Extracorporeal Shockwave Applicator for Spinal Pain and Muscular Contracture: A New Design Approach

Abstract

Shockwave therapy is a noninvasive treatment technique used in multidisciplinary fields, such as sports medicine, physical therapy, and orthopedics. This method of treatment is recommended for medical conditions, such as muscle contractions, intramuscular hematoma, or Dupuytren’s contracture. The shockwaves are high-energy pressure waves characterized by nonlinearity, high frequency, and peak pressure followed by low-pressure amplitude which are transmitted through an applicator to the affected tissue. In the case of spinal muscles, the conventional applicator can only be used on one side of the spinal cord at a time. Taking this into consideration, the approach suggested in this paper involves the design of a dedicated dual-tip applicator. This process implied predesign, finite element analysis, statistical analysis of the data, and optimization. We analyzed the input factors, such as frequency, pressure, applicator tip distance, shape, flatness, and material along with their effects, namely induced stress, tissue contact pressure, total strain energy, and propagation velocity. The proposed final design of the applicator uses geometric features suggested by the optimization analysis and also mechanical design features.