> . Els seus<\/span> efectes<\/span> produeixen<\/span> ser<\/span> mec\u00e0nics<\/span> o biol\u00f2gics<\/span> segons<\/span> es utilitzin<\/span> uns<\/span> o altres<\/span> i depenent<\/span> de la patologia<\/span> a tractar<\/span> .<\/p>\n

\"\"<\/p>\n

Les ones<\/span> de xoc<\/span> focalitzades<\/span><\/strong> han de<\/span> ser<\/span> guiades<\/span> amb ec\u00f2graf<\/span> o b\u00e9<\/span> per<\/span> r\u00e0dio-esc\u00f2pia<\/span> per<\/span> determinar<\/span> el focus<\/span> i la profunditat<\/span> de la patologia<\/span> a tractar<\/span> . Aix\u00f2<\/span> les<\/span> diferencia<\/span> de les<\/span> ones<\/span> radials<\/span> que<\/span> solen<\/span> ser<\/span> pneum\u00e0tiques<\/span> es dirigeixen<\/span> a una<\/span> zona<\/span> m\u00e9s<\/span> \u00e0mplia<\/span> i difusa<\/span> ; la seva<\/span> feina<\/span> i efic\u00e0cia<\/span> s\u00f3n diferents<\/span> .<\/p>\n

Les ones<\/span> de xoc<\/span> focalitzades<\/span><\/strong> les ha d’<\/span> efectuar<\/span> traumat\u00f2legs<\/span> especialitzats<\/span> o despr\u00e9s d’<\/span> un<\/span> diagn\u00f2stic<\/span> per<\/span> personal especialitzat<\/span> . Les ones<\/span> de xoc<\/span> radials<\/span><\/strong> les poden<\/span> efectuar<\/span> els fisioterapeutes<\/span> en patologies<\/span> espec\u00edfiques<\/span><\/p>\n

Els efectes<\/span> generals<\/span> de les<\/span> ones<\/span> de xoc<\/span> s\u00f3n analg\u00e8sics<\/span> a baixa<\/span> energia<\/span> , regeneratius<\/span> a mitjana<\/span> energia<\/span> i de cavitaci\u00f3<\/span> o polvoritzaci\u00f3<\/span> a alta<\/span> energia<\/span> i es utilitzen<\/span> unes<\/span> u altres<\/span> depenent<\/span> de la indicaci\u00f3<\/span><\/p>\n

Les ones<\/span> de xoc<\/span><\/strong> s\u00f3n conegudes<\/span> des de<\/span> fa<\/span> molts<\/span> anys<\/span> per<\/span> la seva<\/span> capacitat<\/span> per<\/span> trencar els c\u00e0lculs<\/span> de rony\u00f3<\/span> ia traumatologia<\/span> s\u00f3n variades<\/span> les<\/span> indicacions<\/span> com a<\/span> m\u00e8tode<\/span> de tractament<\/span> .<\/p>\n

PER QU\u00c8<\/span> SERVEIXEN<\/span> LES ONES<\/span> DE XOC<\/span> ?<\/strong><\/p>\n

Les ones<\/span> de xoc<\/span> ( ESWT<\/span> )<\/strong> s’utilitzen<\/span> com a<\/span> tractament<\/span> de m\u00faltiples<\/span> patologies<\/span> sense necessitat<\/span> d’ utilitzar<\/span> cirurgia<\/span> .<\/p>\n

Tradicionalment<\/span> s’ha utilitzat<\/span> la cirurgia<\/span> per<\/span> al tractament<\/span> de les<\/span> tendinitis<\/span> (colze<\/span> de tennista<\/span> , golfista<\/span> ), esper\u00f3<\/span> calcani<\/span> i encara<\/span> pot<\/span> estar<\/span> indicada<\/span> quan<\/span> les<\/span> ones<\/span> fracassen<\/span> , per\u00f2<\/span> existeix<\/span> la possibilitat<\/span> de utilitzar<\/span> aquesta<\/span> nova<\/span> tecnologia<\/span> sense cirurgia<\/span> per<\/span> tractar<\/span> :<\/p>\n

    \n
  • Epicondilitis<\/span> ( colze<\/span> de tennista<\/span> ), epitrocleitis<\/span> ( colze<\/span> de golfista<\/span> )<\/strong><\/li>\n
  • Tendinopatia<\/span> d’ Aquil\u00b7les<\/span> , fascitis<\/span> plantar o esper\u00f3<\/span> calcani<\/span><\/strong> .<\/li>\n
  • Tendinitis<\/span> calcificant<\/span> d’ espatlla<\/span> , tendinosi<\/span> supresespin\u00f3s<\/span><\/strong><\/li>\n
  • Tendinitis<\/span> rotuliana<\/span><\/strong><\/li>\n
  • Osteonecrosi<\/span> (necrosi avascular de maluc<\/span> , genoll<\/span> o peu<\/span> )<\/strong><\/li>\n
  • Retards<\/span> de consolidaci\u00f3<\/span> de fractures<\/span> ( pseudoartrosi<\/span> )<\/strong><\/li>\n<\/ul>\n

