{"id":8063,"date":"2025-09-23T00:23:26","date_gmt":"2025-09-23T00:23:26","guid":{"rendered":"https:\/\/kmslaser.com\/?p=8063"},"modified":"2025-09-25T00:57:36","modified_gmt":"2025-09-25T00:57:36","slug":"quels-types-de-machines-de-therapie-par-ondes-de-choc-sont-disponibles","status":"publish","type":"post","link":"https:\/\/kmslaser.com\/fr\/what-types-of-shockwave-therapy-machines-are-available\/","title":{"rendered":"What Types of Shockwave Therapy Machines Are Available?"},"content":{"rendered":"<p><iframe data-testid=\"embed-iframe\" style=\"border-radius:12px\" src=\"https:\/\/open.spotify.com\/embed\/episode\/2ug0lqSfsRYjN7Q48yhsBg?utm_source=generator&amp;theme=0\" width=\"100%\" height=\"152\" frameborder=\"0\" allowfullscreen=\"\" allow=\"autoplay; clipboard-write; encrypted-media; fullscreen; picture-in-picture\" loading=\"lazy\"><\/iframe><\/p>\n<p style=\"float: right; margin-left: 15px; margin-bottom: 15px;\">\n  <img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2025\/09\/1-a-side-by-side-digital-illustration-showing-two-ty.jpg\" alt=\"Pi\u00e8ce \u00e0 main de th\u00e9rapie par ondes de choc \u00e9mettant des ondes d&#039;\u00e9nergie en clinique (ID#1)\" class=\"top-image-square\">\n<\/p>\n<p>J'entends souvent les acheteurs demander s'ils ont besoin de machines focalis\u00e9es ou radiales, et beaucoup regrettent leur achat lorsqu'ils choisissent le mauvais type pour leur clinique.<\/p>\n<p><strong>Il existe deux cat\u00e9gories principales : <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10497898\/\">onde de choc focalis\u00e9e et radiale<\/a> <sup><a href=\"#footnote-1\" id=\"ref-1\">1<\/a><\/sup>. Les machines focalis\u00e9es p\u00e9n\u00e8trent plus profond\u00e9ment avec un ciblage pr\u00e9cis, tandis que les machines radiales diffusent l'\u00e9nergie largement \u00e0 la surface. La technologie du g\u00e9n\u00e9rateur les divise en outre en <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1876382021000545\">syst\u00e8mes \u00e9lectrohydrauliques, \u00e9lectromagn\u00e9tiques, pi\u00e9zo\u00e9lectriques et pneumatiques<\/a> <sup><a href=\"#footnote-2\" id=\"ref-2\">2<\/a><\/sup>.<\/strong><\/p>\n<p>En pratique, conna\u00eetre ces distinctions rend beaucoup plus facile le choix d'un appareil qui correspond aux cas des patients et \u00e9vite les investissements inutiles.<\/p>\n<hr \/>\n<h2>Quelle est la diff\u00e9rence entre l'onde de choc focalis\u00e9e et radiale ?<\/h2>\n<p>La confusion commence souvent lorsque les fournisseurs utilisent le terme \u201c onde de choc \u201d comme une \u00e9tiquette g\u00e9n\u00e9rale sans pr\u00e9ciser le type.<\/p>\n<p><strong><a href=\"https:\/\/www.physio-pedia.com\/Extracorporeal_Shockwave_Therapy_(ESWT)\">L'onde de choc focalis\u00e9e d\u00e9livre des impulsions de haute \u00e9nergie \u00e0 des profondeurs sp\u00e9cifiques<\/a> <sup><a href=\"#footnote-3\" id=\"ref-3\">3<\/a><\/sup>, id\u00e9al pour les troubles osseux ou calcifi\u00e9s. <a href=\"https:\/\/www.versusarthritis.org\/about-arthritis\/treatments\/extracorporeal-shockwave-therapy-eswt\/\">L'onde de choc radiale produit des ondes de pression au niveau de la surface<\/a> <sup><a href=\"#footnote-4\" id=\"ref-4\">4<\/a><\/sup>, mieux pour les douleurs tendineuses, les probl\u00e8mes de fascia et les points g\u00e2chettes.<\/strong><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2025\/09\/2-a-split-screen-cross-sectional-diagram-of-human-ti.jpg\" alt=\"Illustration m\u00e9dicale comparant la th\u00e9rapie par ondes de choc radiales et par ondes focales (ID#2)\" title=\"Types de th\u00e9rapie par ondes\" \/><\/p>\n<p>Les machines focalis\u00e9es peuvent atteindre 4 \u00e0 12 cm de profondeur avec une \u00e9nergie concentr\u00e9e. Les syst\u00e8mes radiaux perdent rapidement en intensit\u00e9 mais couvrent des zones plus larges plus confortablement. Les cliniques avec des patients diversifi\u00e9s parfois <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6124945\/\">combiner les deux types pour \u00e9largir la gamme de traitements<\/a> <sup><a href=\"#footnote-5\" id=\"ref-5\">5<\/a><\/sup>.