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Question | Answer |
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Ultrasound is a common | deep heating agent that transfers heat through conversion, |
elevates tissue temperature to depths up to | five centimeters, and uses inaudible acoustic mechanical vibrations of high frequency to produce thermal and nonthermal effects. |
The main therapeutic effects of ultrasound include | enhanced soft tissue healing, decreased inflammatory response, and decreased pain. |
Thermal effects: | Increase extensibility of collagen structures |
Thermal effects: | Decrease joint stiffness |
Thermal effects: | Pain relief |
Thermal effects: | Increase blood flow |
Thermal effects: | Decrease muscle spasm |
Nonthermal effects: | Stimulation of tissue regeneration |
Nonthermal effects: | Increase macrophage responsiveness |
Nonthermal effects: | Pain relief |
Nonthermal effects: | Soft tissue repair |
Nonthermal effects: | Increase blood flow |
Nonthermal effects: | Increase skin and cell membrane permeability |
Indications | Soft tissue repair |
Indications | Contracture |
Indications | Bone fracture |
Indications | Trigger point |
Indications | Dermal ulcer |
Indications | Scar tissue |
Indications | Pain |
Indications | Plantar wart |
Indications | Muscle spasm |
Contraindications | Over eyes |
Contraindications | Over pregnant uterus |
Contraindications | Over cemented prosthetic joint |
Contraindications | Impaired circulation |
Contraindications | Thrombophlebitis |
Contraindications | Impaired pain or temperature sensory deficits |
Contraindications | Over heart |
Contraindications | Over testes |
Contraindications | Over epiphyseal areas in children |
Contraindications | Infection |
Contraindications | Over malignancy |
Ultrasound can be administered using | a pulsed or continuous mode. |
Continuous mode ultrasound is more effective in elevating tissue temperature | where pulsed mode ultrasound conversely minimizes the thermal effects. |
Duty cycle indicates the portion of treatment time that ultrasound is | generated during the entire treatment. |
continuous ultrasound generates constant ultrasound waves that correlates to a | 100% duty cycle and produces thermal effects at a higher intensity and nonthermal effects at a lower intensity. |
Pulsed ultrasound that generates ultrasound 20% of the treatment time correlates to a | 20% duty cycle and will produce nonthermal effects. |
A frequency setting of 1 MHz is used for | heating of deeper tissues (up to five centimeters) |
a setting of 3 MHz produces a | higher temperature with a depth of penetration of less than two centimeters. |
Apply the coupling medium to the treatment area or | place the area to be treated under water if using the immersion technique. |
Place the transducer on the treatment area or | one half inch parallel to the treatment area under water and then turn on the machine. |
During the moving technique the transducer should | continuously move in a small circular pattern over the treatment area. |
Maintain contact with the skin and | stay within the treatment area. |
An area two to three times the size of the transducer | typically requires a duration of five minutes of treatment. |
Intensity for continuous ultrasound is normally set between | .5 to 2 W/cm2 for thermal effects. |
Pulsed ultrasound is normally set between | .5 to .75 W/cm2 with a 20% duty cycle for nonthermal effects. |