WFU

2023年3月23日 星期四

高強度聚焦式磁場治療儀(HIFEM, High-Intensity Focused Electromagnetic)的治療機轉及效用



之前介紹了專業運動員受傷後常用的秘密武器：全球唯一專利肌腱韌帶修復劑

https://uroprolo.blogspot.com/2023/02/stabha-soft-tissue-adapted.html

這次要來介紹專業運動員受傷後復健的另一個秘密武器：高強度聚焦式磁場治療儀

 

歷史：

冷戰期間

蘇聯使用電磁場來治療在太空中待了很長時間的宇航員

由於缺乏重力和運動

這些宇航員骨密度和肌肉都在流失

返回地球時骨骼和肌肉都變弱了

為了解決這個問題

蘇聯使用脈衝電磁場pulsed electromagnetic field  (PEMF) 療法配合藥物

以增加骨密度和對抗骨質流失

PEMF 的使用遍及蘇聯和東歐

並在柏林圍牆倒塌後傳播到西歐

在 2000 年代初期

NASA 對脈衝電磁場PEMF的使用進行了自己的研究

最終申請了自己的PEMF在組織再生中的應用專利

 


原理：

簡單來說就是法拉第電磁感應定律(Faraday's law of electromagnetic induction)

藉由外來磁場的改變 產生生物電場的改變 進而產生生物電流

這樣的磁場作用與生物電流

在不同組織

產生不同的效應

可促進傷口癒合、緩解疼痛、骨折癒合、肌肉放鬆、神經刺激、肌肉訓練和關節活動


最重要的是

由原理可知

這樣的治療為非侵入式、非接觸式(non-invasive, non-contact )

因此可以廣泛應用在各種需要的病患身上且不造成任何傷害

 


組織效應：

傳統的電刺激(Electrical stimulation)已證實對於疼痛處理、傷口癒合等療效且廣泛應用於復健，

然因需將電極貼於體表傳導電流、而有以下缺點：

1. 皮膚表層有疼痛受器，外來電流會直接刺激，因此容易感受到疼痛。

2. 強度必須控制，否則可能造成皮膚傷害。

3. 電流隨深度遞減，無法傳遞到較深層組織。


而以上缺點，恰恰是磁場治療的優勢：

1. 非直接電流，故不造成痛感

2. 不傷害皮膚

3. 磁場作用深度較深，且不隨深度遞減，故治療效果較佳。


磁場產生的生物電流

隨著不同強度、頻率、波型的治療模式

在不同組織應用下

可產生以下效應：

 

纖維細胞和膠原蛋白再生增加

促進血管增生和膠原蛋白成型/成熟，使傷口癒合

加速消腫，恢復組織的正常血流、營養和氧合作用

受損細胞恢復更快

在組織修復的各個階段加速生長因子的產生

刺激成骨及軟骨生成(Osteogenesis and Chondrogenesis)，使骨折癒合

疼痛治療

肌肉訓練及重建、改善運動功能

加速肌肉及組織癒合

增加肌肉血流降低退化

減脂：促進體內局部組織代謝、脂質（甘油三酯）分解成游離脂肪酸（FFA）和甘油至細胞內空間(intracellular space)並啟動脂肪細胞凋亡。

調節細胞受體結合，減少炎症反應。

…etc

 

雖然效果眾多難以一一列舉

但可以發現

磁場治療的範疇幾乎涵蓋「所有結締組織」！

 



治療模式： 

若以功能取向

則可大致分類為以下項目：

止痛

關節鬆動

肌肉放鬆

肌力強化

骨折癒合

緩解痙攣

修復神經

增肌減脂

尿失禁治療

性功能障礙治療

 


最後

回應本文開頭

為何說高強度聚焦式磁場治療儀是運動員受傷後復健的秘密武器呢？

 

因為

它除了提供相應結締組織傷害的修復治療

當運動員受傷程度較嚴重被迫休息時

肌力、運動能力可能因此退化

而磁場治療的肌力強化功能恰能填補訓練的空白

亦能增肌減脂維持體態

進而縮短重返賽場的時間！

現在

高強度聚焦式磁場治療儀

已不只是運動員的專利

亦為廣大民眾訓練及治療的福音！

 

