体外冲击波疼痛治疗系统课件.ppt

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1、SONOTHERA,体外冲击波疼痛治疗系统,Extracorporeal Shock Wave Therapy,?,?,?,?,?,?,?,SONOTHERA 体外冲击波疼痛治疗系统 Extrac,SONOTHERA,体外冲击波疼痛治疗系统是,韩国,HANIL-TM,公司研发的一款双弹道多功能型,冲击波疼痛治疗系统，该产品是目前全球拥有最,多治疗模式的体外冲击波骨科治疗仪，,SONOTHERA,的【激波针灸技术】在全球,首创开创了无创针灸技术新纪元！是全球唯一具,有【激波针灸技术】的冲击波治疗系统。,SONOTHERA体外冲击波疼痛治疗系统是韩国HANIL-,SONOTHERA,医学机理,?,

2、?,?,?,?,?,?,声学边界的能量释放,Energy release at acoustic boundaries,空化作用,Cavitation,增加细胞壁的通透性,Increase of cell wall permeability,刺激微循环（血液、淋巴）,Stimulation of Microcirculation (Blood, Lymph),释放,P,物质,Release of Substance P,减少非髓鞘神经,Reduction of unmyelinated nerves,释放一氧化氮（血管舒张，细胞新陈代谢增加，血管新生，抗炎作用）,Release of,Nitr

3、ic oxide (vasodilation, increased cell metabolism, neoangogenesis,anti-inflammatory effect),?,?,抗菌作用,Antibacterial effect,刺激生长因子（血管、骨骼、胶原蛋白新生）,Stimulation of Growth factors,(neogenesis of vessels, bone, collagen),?,刺激干细胞,Stimulation of Stem cells,SONOTHERA 医学机理 ?声学边界的能量释,绝对禁忌症,ABSOLUTE CONTRAINDICAT

4、IONS,?,?,?,?,?,?,妊娠,Pregnancy,血栓症,thrombosis,血凝固紊乱（血友病）,coagulation disorders (haemophilia),肿瘤疾病,tumour diseases,急性炎症,acute inflammation,目标治疗区脓肿,pus focus in the target area,绝对禁忌症 ABSOLUTE CONTRAINDICATIO,相对禁忌症,RELATIVE CONTRAINDICATIONS,?,抗凝血剂使用者，特别是苯丙香豆素（维生素,K,拮抗剂）,use of anticoagulants, especiall

5、y marcumar (vitamin k antagonist),?,有多发性神经病的糖尿病,polyneuropathy in case of diabetes mellitus,?,可的松治疗结束六周后才能使用体外冲击波治疗,cortisone therapy up to 6 weeks before first ESWT treatment,?,风湿性疾病,rheumatic disease,相对禁忌症 RELATIVE CONTRAINDICATI,副作用,SIDE EFFECTS,?,肿胀,swelling,?,变红,reddening,?,血肿,haematomas,?,瘀点,p

6、etechiae,?,灼伤般疼痛感,pain like sunburn,?,治疗初期病情恶化,first worsening,副作用 SIDE EFFECTS ?肿胀swelling,冲击波治疗的益处,Benefits of Shock Wave Treatment,?,几次治疗后，疼痛即得到缓解,/,减轻,pain relief/ reduction after a few treating sessions,?,治疗依从性好,the compliance is very good,?,治疗后病人能直接感受到第一疗效,the patients can feel first effects d

7、irectly after the treatment,?,能治疗复杂症状及相关适应症,treatment of complex symptoms/ indications possible,冲击波治疗的益处 Benefits of Shock Wav,冲击波治疗的益,处,Benefits of Shock Wave Treatment,?,治疗结缔组织,treatment of connective tissue,?,活化淋巴系统,activation of lymphatic system,?,大面积治疗,treatment of large areas possible,?,作用于神经系

8、统（门控制、疼痛记忆）,effects on the nervous system (gate control, pain memory?),冲击波治疗的益处 Benefits of Shock Wav,经典适应症,CLASSIC INDICATIONS,经典适应症 CLASSIC INDICATIONS,经典适应症,Classic Indications,Radial humeral epicondylitis,肱骨外上髁炎,Ulnar humeral epicondylitis,肱骨内上踝炎,Trochanteric tendonitis,转子肌腱炎,Patellar tendonitis

