ultrasound Flashcards

1
Q

what is ultrasound

A

ultrasound is high-frequency sound waves above 20,000hrtz

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2
Q

what frequency is ultrasound

A

1- 3 Mega Hearts

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3
Q

what is the piezoelctric effect

A

electrical currents cause the crystal within the transducer to expand and compress, this creates movemtn at the transducer head producing ultrasound waves

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4
Q

what structures absorb sound waves better

A

ones with lower water and higher protien content

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5
Q

what frequency is used for superifical structures

A

3Mhz

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6
Q

whta frquency is good for deep structures

A

1Mhz

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7
Q

define continuous ultrasound

A

ultrasound inetnsity remains consistent over time, provides a thermal effect that could promote blood flow

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8
Q

defien pulsed ultrasound

A

ultrasound is in intervals so overall output is lower and there is less thermal effect

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9
Q

when should you use pulsed ultrasound

A

if the injury is at the acute stage or if a inflamatory repsonse is still prresent

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10
Q

when should you use continuous ultrasound

A

when the injury is at a subacute or chronic phase

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11
Q

how long dshould treatment be applied

A

1 minute x size of heads needed (1 or) x pulse ratio

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12
Q

shocase the duty cycles of pulsed ratios modes

A

acute is1:4 or 20%, sub actute is 1:2 or 1:3, pulsed ratio is 1:1 or 50%

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13
Q

what are the general contraindications for ultrasound therapy?

A

pregnancy, cancer/malignancy, bone damage, psoriasis, haemophilia, neoplastic tissue, deep vein thrombosis, atherscorlosis, recent x-rays

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14
Q

what is haemophilia

A

trouble blood clotting that leads to excessive blood clots

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15
Q

what is psoriasis

A

flaking itchy inflamed skin

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16
Q

what is neoplastic tissue

A

tissue that has rapidly produced causing a lump or tumor

17
Q

what is deep vein thrombosis

A

blood clots within the veins or arteries

18
Q

what is atherscorlosis

A

build-up of fats or cholesterol in the arteries

19
Q

what are the three theoretical benefits of ultrasound

A

cavitations, acoustic streaming,

20
Q

what are the precautions for ultrasound

A

no use over epiphyseal plates, care over bony areas, and start with lowest possible intensity

21
Q

what parts of the body should not be applied with

A

eyes, genitals, cardiac area (if there is a heart problem present), pacemaker, the brain/spinal cord, active epiphyseal plates

22
Q

what is the aim of therapeutic ultrasound

A

reduce pain and improve tissue healing

23
Q

explain cavitations and their benefits

A

bubbles form in the gaps in tissues and oscillate in the sound waves causing cell excitability to increase

24
Q

explain acoustic streaming and its benefits

A

sound waves cause the liquid around the tissue to vibrate, this alters the tissues cell permeability increasing diffusion rates, along with cavitations increase cell activity

25
explain micro-massage and their benefits
in theory, the sound waves can cause the tissue to vibrate which could help interstitial fluid move and remove waste products
26
why is ultrasound gel applied
to reduce acoustic impedance
27
what is acoustic impedance
acoustic impedance is when the structure reflects the ultrasound waves and prevents the absorption of the sound waves within the tissues. Acoustics are altered depending on the density and the water content of bodily structures.
28
name structures that absorb ultrasound well
tendon, ligament, muscle
29
name structure that absorbs sound waves poorly (has the most acoustic impedance)
bone, blood, skin, adipose tissue
30
what is the equation for treatment time
1 x ( X number of heads that fit over the injury site) x (sum of pulse ratio)
31
what are the pulse ratios for a chronic injury
1 (continuous) or 1:1
32
what are the pulse ratios for a sub-acute injury
1:1, 1:2, 1:3,
33
what are the pulse ratios for an acute injury
1:3, 1:4
34
how does ultrasound benefit the inflammation stage
increase in inflammatory cytokines, increases ionic exchange. increased secretion of macrophages, increased production of phagocytes
35
how does ultrasound benefit the proliferation phase
the proliferation of fibroblasts, increased rate of angiogenesis, increased type 3 collagen production
36
how does ultrasound improve the maturation phase
helps with the orientation of newly woven collagen fibres to boost tensile strength and function, supports transformation of collagen from type 3 to 1