ultrasound Flashcards
the use of ultrasound
- destruction of tissue
- therapeutic
- diagnostic
purpose of extracorporeal school wave therapy? ESWT
- creating tissue damage, to see resolution of chronic inflammatory conditions
- plantar fasciitis
- MTSS
therapeutic ultrasound purpose
- stimulating the repair of soft tissue injuries
- pain relief
- heating tissues (deep heating modality)
- proudces tissue elongation
acoustics energy aka
sounds waves
attenuation
decreased energy intensity as sound energy moves deeper into tissues
dispersion
spreading or scattering of sound energy
absorption
consumption of sound energy into issues
two therapeutic US effects
thermal and non thermal effects
thermal effects of US purpose
-increase blood flow
- increase tissue extensibility
- improve mm relaxation
- decrease mm spasm
- improve pain
non thermal effects of US
- facilitating healing
- stimulating fibroblastic activity
- modified cellular function
US non thermal effects
- cavitation
- increased blood flow in the fluid around vibrating bubbles
- microstreaming: the unidirectional movement of fluids along the boundaries of cell membranes
- can alter cell membrane structure and function due to changes in cell permeability
ERA - effective radiating area
- most effective if applied in an areas 2x the ERA and cannot be greater than 4x
beam non uniformity ration
BRN - acoustic energy generating crystal is not perfectly uniform in shape nor does it expand and contract uniformly across its surface
deeper penetration you need to change
frequency
frequency =
waves/ sec
ranges from
.75 to 3.3 MHz = millions of cycles per second
3 is used for what structures
superficial structures
- tendons and ligaments
1MHz is used for what structures?
deeper structures
- muscle and fascia
duty cycle defined as
pulse duration/pulse period x 100
- the amount of time the transducer is emitting ultrasound
if using thermal on ultrasound what are the parameters?
- continuous
- 100% or 1
- high duty cycle
intensity refers to
the power delivered over a specific area
- expressed in watts/cm2 or milliwatts/cm2
-
purpose of coupling
coupling medium is to exclude air form the region between the patient and the transducer so that ultraound can reach the area targeted measured in MHz
US and heat pack
reducing muscle spasms and muscle guarding
- can decrease transmission of US because increasing blood flow and creating a less dense medium
US and cold pack
- US after ice
- cold pack initiatives vasoconstriction and decreased blood flow
- assists in temporality increasing the density of the tissue to be heated
us and electrical stimulation
- e swim provides analgesic effect and muscle contraction
- recommended in treatment for myofascial trigger points and wound healing
- reduce pain spasm pain cycle
phonophoresis
enhances delivery of a selected medication into the tissues
- done with either pulsed or continuous US
contraindications for US
absolute - active cancer, pacemaker, mentality, reproductive organs
regional- pregnancy, DVT, impaired circulation, active bone growth, eyes
indications for US
- myofascial pain
- back pain
- tendinitis
- bursitis
- soft tissue healing
- repair
- remodeling scar tissue
- adhesive capsulitis
- chronic inflammation
- bone healing
recalibrate every
6 to 12 months
treatment time
5 to 10 min
-depends on intended effects and tissue composition
extracorporeal shock wave therapy bionic effects
stimulate growth factors and stem cells to foster new collagen
- pts who have failed injections and conservative tx respond best
ask ultrasound used for
visualization of tissue abnormalities within the RC, knee, etc
rehabilitation US imagining (RUSI) used for
biofeedback
- pelvic and orthopedic outpatient