9、,髌腱炎,Tibial stress syndrome,胫骨压力症候群,Calcific tendonitis/ shoulder pain,钙化性肌腱炎,/,肩痛,Achillodynia,跟腱痛,Plantar fasciitis,足底筋膜炎,经典适应症 Classic Indications R,治疗方法,PROTOCOL,?,查找主要痛点和其他痛点,look for the main and other pain,points,?,与病人密切交谈,close dialogue with the patient,?,生物反馈,biofeedback,?,2000,次发散式冲击波,radi

10、al shocks 2000,?,多数学派的治疗方法,protocol of the most studies,传统派,old school,新派：联合疗法，治疗扳机点,new: combined therapy, trigger points,治疗方法 PROTOCOL ? 查找主要痛点和其他痛点lo,治疗方法,PROTOCOL,?,治疗间隔：,5-7,天,interval,5,7days,?,治疗次数：,3-5,次,sessions,3,5,?,最晚在第,5,次治疗后进入休息期,break latest after 5th session,治疗方法 PROTOCOL ?治疗间隔：5-7天,

11、钙化肌腱炎,/,肩痛,Calcific tendonitis/Shoulder pain,前期超声或,X,线定位,/,决定治疗,区域与深度,Preliminary ultrasound,or,x-ray localization/ determination of,penetration depth and treatment,area,在皮肤上标记出治疗区域,Marking of therapeutic window on,the skin,在,90%,的例子中，旋转套的冈,上肌腱感染，需要治疗,。,In,approx. 90% of the cases,the supraspinatus

12、tendon of the,rotator cuff is affected and has to be,treated,钙化肌腱炎/肩痛 Calcific tendonitis/S,钙化肌腱炎,/,肩痛,Calcific tendonitis/Shoulder pain,钙化肌腱炎/肩痛 Calcific tendonitis/S,钙化肌腱炎,/,肩痛,Calcific tendonitis/Shoulder pain,钙化肌腱炎/肩痛 Calcific tendonitis/S,钙化肌腱炎,/,肩痛,Calcific tendonitis/Shoulder pain,钙化肌腱炎/肩痛 Ca

13、lcific tendonitis/,钙化肌腱炎,/,肩痛,Calcific tendonitis/Shoulder pain,钙化肌腱炎/肩痛 Calcific tendonitis/S,钙化性肌腱炎,/,肩痛,Calcific tendonitis/Shoulder pain,仅使用发散性冲击波疗法,Only with radial shock wave therapy,病人仰卧位,R-SW,应用,于腹外侧位,Supine patient positioning,R-SW application in ventrolateral position,Calcific tendonitis /

14、,Shoulder pain,钙化性肌腱炎,/,肩痛,Sessions,治疗次,Energy,能级,Pulses/ session,每,Freq,频率,(bar),数,次治疗使用脉冲数,(Hz),Trans-,mitter,探头,R15, DI15,1. Pain points,痛,点,Supraspinatus tendon,冈上肌腱,2. Muscles,肌肉,3,5,1.8,4.0,1500,3000,12,15,1.8,3.0,2000,3000,15,21,D20-S,Treatment interval: 5 - 7day,治疗间隔：,5 -7,天,钙化性肌腱炎/肩痛Calcifi

15、c tendonitis/,肱骨外上踝炎,Radial humeral epicondylitis,Tenderness in the region of the,lateral epicondyle,确定上踝侧,位,区柔软度,Greatest tension is elicited,with,the elbow in extension, forearm,in pronation, and wrist in flexion,肘部外展、前臂转至手掌向下、腕关,节弯曲，造成最大张力状态,Preliminary ultrasound/,x-ray for localization of,epico

16、ndyle,前期上踝超声或,x,线定位,Marking of therapy region,标记治疗区,域,肱骨外上踝炎Radial humeral epicondy,肱骨内上髁炎,Radial humeral epicondylitis,DD,肱骨内上髁炎Radial humeral epicondyl,肱骨外上髁炎,Radial humeral epicondylitis,仅使用发散性冲击波疗法,Only with radial shock wave therapy,病人仰卧位,肘部弯曲大约,130,度，手掌向下。,R-SW,（,R15,）应用于腱附着端。接着使用,D20-S,治疗邻近的上

