{"id":2974,"date":"2017-06-09T10:57:46","date_gmt":"2017-06-09T08:57:46","guid":{"rendered":"https:\/\/www.activasalut.com\/ca\/tratamiento-con-ondas-de-choque\/"},"modified":"2017-06-09T19:44:03","modified_gmt":"2017-06-09T17:44:03","slug":"tratamiento-con-ondas-de-choque","status":"publish","type":"post","link":"https:\/\/www.activasalut.com\/ca\/tratamiento-con-ondas-de-choque\/","title":{"rendered":"Tractament amb ones de xoc"},"content":{"rendered":"<p><strong>Les ones de xoc s\u00f3n ones ac\u00fastiques que es caracteritzen per generar un augment brusc de pressi\u00f3, en molt curt espai de temps i una baixada igualment brusca, arribant fins a pressions negatives, per finalment tornar a normalitzar-se<\/strong> (aix\u00f2 seria quelcom similar a aquell efecte que percebem en explotar-nos molt a prop un petard, i la ona expansiva que genera).<!--more--><\/p>\n<h3>Densitat de flux energ\u00e8tic<\/h3>\n<p>En els teixits vius, aquestes ones de pressi\u00f3 tenen un efecte directe, ja que transporten una determinada quantitat de energia, que anomenen <strong>densitat de flux energ\u00e8tic<\/strong>, i que dep\u00e8n tant de la \u201cpot\u00e8ncia\u201d de l\u2019aparell emissor, com de la superf\u00edcie sobre la que actua.<\/p>\n<h3>Tipus de teixits<\/h3>\n<p>Els diferents teixits del c\u00f3s hum\u00e0, tenen diferent resist\u00e8ncia, o capacitat per absorbir aquesta energia, degut a la seva diferent imped\u00e0ncia ac\u00fastica. I aix\u00f2 encara en posa m\u00e9s de manifest a les zones de transici\u00f3 entre diferents teixits, i m\u00e9s encara si parlem de teixits amb contingut d\u2019aire o aigua (budells, pulm\u00f3). Evitant doncs aquells \u00f2rgans o aquelles situacions (proc\u00e9s inflamatori amb gran component de edema, embar\u00e0s &#8230;) en que hi ha una gran difer\u00e8ncia de imped\u00e0ncia ac\u00fastica entre els teixits, les ones de xoc s\u00f3n segures.<\/p>\n<h3>Com\u00a0actuen aquestes ones en el nostre organisme?<\/h3>\n<p>Doncs b\u00e9, amb els anys hem passat <strong>d\u2019una teoria purament mec\u00e0nica<\/strong> (les ones de xoc provoquen petites lesions en l\u2019\u00e0rea que s\u2019apliquen, per afavorir posteriorment la curaci\u00f3), ha demostrat no ser totalment exacta, <strong>a una teoria biol\u00f2gica<\/strong>, basada en la transformaci\u00f3 d\u2019aquest est\u00edmul mec\u00e0nic en una aut\u00e8ntica resposta biol\u00f2gica dins dels teixits (fenomen de<em> mencanotransducci\u00f3<\/em>), que propicia l\u2019activaci\u00f3 a nivell del nucli de la c\u00e8l\u00b7lula de factors de creixement., i d\u2019aquesta manera afavoreix la regeneraci\u00f3 del teixit que estem tractant.<\/p>\n<h3>On podem fer servir les ones de xoc?<\/h3>\n<p>Sembla clar, que, vistes les caracter\u00edstiques de les ones de xoc on m\u00e9s \u00fatils ens resultaran <strong>seran a les zones de transici\u00f3 entre dos teixits<\/strong>, per tant ens poden resultar especialment \u00fatils en el tractament d\u2019aquelles <em>tendinopaties<\/em> m\u00e9s superficials a la zona d\u2019inserci\u00f3. Ens resulten especialment \u00fatils en aquells processos on el teixit ha perdut les seves caracter\u00edstiques: <em>tendinopaties degeneratives<\/em>, <em>tendinopaties c\u00e0lciques<\/em>, precisament per aquesta major absorci\u00f3 de l\u2019energia en aquestes zones de transici\u00f3.<\/p>\n<p>Aix\u00ed doncs, podem dir que les ones de xoc ens resulten molt \u00fatils en el tractament de les <em>tendinopaties superficials<\/em>, <strong>en fase cr\u00f2nica<\/strong>, per\u00f2, donat que una de les caracter\u00edstiques que les fan tenir \u201cmala fama\u201d, es que poden provocar dolor durant la seva aplicaci\u00f3, per tant no ho triarem com un tractament de primera elecci\u00f3, si no en aquells casos en que no hem obtingut resposta \u00f2ptima amb d\u2019altres.<\/p>\n<p><strong>En resum podr\u00edem dir que les ones de xoc s\u00f3n una excel\u00b7lent elecci\u00f3 en aquelles lesions tendinoses, cronificades, amb degeneraci\u00f3 del teixit, o calcificades, y que no han millorat amb altres tractaments. En qualsevol cas, s\u2019ha de valorar individualment cada patologia.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les ones de xoc s\u00f3n ones ac\u00fastiques que es caracteritzen per generar un augment brusc de pressi\u00f3, en molt curt espai de temps i<a class=\"moretag\" href=\"https:\/\/www.activasalut.com\/ca\/tratamiento-con-ondas-de-choque\/\">Llegeix m\u00e9s&#8230;<\/a><\/p>\n","protected":false},"author":44,"featured_media":2971,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[783,831,600],"tags":[2266,2271,1248,1243,854,1173,2268,2272,644,1407,2273,2269,2270,2274,709,837],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tractament amb ones de xoc<\/title>\n<meta name=\"description\" content=\"Las ondas de choque son ondas ac\u00fasticas que se caracterizan para generar un aumento brusco de 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