 

參考資料：

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028041/

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4346366/

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8370292/

 

https://pubmed.ncbi.nlm.nih.gov/2988718/

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764361/

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306936/

 

https://faseb.onlinelibrary.wiley.com/doi/epdf/10.1096/fj.03-0847fje

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7830993/

 

https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.15606

 

https://onlinelibrary.wiley.com/doi/10.1111/dth.13803

 

https://stemcellres.biomedcentral.com/articles/10.1186/s13287-019-1464-x

 

https://www.researchgate.net/publication/349863138_The_Effect_of_Pulsed_Electromagnetic_Fields_on_Angiogenesis

 

https://www.mdpi.com/1422-0067/22/9/5037

 

https://pubmed.ncbi.nlm.nih.gov/2019648/

 

https://www.sciencedirect.com/science/article/abs/pii/S1350453319302346

 

https://www.ijphy.org/index.php/journal/article/view/359

 

https://www.eastcoastpodiatry.sg/super-inductive-system-sis/

 

   

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2023年3月19日 星期日

Chatting: Falling in Love and Marriage in Western Astrology

 

In Western astrology, falling in love and marriage are different house placements. 

Falling in love is the fifth house, symbolizing games and entertainment. 

Marriage is the seventh house, symbolizing important partners and companions.

 

Loving each other (sharing joy) is easy, but getting along (sharing hardship) is difficult. 

A good playmate may not necessarily be a good partner or business partner. 

Therefore, finding a spouse from a romantic relationship may not necessarily be the best approach, and good playmates may also frequently part ways when doing business together.

 

However, don't be too pessimistic. 

The fifth and seventh houses are 60 degrees apart, belonging to the sextile aspect. 

Therefore, the fifth house can benefit the seventh, and the seventh house can also benefit the fifth. 

Sharing joy and accumulating positive shared memories can help partners and companions enhance their relationships, which does have some logic.

 

[The above interpretation is not a professional interpretation and is purely a personal thought.]


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［術數閒聊］西洋占星裡的戀愛與婚姻

 


在西洋占星

戀愛跟婚姻是不一樣的宮位

戀愛是五宮，亦象徵遊戲、娛樂

婚姻是七宮，亦象徵重要的合夥人、夥伴


相愛（共享樂）容易

相處（共患難）難

好的玩咖

未必是好的伴侶或合夥人

所以

藉由戀愛而婚配可能未必是好的擇偶方式

好的玩伴合夥做生意也常不歡而散😛


不過也不用太悲觀

5跟7宮相距60度

屬於六合、六分相

因此5有助於7

7亦有助於5

共享樂、累積好的共同記憶

有助夥伴、伴侶感情加溫

還真有其道理


［以上非專業人士判讀法則，純屬個人隨想］


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人際存摺的來源 The sources of relationship deposits

 

無所謂的事，讓對方贏

Let the other person win in things that don’t matter


讓對方感受關心

Make the other person feel cared for


累積好的共同記憶

Accumulate good shared memories


用對方渴望的方式愛他

Love him (her) in the way he (she) craves



［from戀愛大人學Darencademy］



醫學以外(Others)

新聞刊登(News)

演講/研討會(Lecture/Seminar)

義診/公益活動(Charity clinic/Charity event)

電台專訪(Radio interview)

診所宣傳(Clinic Promotion)

哲學(Philosophy)

閒聊(Chatting)

音樂欣賞(Music Appreciation)

占星命理(Astrology and Numerology)


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Chatting: Hobby, is different from entertainment

 

Note: In Chinese, many people use 興趣 to describe hobby and interest at the same time, so it’s hard to translate. I’ll try to do my best to express my original intention in english.

 

The self-introduction section of dating or socializing apps usually includes a field for hobbies for participants to fill in.

There are countless hobbies, so it's understandable that people might fill in whatever they enjoy.

However, some of them make me roll my eyes, such as shopping, watching movies, and eating delicious food.

 

Come on, those are entertainments, not hobbies, right?

They satisfy our sensory pleasures and make us happy.

Who doesn't like them?

 

 

I searched the internet and found that there is no unified or clear definition of hobbies.

