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Physical Agents
Ultrasound (PTA)
Question | Answer |
---|---|
Frequency used for muscle/tissue | 1 MHz |
Frequency used for superficial/bony | 3 MHz |
Which frequency setting penetrates deeper: 1 or 3 MHz? | 1 MHz |
For thermal effects, put the duty cycle on... | 100%; Continuous |
For NON-thermal effects, put the duty cycle on... | <20%; Pulsed |
For thermal effects at 1 MHz, adjust the intensity to... | 1.5-2.0 W/cm² |
For thermal effects at 3 MHz, adjust the intensity to... | 0.5 W/cm² |
For NON-thermal effects, adjust the intensity to... | 0.5-1.0 W/cm² |
Approx. DURATION of Ultrasound treatment | 5-10 min. |
the ERA (effective radiating area) covers... | 1/2 the size of the sound head |
Indications for US | soft tissue shortening, pain control, dermal ulcers, surgical skin incisions, tendon injuries, resorption of calcium deposits, bone fractures, carpal tunnel syndrome, phonophoresis, plantar warts, herpes zoster infection |
Precautions for US | acute inflammation, epiphyseal plates, fractures, breast implants |
Contraindications for US | malignancy, pregnancy, CNS tissue, joint cement, plastic components, pacemaker, thrombophlebitis, eyes, reproductive organs |
Adverse effects of US | burns, blood cell stasis |
US can penetrate ___________ of soft tissue | 2-5 cm |
What happens during continuous US? | effects BUILD UP in tissues |
What happens during pulsed US? | interrupted waves allow RECOVERY in tissues |
The _______ the frequency, the higher the absorption coefficient. | higher |
Absorption is most effective in what type of tissue? | Tissue with high collagen content |
What are the 3 types of NON-thermal US? | Cavitation, Microstreaming, Acoustic streaming |
In thermal US, what generates heat? | Changes in the tissues |
An acceptable BNR range is... | 2-6 |
What is the importance of BNR (beam non-uniformity ratio)? | Lower BNR minimizes the risk of “hot spots” and allows for higher doses to be applied |
US at a ______ frequency is absorbed more rapidly than at a _______ frequency | higher (i.e. 3 MHz); lower (i.e. 1 MHz) |
Tissues with higher water content have a _______ absorption rate | lower (i.e. skin and adipose tissue) |
Thermal US heats a _______ area & reaches _______. | smaller; deeper |