© 2017 by Advanced Rehabilitation.

SHOCKWAVE THERAPY

Extracorporeal Shockwave Therapy (ESWT) is used to treat various musculoskeletal conditions and accelerate the healing process. It's physiological effects are discussed below:

- PAIN MEDIATION

ESWT has been shown to lower the concentration of neurotransmitter Substance P. This neurotransmitter is associated with intense, persistent, chronic pain. Pain mediation also occurs through hyperstimulation of sensory pathways - Gate control theory.

- NEOVASCULARISATION

ESWT increases the expression of growth factors such as eNOS, VEGF, PCNS and BMP. These factors facilitate the formation of new blood vessels improve blood supply and oxygenation to the affected area.

- REDUCE CHRONIC INFLAMMATION

ESWT activates mast cells which in turn activate pro-inflammatory compounds. This reactivates the natural healing cascade and tissue repair responses in recalcitrant chronic tendinopathies.

- STIMULATES COLLAGEN PRODUCTION

ESWT accelerates procollagen synthesis. Repair can only take place with the production of sufficient amounts of callagen. ESWT, together with an appropriate tissue loading protocol, reorganises the newly formed oollagen strands into functional tissue.

- DISSOLUTION OF CALCIFIED FIBROBLASTS

ESWT has the ability to break up calcifications which may form in soft tissues due to repetitive micro-trauma or other trauma. The shockwaves mechanically break up calcification, and aids recovery of the tendon through the physiological effects already discussed.

ISOKINETIC TESTING

The HUMAC NORM system allows objective testing of isolated joint movement patterns  of all peripheral joints.. The system provides flexibility in testing with  multiple testing options.
- ISOMETRIC TESTING 
Isometric testing allows safe positioning of the patient to various angles without risk of further injury where dynamic movement is a concern.
 
- ISOKINETIC TESTING
Assessment of maximum dynamic capacity throughout full range of motion can be achieved., and can be controlled where specific joint movement needs to be assesed.
- EXERCISE
The HUMAC NORM offers 4 resistance modes and numerous feedback options to guide and aid rehabiitation:
 
1. Passive mode: Helps improve mobility
2. Isometric mode: Full joint stability with angle-specific strength training
3. Isotonic mode: Progression to concentric, eccentric and deceleration training
4. Isokinetic mode: Final return-to-function training
The HUMAC NORM isokinetic machine is an integral part of the management strategy at Advanced Rehabilitation Parkmore, allowing objective measurement of a patient's baseline capacity. This allows our clinicians to scientifically set realistic and achievable goals,  develop focused rehabilitation programmes, as well as  accurately measure and monitor progress. 
Our patients can return to their sporting, recreational, or activities of daily living safer and more confident, knowing that they have achieved the required level of function based on solid evidence