17、臂与前臂的肌肉。,Radial humeral epicondylitis,肱骨外上髁炎,Tendon insertion,(painful spot),腱附着端（痛点）,Adjacent upper arm and forearm,muscles,邻近的上臂与前臂的肌肉,Sessions,治疗,Energy,能级,(bar),次数,1. Pain points,痛点,5,8,1.8,4.0,Pulses/,session,每次治疗使用,脉冲数,Freq,频率,(Hz),Transmitter,探头,1500,3000,12,15,R15,2. Muscles,肌,肉,1.8,3.0,2000

18、,3000,15,21,D20-S,Treatment interval: 5 - 7 days,治疗间隔：,5 - 7,天,肱骨外上髁炎Radial humeral epicondyl,肱骨内上髁炎,Ulnar humeral epicondylitis,Preliminary ultrasound/,x-ray for localization of,epicondyle,前期上髁超声或,x,线定位,Marking of therapy region,标记治疗区域,肱骨内上髁炎 Ulnar humeral epicondyl,肱骨内上髁炎,Ulnar humeral epicondylit

19、is,仅使用发散性冲击波疗法,Only radial shock wave therapy,Supine patient positioning,Flexion of elbow joint approx.,30 to 40 degree, supination position. R-SW (R15) application,at the tendon insertion.,病人仰卧位,肘关节弯曲大约,30-40,度，手心向上。,R-,SW(R15),应用于腱附着端。,Ulnar humeral epicondylitis,肱骨内上髁炎,Tendon insertion (painful s

20、pot),腱附着端,Adjacent upper arm and forearm muscles,邻近,的上臂与前臂的肌肉,1. Pain points,痛,点,2. Muscles,肌肉,Supine patient positioning,Extension of elbow joint, supination,position. Smoothing,of forearm muscles with D20-S.,病人仰卧位,肘关节外展，手心向上。用,D20-S,按摩前臂肌肉。,Sessions,治疗,Energy,能级,(bar),次数,5,8,1.8,4.0,1.8,3.0,Pulses

21、/,session,每次治疗使用,脉冲数,Freq,频率,(Hz),Transmitter,探头,R15,D20-S,1500,3000,2000,3000,12,15,15,21,Treatment interval: 5 - 7 days,治疗间隔：,5 - 7,天,肱骨内上髁炎Ulnar humeral epicondyl,转子肌腱炎,Trochanteric Tendonitis,Preliminary ultrasound/,x-ray for localization,determination of penetration,depth,前期超声或,X,线定位，确定治疗深度,Mar

22、king of therapy region,标记治疗区域,转子肌腱炎Trochanteric Tendonitis,转子肌腱炎,Trochanteric Tendonitis,DD,转子肌腱炎Trochanteric Tendonitis ,转子肌腱炎,Trochanteric Tendonitis,仅使用发散式冲击波疗法,Only radial shock wave therapy,Lateral patient positioning,R-SW application,(DI15) on the tip of the trochanter, M.,piriformis and assoc

23、iated muscles.,病人侧卧位,R-SW,（,DI15,）应用于转子尖、,梨状肌及相关肌肉。,Lateral patient positioning,Smoothing of associated muscles,with D35.,病人侧卧位,用,D35,按摩相关肌肉。,Trochanteric tendonitis,转子肌腱炎,Tendon insertion,腱附着端,Adjacent muscles,相关肌肉,1. Pain points,痛点,Sessions,治疗,Energy,能级,(bar),次数,2.8,3.5,6,8,2. Muscles,肌,肉,2.0,3.5,

24、Pulses/,session,每次治疗使用,脉冲数,Freq,频率,(Hz),Transmitter,探头,R15, DI15,D20-S, D35-S,2000,3000,2000,4000,15,21,21,Treatment interval: 5 - 7 days,治疗间隔：,5 - 7,天,转子肌腱炎Trochanteric Tendonitis,Patellar tendonitis (Jumpers Knee),髌骨肌腱炎（跳跃膝）,Preliminary ultrasound/,x-ray for localization,determination of penetrati

25、on,depth,前期超声或,x,线定位，确定治疗深度,Marking of therapy region,标记治疗区域,Patellar tendonitis (Jumpers,髌骨肌腱炎（跳跃膝）,Patellar tendonitis (Jumpers Knee),髌骨肌腱炎（跳跃膝） Patellar tendonitis,髌骨肌腱炎,Patellar tendonitis (Jumpers Knee),仅使用发散式冲击波疗法,Only radial shock wave therapy,Supine patient positioning with the knee on a hal

