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Research – Pain Reduction Treatment of the Cervical Spine with the Spineliner® Results of a pilot study by Rustler, Thomas MD*, Tilscher, Hans MD+ From the *Department of Orthopedic Pain Therapy, Orthopedic Hospital Vienna‐Speising, and the +Ludwig Boltzmann Institute for Conservative Orthopedics Austria Study design: Double‐blind, randomized, placebo‐controlled trial. Objective: To determine the efficacy of the Oscillating Percussion Technique used by the Spineliner to treat chronic neck pain. Conclusion: Treatment with the Spineliner, using the Oscillating Percussion Technique, is effective in improving range of motion and reducing pain as short term effects. Further studies with a larger number of treatment sessions will have to prove long term effects. Research on Force and Vibration The fact that shock waves selectively affect acoustical interfaces connecting two media, each with a different density, (e.g., oil/water or stone/tissue) and pass through homogenous elastic tissue without damage to the most part is medically important. The damage outside of the treatment zone is almost completely avoided due to the possibility of concentrating energy through focusing. Fiorenzo Angehrn, Christoph Kuhn 1, and Axel Voss 21, Klinik Piano, Gottstattstrasse 24, Biel, Switzerland2; SwiTech Medical AG, Kreuzlingen, Switerland Research Significant 12Hz Investigations were carried out in a group of 20 males with a definite morphophysiological type, at two selected ranges of acceleration values chosen according to ISO criteria in the range of 2‐20 Hz. In the subjects exposed to vibration the values of vibration acceleration were measured in different points along the spine at the levels of S3, L3, Th7, C3 and at the vertex. The investigations demonstrated that the frequency is the parameter of crucial significance for the propagation of vibrations in the human organism. Vibration within the frequency range up to 12 Hz affects the whole human organism, while the vibrations above 12 Hz have only a local effect.983715 [PubMed ‐ indexed for MEDLINE]Acta Physiol Pol. 1976 Jul‐Aug;27(4):347‐54. Studies on the transmission of vibra5ons in human organism exposed to lowfrequency whole‐body vibration. Zagórski J, Jakubowski R, Solecki L, Sadlo A, Kasperek W. Research Intervertebral Disc The resonate Frequency of the body is 4‐6 Hz. “The Vibration, therefore, may alter the disc properties such as permeability in order to facilitate fluid flow. This likely mechanism appears to be advantageous in playing a positive role in the nutrition of the intervertebral disc” Spine (Phila Pa 1976). 1992 Jan;17(1):93‐102.Dynamics of human lumbar intervertebral joints. Experimental and finite‐element invesJgaJons.Kasra M, Shirazi‐Adl A, Drouin G.Department of Mechanical Engineering, Ecole Polytechnique, Montréal, Québec, Canada. Wide Ranging Effects of Instrument Adjusting The biological mechanism of action after a shock‐wave (ie, after the ultra‐short physical stress and strain) is still unknown to a large extent. It appears that the principle of action is so universal that a multitude of very different indications like musculoskeletal diseases (calcaneal spur, tennis‐elbow, golf‐arm, lime‐shoulder) (Wang et al 2006), orthopedics (pseudarthrosis) (Siebert and Buch 1997), chronic skin lesions (ulcus cruris) and burnings (Sparsa et al 2005; Schaden et al 2006) respond positively to shock wave therapy. Biological reactions of liberation of different agents (measured by immunohistochemistry) such as VEGF (vascular endothelial growth factor), eNOS (endothelial nitric oxide synthase) and PCNA (proliferating cell nuclear antigen) are reported (Wang et al 2006). Fiorenzo Angehrn,1 Christoph Kuhn,1 and Axel Voss21Klinik Piano, Gottstattstrasse 24, Biel, Switzerland;2SwiTech Medical AG, Kreuzlingen, Switzerland |