<\/p>\n<h3>Comparaison cl\u00e9<\/h3>\n<table>\n<thead>\n<tr>\n<th>Fonctionnalit\u00e9<\/th>\n<th>Onde de choc focalis\u00e9e<\/th>\n<th>Onde de choc radiale<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>P\u00e9n\u00e9tration<\/td>\n<td>4\u201312 cm<\/td>\n<td>2\u20134 cm<\/td>\n<\/tr>\n<tr>\n<td>Densit\u00e9 d'\u00e9nergie<\/td>\n<td>\u00c9lev\u00e9e (10\u2013100 MPa)<\/td>\n<td>Faible (0,1\u20131 MPa)<\/td>\n<\/tr>\n<tr>\n<td>Zone de traitement<\/td>\n<td>\u00c9troit, pr\u00e9cis<\/td>\n<td>Large, diffuse<\/td>\n<\/tr>\n<tr>\n<td>Meilleure utilisation<\/td>\n<td>Tissus profonds, calcifications<\/td>\n<td>Tendons proches de la surface, points g\u00e2chettes<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<h2>Quelles conditions sont mieux trait\u00e9es avec chaque type d'onde de choc ?<\/h2>\n<p>L'inad\u00e9quation entre l'appareil et la condition est l'une des raisons les plus courantes pour lesquelles les patients ne constatent aucune am\u00e9lioration.<\/p>\n<p><strong>Les machines focalis\u00e9es ciblent les structures plus profondes telles que <a href=\"https:\/\/orthoinfo.aaos.org\/en\/treatment\/extracorporeal-shock-wave-therapy-eswt\">les fractures non consolid\u00e9es, la tendinite calcifiante et les douleurs de hanche<\/a> <sup><a href=\"#footnote-6\" id=\"ref-6\">6<\/a><\/sup>. Les syst\u00e8mes radiaux conviennent aux <a href=\"https:\/\/www.nhs.uk\/conditions\/extracorporeal-shockwave-therapy-eswt\/\">conditions superficielles comme la fasciite plantaire, le tennis elbow et la douleur myofasciale<\/a> <sup><a href=\"#footnote-7\" id=\"ref-7\">7<\/a><\/sup>.<\/strong><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2025\/09\/3-an-illustration-of-a-radial-shockwave-device-appli.jpg\" alt=\"Th\u00e9rapie par ondes de choc appliqu\u00e9e sur le pied d&#039;un patient pour soulager la douleur (ID#3)\" title=\"Traitement du pied\" \/><\/p>\n<p>D'apr\u00e8s l'exp\u00e9rience, la th\u00e9rapie focalis\u00e9e excelle dans <a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/shockwave-therapy\/about\/pac-20514626\">l'orthop\u00e9die o\u00f9 la gu\u00e9rison osseuse est n\u00e9cessaire<\/a> <sup><a href=\"#footnote-8\" id=\"ref-8\">8<\/a><\/sup>. Les syst\u00e8mes radiaux excellent en physioth\u00e9rapie, o\u00f9 les surfaces plus grandes et les plaintes tendineuses dominent. Les cliniques qui comprennent ces limites obtiennent de meilleurs r\u00e9sultats et la confiance des patients.<\/p>\n<h3>Ajustement clinique<\/h3>\n<table>\n<thead>\n<tr>\n<th>Type d'onde de choc<\/th>\n<th>Applications courantes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Focalis\u00e9<\/td>\n<td>Pseudarthroses, tendinite calcifiante, douleur profonde de la hanche<\/td>\n<\/tr>\n<tr>\n<td>Radial<\/td>\n<td>Fasciite plantaire, tennis elbow, tendinopathie d'Achille<\/td>\n<\/tr>\n<tr>\n<td>Les deux<\/td>\n<td>Douleur chronique, blessures sportives, tendinopathies<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<h2>Existe-t-il diff\u00e9rentes technologies utilis\u00e9es dans les machines \u00e0 ondes de choc ?<\/h2>\n<p>Tous les g\u00e9n\u00e9rateurs d'ondes de choc ne fonctionnent pas de la m\u00eame mani\u00e8re. Le choix de la technologie affecte la pr\u00e9cision, les co\u00fbts de service et la fiabilit\u00e9 \u00e0 long terme.<\/p>\n<p><strong>Les machines focalis\u00e9es peuvent utiliser <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fbioe.2021.620447\/full\">des g\u00e9n\u00e9rateurs \u00e9lectrohydrauliques, \u00e9lectromagn\u00e9tiques ou pi\u00e9zo\u00e9lectriques<\/a> <sup><a href=\"#footnote-9\" id=\"ref-9\">9<\/a><\/sup>. Les machines radiales reposent g\u00e9n\u00e9ralement sur <a href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/1759720X211003944\">syst\u00e8mes pneumatiques<\/a> <sup><a href=\"#footnote-10\" id=\"ref-10\">10<\/a><\/sup>. Chacun a des avantages et des inconv\u00e9nients en termes de puissance, de durabilit\u00e9 et de pr\u00e9cision.