26、f roll. Fixation of,patellar zone with a cuff. R-SW (R15) application at the patella (tip,basis) and tibial tendon insertion.,病人仰卧位，膝盖置于半圆柱形物上。用一条绷带固定髌骨区。,R-SW(R15),应用于髌骨（尖部、底部）及胫骨腱附着端。,Supine patient positioning with the knee on a half,roll. Fixation of paellar zone with a cuff. Smoothing,of adjace

27、nt muscles with D20.,病人仰卧位，膝盖置于半圆柱形物上。用一条绷,带固定髌骨区。用,D20,按摩相邻肌肉。,Patellar tendonitis,髌骨肌腱炎,Patella, tibial tendon insertion,髌骨、,胫骨腱附着端,Adjacent muscles,相邻肌肉,1. Pain points,痛,点,2. Muscles,肌肉,Pulses/,Sessions,治,Energy,能级,session,Freq,频率,每次治疗使,(Hz),(bar),疗次数,用脉冲数,Transmitter,探头,R15, DI15,D20-S, D35-S,6,

28、8,2.8,3.5,2.0,3.5,2000,3000,15,21,2000,4000,21,Treatment interval: 5 - 7 days,治疗间隔：,5 - 7,天,髌骨肌腱炎Patellar tendonitis (Jump,胫骨压力综合征（胫骨疲劳性骨膜炎）,Tibial stress syndrome (Shin splint),Preliminary ultrasound/ x-ray,前期超声,/X,线定位,Marking of therapy region,标记治疗区域,胫骨压力综合征（胫骨疲劳性骨膜炎） Tibial stres,胫骨压力综合征（胫骨疲劳性骨膜炎

29、）,Tibial stress syndrome (Shin splint),仅使用发散式冲击波疗法,Only radial shock wave therapy,Supine patient positioning with knee on a half roll. R-SW application.,病人仰卧位，膝盖置于半圆柱形物上。使用,R-SW,。,Tibial stress syndrome,胫骨压力综合征,Medial, inner edge of shin bone,胫骨内缘,Adjacent muscles,相邻肌肉,1. Pain points,痛点,6,8,2. Muscl

30、es,肌肉,2.0,3.5,2000,4000,21,D20-S, D35-S,Sessions,治疗,Energy,能级,(bar),次数,2.8,3.5,Pulses/,session,每次治疗使用,脉冲数,Freq,频率,(Hz),Transmitter,探头,2000,3000,15,21,R15, DI15,Treatment interval: 5 - 7 days,治疗,胫骨压力综合征（胫骨疲劳性骨膜炎）Tibial stress,跟腱痛,Achillodynia,Preliminary ultrasound / x-ray,前期超声,/x,线定位,Marking of ther

31、apy region,标记治疗区域,跟腱痛 Achillodynia Preliminary u,跟腱痛,Achillodynia,跟腱痛 Achillodynia,跟腱痛,Achillodynia,跟腱痛 Achillodynia,足底筋膜炎,Plantar fasciitis,Preliminary ultrasound/ x-ray,前期超声,/x,线定位,Localization of pain points with,bio-feedback,根据人体生物反馈定位痛点,Marking of therapy region,标记治疗区域,足底筋膜炎Plantar fasciitis Pr

32、elimi,足底筋膜炎，跟骨骨刺,Plantar fasciitis, Heel Spur,足底筋膜炎，跟骨骨刺Plantar fasciitis, H,足底筋膜炎，跟骨骨刺,Plantar fasciitis, Heel Spur,足底筋膜炎，跟骨骨刺 Plantar fasciitis,足底筋膜炎，跟骨骨刺,Plantar fasciitis, Heel Spur,足底筋膜炎，跟骨骨刺Plantar fasciitis, H,足底筋膜炎,Plantar fasciitis,仅使用发散式冲击波疗法,Only radial shock wave therapy,Abdominal patien

33、t position with foot on a half roll. R-SW (DI15) application. Localization of patients with bio-feedback.,病人腹卧们，脚置于半圆柱形物上。使用,R-SW(DI15),。利用生物反馈进行痛点定位。,Plantar fasciitis,足底筋膜炎,1. Pain points,痛点,Acute and chronic pain,急性与慢,性疼痛,2. Muscles,肌肉,Sessions,治,疗次数,Energy,能级,(bar),2.0,3.0,Pulses/,session,每次治疗使用