Broadly speaking, any activity that is not done for money or work, but allows us to enjoy or feel happy, can be considered a hobby. (Okay, so shopping and watching movies can also count.)

But I personally think that hobbies require considerable effort and focus.

It's not a completely easy thing, and sometimes it can even be a bit painful.

Yet, you still enjoy doing it.

That's what makes it a hobby.

For example, playing a musical instrument, or engaging in a sport.

On the other hand, if you don't put in any effort, then the hobby will not be established.

We usually develop an interest in something after putting in a certain amount of effort.

For example, learning a song or improving our skills to win a game.

 

 

Finally, I want to share an excellent article I read.

Although some of the information sources are not very certain, the concept analysis is very thorough.

It's worth reading.

 

https://mapleduh.pixnet.net/blog/post/46273942

 

Excerpt from the article:

“Interest (hobby) is an emotion that is highly related to uncertainty;

pleasure is an emotion that is highly related to certainty.

 

Interest and pleasure are two completely different, even opposite emotions -

when something is complex, novel, and uncertain, people feel interested;

when something is simple, stable, and certain, we feel pleasure."

 

"We often think that because we have eaten rice too much, we must make fermented bean curd our living.

I call this phenomenon the "hot pot effect" - if you ask someone who eats home-cooked meals every day what they want to eat, they will say hot pot! I love hot pot! But if you make them eat hot pot for a month, even if you change it up, they will probably cry and beg to go home.

The best life is to eat rice often and occasionally order hot pot."

 

"Hobbies are not things that you can easily and comfortably achieve results with; hobbies are things that make you suffer during the day, can't sleep at night, and wake up at five in the morning, cursing and laughing while doing them. That's what hobbies really are."

 

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閒聊： 興趣 跟娛樂 是不一樣的

 


聯誼或交友軟體的自介通常有一個欄位叫興趣


讓參加者填寫

 

興趣百百種 要填什麼也無可厚非

 

但有些看了我會想翻白眼

 

比如逛街、看電影、吃美食

 

 

 

…拜託，這叫娛樂好嗎

 

滿足自己感官享受、讓自己愉悅

 

有誰不喜歡的？

 

 

 

我查了一下 興趣其實沒有統一一致乃至清楚的定義

 

廣義來說各種不以賺錢或工作為目的、能讓自我享受或歡喜而去做的活動都算（好啦 所以逛街、看電影其實也可以算）

 

但我自己覺得

 

所謂的興趣

 

需要投注相當的努力與專注成份

 

它不是一件全然輕鬆的事

 

甚至帶有點痛苦

 

而你仍能樂在其中

 

這才叫興趣

 

比如演奏樂器、運動競技

 

反過來說

 

如果沒有投入在裡面

 

那興趣就不會成立

 

而會對一件事物產生興趣、也通常投入了一定程度的努力在裡面才會感受的到

 

比如學會一首曲子、球技進步取得勝利

 

 

最後

 

分享一篇我覺得寫的很棒的文章

 

雖然有些資訊來源沒有很確定

 

但分析的概念很透徹

 

值得一讀

 



https://mapleduh.pixnet.net/blog/post/46273942

 

文章節錄：

 

「有趣是一種和不確定相關很高的情緒；

愉悅是一種和確定性相關很高的情緒；

 

有趣和愉悅，是兩個完全不同，甚至相反的情緒——

 

當一個事情複雜、新奇和不確定的時候，人們就會感到有趣；

而當一個事情簡單、穩定和確定的時候，我們就會感覺到愉悅。」

 

「我們常常因為白飯吃多了，就以為自己要以腐乳為生。

 

我把這種現象稱為“火鍋效應”——如果你問一個天天吃家常菜的人說你想吃點什麼？他會說，火鍋！我最愛吃火鍋！但是如果你抓他吃一個月的火鍋——哪怕變著花樣，他估計哭著喊著要回家。最好的生活，是經常吃米飯，偶爾點火鍋。」

 

「興趣，不是那件讓你舒舒服服就成功拿到結果的事；興趣是那件讓你白天痛苦地想、晚上睡不好、早上五點爬起來，一邊苦笑著罵娘一邊咧著嘴幹完的事情。那才是興趣本來的樣子。」

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