<\/strong><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2025\/09\/4-a-close-up-3d-render-of-a-radial-shockwave-handpie.jpg\" alt=\"Gros plan de l&#039;applicateur de th\u00e9rapie par ondes de choc avec t\u00eate d\u00e9tachable (ID#4)\" title=\"Applicateur de l&#039;appareil\" \/><\/p>\n<p>Les syst\u00e8mes \u00e9lectrohydrauliques d\u00e9livrent une \u00e9nergie \u00e9lev\u00e9e mais n\u00e9cessitent le remplacement des \u00e9lectrodes. Les appareils \u00e9lectromagn\u00e9tiques fournissent une puissance constante et un fonctionnement stable. Les r\u00e9seaux pi\u00e9zo\u00e9lectriques permettent une pr\u00e9cision cibl\u00e9e sans r\u00e9flecteurs. Les syst\u00e8mes pneumatiques sont simples et \u00e9conomiques, bien qu'ils ne g\u00e9n\u00e8rent que des ondes radiales et n\u00e9cessitent des kits de r\u00e9vision r\u00e9guliers.<\/p>\n<h3>Aper\u00e7u technologique<\/h3>\n<table>\n<thead>\n<tr>\n<th>Technologie<\/th>\n<th>Type d'onde<\/th>\n<th>Caract\u00e9ristiques principales<\/th>\n<th>Maintenance<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\u00c9lectrohydraulique<\/td>\n<td>Focalis\u00e9<\/td>\n<td>Haute \u00e9nergie, traitement en profondeur<\/td>\n<td>Usure des \u00e9lectrodes<\/td>\n<\/tr>\n<tr>\n<td>\u00c9lectromagn\u00e9tique<\/td>\n<td>Focalis\u00e9<\/td>\n<td>Puissance stable, fiable<\/td>\n<td>Mod\u00e9r\u00e9e<\/td>\n<\/tr>\n<tr>\n<td>Pi\u00e9zo\u00e9lectrique<\/td>\n<td>Focalis\u00e9<\/td>\n<td>Ciblage pr\u00e9cis, faible usure<\/td>\n<td>Faible<\/td>\n<\/tr>\n<tr>\n<td>Pneumatique<\/td>\n<td>Radial<\/td>\n<td>Rentable, facile \u00e0 utiliser<\/td>\n<td>Kits de r\u00e9vision n\u00e9cessaires<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<h2>Comment choisir le bon type d'onde de choc pour les cliniques ?<\/h2>\n<p>La mauvaise machine entra\u00eene un faible retour sur investissement et des patients insatisfaits. L'adaptation de l'appareil au profil de la clinique \u00e9vite ces probl\u00e8mes.<\/p>\n<p><strong>Les syst\u00e8mes focalis\u00e9s sont plus utiles l\u00e0 o\u00f9 les pathologies osseuses et calcifi\u00e9es sont courantes. Les appareils radiaux sont meilleurs pour les tendons, les fascias et les douleurs superficielles. De nombreuses cliniques b\u00e9n\u00e9ficient d'avoir <a href=\"https:\/\/www.researchgate.net\/publication\/354344833_Comparing_Radial_and_Focused_Shockwave_Therapy\">les deux technologies ou des syst\u00e8mes hybrides<\/a> <sup><a href=\"#footnote-11\" id=\"ref-11\">11<\/a><\/sup>.<\/strong><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/kmslaser.com\/wp-content\/uploads\/2025\/09\/5-a-professional-illustration-showing-a-clinic-manag.jpg\" alt=\"Homme lisant une brochure sur la th\u00e9rapie par ondes de choc focales et radiales (ID#5)\" title=\"Brochure sur les ondes de choc\" \/><\/p>\n<p>La prise de d\u00e9cision commence par la patient\u00e8le. <a href=\"https:\/\/bjsm.bmj.com\/content\/49\/19\/1241\">Les cliniques ax\u00e9es sur le sport privil\u00e9gient souvent le radial<\/a> <sup><a href=\"#footnote-12\" id=\"ref-12\">12<\/a><\/sup>. Les cabinets orthop\u00e9diques traitant des fractures ou des calcifications pr\u00e9f\u00e8rent le focalis\u00e9. Le co\u00fbt joue \u00e9galement un r\u00f4le : les appareils radiaux pneumatiques sont moins chers au d\u00e9part, tandis que les syst\u00e8mes focalis\u00e9s pi\u00e9zo\u00e9lectriques ou \u00e9lectromagn\u00e9tiques co\u00fbtent plus cher mais offrent une plus grande pr\u00e9cision.