34、脉,冲数,Freq,频率,(Hz),Transmitter,探头,R15, DI15,D20-S,3000,3500,2000,3000,12,15,15,21,3 - 5,1.8,3.0,Treatment interval: 5 - 7 days,治疗间隔：,5 - 7,天,足底筋膜炎Plantar fasciitis 仅使用发散式,肌筋膜疼痛综合症,Myofascial pain syndrome,扳机点治疗,Trigger point treatment,肌筋膜疼痛综合症 Myofascial pain syndr,肌筋膜疼痛综合征,Myofascial pain syndrome,可

35、用,RSWT,成功治愈的骨科适应症,Orthopaedic indications which can be treated successfully with RSWT,上位及低位颈部综合征,Upper and lower Cervical-Syndrome,肩周痛,Periarticular shoulder pain,前臂屈伸肌腱炎,Tendomyosis in the extensor and flexor region of the,forearm,上踝病变,Epicondylopathy,背痛,Dorsalgia (Back pain),臀肌痛,Glutealgia,肌筋膜疼痛综合

36、征Myofascial pain syndro,肌筋膜疼痛综合征,Myofascial pain syndrome,可用,RSWT,成功治愈的骨科适应症,Orthopaedic indications which can be treated successfully with RSWT,内收肌疼痛,Pain in the adductor muscles,股屈伸肌痉挛,Shortenings in the femoral flexor and extensor muscles,小腿筋膜间室综合征,Peroneal compartment syndrome,胫前综合征,Tibial anter

37、ior syndrome,胫骨压力综合征（胫骨疲劳性骨膜综合征）,Tibial stress syndrome (Shin,splint),伴有,/,不伴有跟腱痛的小腿肌肉萎缩,Shortening of the calf muscle with and,without Achillodynia,跖骨痛,Metatarsalgia,肌筋膜疼痛综合征Myofascial pain syndro,肌筋膜疼痛综合征,Myofascial pain syndrome,治疗长度,Length of treatment,取决于肌肉刺激的持续范围和时间,Depending on the extent and

38、 duration of the muscle,irritation,早期疼痛可经过,1-2,次治疗成功治愈。,Early stage complaints can be treated,successfully with 1 - 2 treatments sessions,多数案例中，痛点的缓解,/,解除需要,4-8,次治疗（一周,1,2,次治疗）,In most cases,several treatment sessions (4 - 8) are required to release/eliminate,the pain points (1 -2 treatments / week)

39、.,建议尽早采用扳机点治疗,It is recommended to start trigger point treatment at the most,possible early stage,肌筋膜疼痛综合征 Myofascial pain syndr,上位及低位颈部综合征,Upper and lower Cervical-Syndrome,臂痛、背痛、头痛,with brachialgia, dorsalgia and cephalgia,上位及低位颈部综合征Upper and lower Cerv,上位及低位颈部综合征,Upper and lower Cervical-Syndrome

40、,臂痛、背痛、头痛,with brachialgia, dorsalgia and cephalgia,Trapezius muscle,斜方肌,Recommended treatment: radial.,使用发散式治疗,Trapezius muscle,斜方肌,Sessions,治疗次数,Energy,能级,(bar),Pulses/,session,每次治疗使用脉冲,数,Freq,频率,(Hz),Trans-,mitter,探头,Total pulses / treatment,每疗程,1. Pain points,痛点,总脉冲数,Pulses / trigger point,每扳机点,

41、脉冲数,Smoothing muscles over large,area,大面积肌肉按摩,2. Pain points,痛点,3. Muscles,肌肉,4,8,1.2,3.0,1.2,3.0,1.2,2.8,4000 - 6000,300 - 1000,2000,10,15,10,15,10,21,R15, D20-S,R15, D20-S,R15, D20-S,上位及低位颈部综合征Upper and lower Cerv,上位及低位颈部综合征,Upper and lower Cervical-Syndrome,臂痛、背痛、头痛,with brachialgia, dorsalgia an

42、d cephalgia,半棘肌,/,夹肌，,C3,以下,Semispinalis/Splenius muscle, caudal C3,上位及低位颈部综合征Upper and lower Cerv,上位及低位颈部综合征,Upper and lower Cervical-Syndrome,臂痛、背痛、头痛,with brachialgia, dorsalgia and cephalgia,半棘肌,/,夹肌，,C3,以下,Semispinalis/Splenius muscle caudal C3,Recommended treatment: Radial,使用发散性治疗,Semispinalis