    \"\"<\/p>\n

    \"\"<\/p>\n

    CONTRAINDICACIONS<\/span> ?<\/strong><\/p>\n

    No s\u00e9 poden<\/span> efectuar<\/span> en persones que<\/span> pateixen<\/span> tumors<\/span> ossis<\/span> o met\u00e0stasi<\/span> , els que<\/span> porten<\/span> un marcap\u00e0s<\/span> , a embarassades<\/span> o en nens<\/span> sobre<\/span> el cart\u00edlag<\/span> de creixement<\/span> . Tampoc<\/span> no han d’<\/span> efectuar<\/span> en persones amb coagulopaties<\/span> greus, pel<\/span> perill<\/span> de hematomes<\/span> , sobre<\/span> el sistema<\/span> nervi\u00f3s<\/span> central, grans<\/span> gots<\/span> o pulmons<\/span> .<\/p>\n

    <\/strong>COM<\/span> S’APLIQUEN<\/span> ?<\/strong><\/p>\n

    A els nostres<\/span> centres<\/span> es apliquen<\/span> , a la unitat<\/span> d’ ones<\/span> de xoc<\/span> <\/strong>guiades<\/span> sota<\/span> visi\u00f3<\/span> de radioesc\u00f2pia<\/span> o ecografia<\/span> , sense anest\u00e8sia<\/span> , amb anest\u00e8sia<\/span> local o regional, depenent<\/span> de la energia<\/span> que<\/span> es heu d’<\/span> aplicar<\/span> .<\/div>\n
    <\/div>\n
    \"\"<\/div>\n
    <\/div>\n
    \n
    QUAN<\/span> ES NOTA LA MILLORIA<\/span> ? <\/strong><\/div>\n

    Hi ha<\/span> un per\u00edode<\/span> inicial<\/span> a que<\/span> es nota el efecte<\/span> analg\u00e8sic<\/span> de les<\/span> mateixes<\/span> , despr\u00e9s<\/span> un per\u00edode<\/span> de una<\/span> setmana<\/span> a que<\/span> fins i tot<\/span> pot<\/span> tornar<\/span> el dolor i despr\u00e9s<\/span> millora<\/span> progressiva<\/span> fins a<\/span> la 3a-4a setmana<\/span> .<\/p>\n

    Es necessita<\/span> un mitjana<\/span> de entre<\/span> 3-5 sessions<\/span> per<\/span> obtenir<\/span> la m\u00e0xima<\/span> millora<\/span> o que<\/span> desaparegui<\/span> el dolor, per\u00f2<\/span> si<\/span> despr\u00e9s<\/span> de la tercera<\/span> sessi\u00f3<\/span> no hi ha<\/span> cap<\/span> millora<\/span> considera<\/span> que<\/span> les<\/span> ones<\/span> de xoc<\/span> no seran<\/span> efectives<\/span> per a<\/span> aquesta<\/span> patologia<\/span> .
    \nHabitualment<\/span> el dolor desapareix<\/span> progressivament<\/span> depenent<\/span> de l’ antiguitat<\/span> de la lesi\u00f3<\/span> i en casos<\/span> molt<\/span> cr\u00f2nics<\/span> poden<\/span> necessitar<\/span> alguna<\/span> sessi\u00f3<\/span> m\u00e9s<\/span><\/p>\n

    QUINES<\/span> PRECAUCIONS<\/span> S’HAN<\/span> DE PRENDRE<\/span> DESPR\u00c9S<\/span> DE LA SESSI\u00d3<\/span> D’ ONES<\/span> DE XOC<\/span> ?<\/strong><\/p>\n

    S’ha de<\/span> col\u00b7locar<\/span> una<\/span> bossa<\/span> de gel<\/span> a les<\/span> primeres<\/span> hores<\/span> per<\/span> evitar<\/span> mossegades<\/span> o petits<\/span> hematomes<\/span> , prendre<\/span> un analg\u00e8sic<\/span> si<\/span> hi ha<\/span> dolor o mol\u00e8stia<\/span> i rep\u00f2s<\/span> relatiu<\/span> de la zona<\/span> tractada<\/span> .<\/p>\n

    S’efectuaran<\/span> amb intervals<\/span> d’ entre<\/span> 1 i 3 setmanes<\/span> i el m\u00e0xim<\/span> resultat<\/span> es pot<\/span> obtenir<\/span> passat<\/span> el mes<\/span> d’ acabar<\/span> el tractament<\/span> amb les<\/span> ones<\/span> de xoc<\/span> .<\/p>\n

    COM<\/span> LES PUC<\/span> REALITZAR<\/span> ?<\/strong><\/p>\n

    Es cal<\/span> fer<\/span> una<\/span> visita<\/span> pr\u00e8via<\/span> amb les<\/span> proves<\/span> complement\u00e0ries<\/span> necess\u00e0ries<\/span> per a<\/span> un diagn\u00f2stic<\/span> adequat<\/span> i valorar<\/span> si<\/span> entra<\/span> dins<\/span> de les<\/span> indicacions<\/span> establertes<\/span> .<\/p>\n<\/div>\n<\/div>

    <\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":1859,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"\nOnes de xoc - CEMATEC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cematec.org\/ca\/tractaments\/tractaments-fisics\/ones-de-xoc\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ones de xoc - CEMATEC\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cematec.org\/ca\/tractaments\/tractaments-fisics\/ones-de-xoc\/\" \/>\n<meta property=\"og:site_name\" content=\"CEMATEC\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-16T19:58:47+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.deepface.es\/wp-content\/uploads\/2019\/05\/ondas1.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.cematec.org\/ca\/tractaments\/tractaments-fisics\/ones-de-xoc\/\",\"url\":\"https:\/\/www.cematec.org\/ca\/tractaments\/tractaments-fisics\/ones-de-xoc\/\",\"name\":\"Ones de xoc - 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