<\/p>\n<h3>Facteurs de d\u00e9cision<\/h3>\n<table>\n<thead>\n<tr>\n<th>Facteur<\/th>\n<th>Onde de choc radiale<\/th>\n<th>Onde de choc focalis\u00e9e<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Profil du patient<\/td>\n<td>Tendon, fascia, superficiel<\/td>\n<td>Os, calcifications, profond<\/td>\n<\/tr>\n<tr>\n<td>Profondeur<\/td>\n<td>2\u20134 cm<\/td>\n<td>Jusqu'\u00e0 12 cm<\/td>\n<\/tr>\n<tr>\n<td>Investissement<\/td>\n<td>Plus bas<\/td>\n<td>Plus \u00e9lev\u00e9<\/td>\n<\/tr>\n<tr>\n<td>Polyvalence<\/td>\n<td>Grande zone, rapide<\/td>\n<td>Cibl\u00e9, pr\u00e9cis<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<h2>Conclusion<\/h2>\n<p>Les machines focalis\u00e9es et radiales r\u00e9pondent \u00e0 des besoins diff\u00e9rents. Choisir en fonction des conditions du patient et des objectifs de la clinique garantit de meilleurs r\u00e9sultats et un succ\u00e8s \u00e0 long terme.<\/p>\n<hr \/>\n<h2>Notes de bas de page<\/h2>\n<p><span id=\"footnote-1\">1. Aper\u00e7u des diff\u00e9rences entre les ondes de choc focalis\u00e9es et radiales. <a href=\"#ref-1\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-2\">2. Comparaison des technologies de g\u00e9n\u00e9rateurs d'ondes de choc. <a href=\"#ref-2\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-3\">3. Explication de la profondeur et des utilisations de la th\u00e9rapie par ondes de choc focalis\u00e9es. <a href=\"#ref-3\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-4\">4. Guide du NHS sur les applications des ondes de choc radiales. <a href=\"#ref-4\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-5\">5. \u00c9tude sur la combinaison de th\u00e9rapies radiales et focalis\u00e9es. <a href=\"#ref-5\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-6\">6. Aper\u00e7u de l'AAOS sur les utilisations cliniques des ondes de choc focalis\u00e9es. <a href=\"#ref-6\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-7\">7. Description par le NHS des conditions trait\u00e9es par les ondes de choc radiales. <a href=\"#ref-7\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-8\">8. Aper\u00e7us de la Mayo Clinic sur les ondes de choc en orthop\u00e9die. <a href=\"#ref-8\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-9\">9. Recherche sur les conceptions de g\u00e9n\u00e9rateurs d'ondes de choc focalis\u00e9es. <a href=\"#ref-9\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-10\">10. Discussion clinique sur les ondes de choc radiales pneumatiques. <a href=\"#ref-10\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-11\">11. \u00c9tude comparative des syst\u00e8mes hybrides et doubles. <a href=\"#ref-11\">\ufe0e<\/a><\/span><br \/>\n<span id=\"footnote-12\">12. Revue de m\u00e9decine sportive sur l'utilisation des ondes de choc radiales. <a href=\"#ref-12\">\ufe0e<\/a><\/span>  <\/p>","protected":false},"excerpt":{"rendered":"<p>I often hear buyers ask whether they need focused or radial machines, and many regret the purchase when they pick the wrong type for their clinic. There are two main categories: focused and radial shockwave 1. Focused machines penetrate deeper with precise targeting, while radial machines spread energy broadly at the surface. Generator technology further [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":8064,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[60],"tags":[],"class_list":["post-8063","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shockwave-therapy-machine"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What Types of Shockwave Therapy Machines Are Available? - KMSLaser<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kmslaser.com\/fr\/quels-types-de-machines-de-therapie-par-ondes-de-choc-sont-disponibles\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What Types of Shockwave Therapy Machines Are Available?\" \/>\n<meta property=\"og:description\" content=\"I often hear buyers ask whether they need focused or radial machines, and many regret the purchase when they pick the wrong type for their clinic. There are two main categories: focused and radial shockwave 1. Focused machines penetrate deeper with precise targeting, while radial machines spread energy broadly at the surface. 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