Ultrasound Flashcards

(32 cards)

1
Q

What is sound?

A

Waves that transmit energy

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2
Q

Why is “ultra” used in ultrasound?

A

Frequency greater than 20,000 cycles per second is ultra

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3
Q

How is sound transmitted

A

Waves transmitted by energy alternately compress and rarefy material. You need a medium, otherwise they disperse

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4
Q

Frequency in sound waves is:

A

of compression/rarefraction cycles per unit of time expressed in cycles/sec or hertz

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5
Q

What measurement is used to describe frequency in ultrasound?

A

Hertz

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6
Q

At what frequency is therapeutic US used?

A

> 20,000 cycles/sec.

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7
Q

What determines which frequency is used w US?

A

How deep Tx needs to go.

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8
Q

What’s the diff between continuous and pulsed US?

A

Continuous is thermal. Pulsed is nonthermal effects

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9
Q

What is duty cycle?

A

On off time

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10
Q

Duty cycle for continuous US?

A

100%

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11
Q

Most common duty cycle for pulsed US

A

20-80% or 1:5 ratio

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12
Q

In what measurement is the intensity if US registered on the US unit?

A

Watts/ cm2

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13
Q

What is cavitation?

A

Formation, growth, and pulsation of gas filled bubbles caused by US

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14
Q

Stable vs unstable cavitation

A

Stable: bubbles oscillate in size throughout cycles but don’t burst.
Unstable: bubbles grow over # of cycles and then implode

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15
Q

When is unstable cavitation more likely to occur?

A

Increased temp & increased pressure

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16
Q

What is ERA?

A

Effective radiating area aka size of a sound head

17
Q

Contraindications for US

A
Malignant tumor
Pregnancy
CNS tissue
Joint cement
Plastic components
Pacemaker
Thrombophlebitis
Eyes
Reproductive organs
Shallow or weak bone
18
Q

Purpose of thermal US

A

Increase metabolic rate
Decrease pain and mm spasm
Increase circulation
Increase soft tissue extensibility

19
Q

What should occur immediately after US?

A

Massage
Stretch
Exercise

20
Q

Recommended duration for US?

A

5-10 min for each Tx area that’s twice the size of ERA or transducer head

21
Q

Pulsed

A

Nonthermal

20% frequency

22
Q

Continuous

A

Thermal

100% frequency

23
Q

To avoid pain with US

A
More gel (medium)
Avoid over bone
Flatten transducer head and don't scoop gel
24
Q

Rate of transducer head

25
How electrical energy is converted to mechanical in US
Transducer has crystal inside made of piezoelectric properties, causing it to respond to AC by expanding/contracting @ same frequency that current changes polarity. Crystal expands=compress the material in front of it. Crystal contracts=thins area in front of it
26
To penetrate deeper tissues using ultrasound u should:
Use a lower frequency
27
Desired effects of ultrasound
Increase cell permeability Mast cell degranulation Increased collagen synthesis
28
How are tissues heated using ultrasound
Heat accumulates in tissues by conversion of kinetic energy
29
Does pulsed ultrasound minimize temp increase?
Yep
30
The ERA is what size?
Smaller than size of soundhead
31
Ideal parameters for using ultrasound before stretching shortened soft tissue?
1-2w/cm continuous
32
Ideal parameters for modulating inflammation during ultrasound
1-3mhz, .5-1w/cm2 | Pulsed 20%