ultrasound Flashcards

1
Q

the use of ultrasound

A
  • destruction of tissue
  • therapeutic
  • diagnostic
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2
Q

purpose of extracorporeal school wave therapy? ESWT

A
  • creating tissue damage, to see resolution of chronic inflammatory conditions
  • plantar fasciitis
  • MTSS
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3
Q

therapeutic ultrasound purpose

A
  • stimulating the repair of soft tissue injuries
  • pain relief
  • heating tissues (deep heating modality)
  • proudces tissue elongation
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4
Q

acoustics energy aka

A

sounds waves

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5
Q

attenuation

A

decreased energy intensity as sound energy moves deeper into tissues

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6
Q

dispersion

A

spreading or scattering of sound energy

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7
Q

absorption

A

consumption of sound energy into issues

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8
Q

two therapeutic US effects

A

thermal and non thermal effects

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9
Q

thermal effects of US purpose

A

-increase blood flow
- increase tissue extensibility
- improve mm relaxation
- decrease mm spasm
- improve pain

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10
Q

non thermal effects of US

A
  • facilitating healing
  • stimulating fibroblastic activity
  • modified cellular function
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11
Q

US non thermal effects

A
  • 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
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12
Q

ERA - effective radiating area

A
  • most effective if applied in an areas 2x the ERA and cannot be greater than 4x
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13
Q

beam non uniformity ration

A

BRN - acoustic energy generating crystal is not perfectly uniform in shape nor does it expand and contract uniformly across its surface

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14
Q

deeper penetration you need to change

A

frequency

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15
Q

frequency =

A

waves/ sec

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16
Q

ranges from

A

.75 to 3.3 MHz = millions of cycles per second

17
Q

3 is used for what structures

A

superficial structures
- tendons and ligaments

18
Q

1MHz is used for what structures?

A

deeper structures
- muscle and fascia

19
Q

duty cycle defined as

A

pulse duration/pulse period x 100
- the amount of time the transducer is emitting ultrasound

20
Q

if using thermal on ultrasound what are the parameters?

A
  • continuous
  • 100% or 1
  • high duty cycle
21
Q

intensity refers to

A

the power delivered over a specific area
- expressed in watts/cm2 or milliwatts/cm2
-

22
Q

purpose of coupling

A

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

23
Q

US and heat pack

A

reducing muscle spasms and muscle guarding
- can decrease transmission of US because increasing blood flow and creating a less dense medium

24
Q

US and cold pack

A
  • US after ice
  • cold pack initiatives vasoconstriction and decreased blood flow
  • assists in temporality increasing the density of the tissue to be heated
25
Q

us and electrical stimulation

A
  • e swim provides analgesic effect and muscle contraction
  • recommended in treatment for myofascial trigger points and wound healing
  • reduce pain spasm pain cycle
26
Q

phonophoresis

A

enhances delivery of a selected medication into the tissues
- done with either pulsed or continuous US

27
Q

contraindications for US

A

absolute - active cancer, pacemaker, mentality, reproductive organs
regional- pregnancy, DVT, impaired circulation, active bone growth, eyes

28
Q

indications for US

A
  • myofascial pain
  • back pain
  • tendinitis
  • bursitis
  • soft tissue healing
  • repair
  • remodeling scar tissue
  • adhesive capsulitis
  • chronic inflammation
  • bone healing
29
Q

recalibrate every

A

6 to 12 months

30
Q

treatment time

A

5 to 10 min
-depends on intended effects and tissue composition

31
Q

extracorporeal shock wave therapy bionic effects

A

stimulate growth factors and stem cells to foster new collagen
- pts who have failed injections and conservative tx respond best

32
Q

ask ultrasound used for

A

visualization of tissue abnormalities within the RC, knee, etc

33
Q

rehabilitation US imagining (RUSI) used for

A

biofeedback
- pelvic and orthopedic outpatient