43、 muscle,半棘肌,Total pulses / treatment,每疗程,总脉冲数,Sessions,Energy,能级,(bar),治疗次数,1. Pain points,痛点,4,8,1.2,2.4,1.2,2.4,1.2,2.2,Pulses/,session,每次治疗使用脉,冲数,Freq,频率,(Hz),Trans-,mitter,探头,R15, D20-S,R15, D20-S,R15, D20-S,4000,6000,300,1000,1000,10,15,10,15,10,21,Pulses / trigger point,每扳机点脉,2. Pain points,痛点

44、,冲数,Smoothing muscles over large,area,大面积肌肉按摩,3. Muscles,肌肉,上位及低位颈部综合征Upper and lower Cerv,肩周痛,Periarticular shoulder pain,三角肌,Deltoid muscle,肩周痛Periarticular shoulder pain,肩周痛,Periarticular shoulder pain,三角肌,Deltoid muscle,Recommended treatment: Focused and radial.,使用发散式治疗。,Deltoid muscle,三角肌,Total

45、 pulses / treatment,每疗程,总脉冲次数,Sessions,治疗次数,Energy,能级,(bar),Pulses/,session,每次治疗使用脉冲,数,Freq,频率,(Hz),Trans-,mitter,探头,1. Pain points,痛点,4,8,1.2,3.0,1.2,3.0,1.2,2.8,4000,6000,300,1000,1000,10,15,10,15,10,21,R15, D20-S,R15, D20-S,R15, D20-S,Pulses / trigger point,每扳机点脉,2. Pain points,痛点,冲数,Smoothing mu

46、scles over large,area,大面积肌肉按摩,3. Muscles,肌肉,肩周痛Periarticular shoulder pain,臀肌痛,Glutealgia,Recommended treatment: radial.,使用发散式治疗。,Gluteal muscles,臀肌,Total pulses / treatment,每疗程总脉,1. Pain points,痛点,冲次数,Pulses / trigger point,每扳机点脉冲,数,Smoothing muscles over large area,大面积肌肉按摩,Sessions,治疗次数,Pulses/,En

47、ergy,能级,session,每次治疗使用脉冲,(bar),数,Freq,频率,(Hz),Trans-,mitter,探头,1.2,4.0,4000,6000,10,15,R15, DI15, D35-,S,R15, DI15, D35-,S,R15, DI15, D35-,S,2. Pain points,痛点,4,8,1.2,4.0,300,1000,10,15,3. Muscles,肌肉,1.2,3.8,2000,10,21,臀肌痛 Glutealgia Recommended tr,股屈伸肌痉挛,Shortenings in the femoral extensor and flex

48、or muscles,髌骨软骨炎或髌骨肌腱,炎,in case of patellar chondropathy / patellar tendonitis,Recommended treatment: Mainly radial.,使用发散式治疗。,femoral muscles,股肌,Total pulses / treatment,每疗程总,脉冲次数,Pulses / trigger point,每扳机点脉,冲数,Sessions,治疗次数,Energy,能级,Pulses/,Freq,频率,session,每次治疗使用脉冲数,(Hz),(bar),Trans-,mitter,探头,1.

49、 Pain points,痛点,2. Pain points,痛点,1.2,4.0,1.2,4.0,8000,10000,300,1000,10,15,10,15,R15, D20-S, D35-S,R15, D20-S, D35-S,4,8,Smoothing muscles over large area,3. Muscles,肌肉,大面积肌肉按摩,1.2,3.8,5000,10,21,R15, D20-S, D35-S,股屈伸肌痉挛 Shortenings in the femo,股屈伸肌痉挛,Shortenings in the femoral extensor and flexor

50、muscles,髌骨软骨炎或髌骨肌腱炎,in case of patellar chondropathy / patellar tendonitis,Recommended treatment: Mainly radial.,使用发散式治疗。,femoral muscles,股肌,Total pulses / treatment,每疗程,总脉冲次数,Sessions,治疗次数,Energy,能级,Pulses/,session,每次治疗使用脉冲数,(bar),Freq,频率,(Hz),Trans-,mitter,探头,1. Pain points,痛点,4,8,1.2,4.0,1.2,4.0,