ultrasound Flashcards

1
Q

therapeutic ultrasound

A

-is a deep heating modality using US to primarily elevate tissue temperatures

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2
Q

medical US has a frequency of..

A

0.5-5.0

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3
Q

therapeutic US has a frequnency of..

A

0.7-3.3 MHz to maximize energy absorption at a depth of 2 to 5cm of soft tissue

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4
Q

continuous US

A
  • CUS
  • continuous delivery of US throughout the treatment period
  • thermal effect
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5
Q

Pulsed US

A

PUS

  • DElivery of US suring only a portion of treatment period
  • non-thermal effect
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6
Q

duty cycle

A
  • the proportion of the total treatment time that the US is on. this can be expressed wither as a percentage or a ration.
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7
Q

3mHz

A

= higher frequency = faster, higher temp, shallow tissue depth

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8
Q

1 MHz

A

= lower frequency = slower, lower temp, deeper tissue depth

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9
Q

soft tissue response to US

temp increase how much

A
  • increase 0.2 deg C per minute of US delivered at 1W/cm2 at 1MHz
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10
Q

therapeutic temperature Range

A
  • 41 deg C to 45 deg C

- or 106.0 F

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11
Q

thermal effects from using US

A
  • increased metabolic rate
  • reduction or control of pain
  • reduction or control of muscle spasm
  • increase nerve conduction velocity
  • increase circulation
  • increased softtissue extensibility
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12
Q

non-thermal effects of US

A
  • increased intracellular calcium
  • increased skin and cell membrane permeability
  • increased mast cell degranulation
  • increase chemotactic factor and histamine release
  • increased macrophage responsiveness
  • increased rate of protein synthesis by fibroblasts
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13
Q

US for soft tissue shortening

A
  • CUS
  • 0.5- 1.0 power is 3MHz
  • 1.5-2.5 power is 1 MHz
  • time 5-10 minutes

stretch during and after US application for 5 to 10 minutes

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14
Q

US for pain control

A
  • CUS
  • freq 1 MHz
  • Power 0.5-2 W/cm2
  • 5-10 minutes
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15
Q

US for calcific tendinitis of the shoulder

A
  • CUS
  • 1 or 3 MHz
  • 1-2 w/cm2
  • 10 minutes
  • 10 minutes for 4-8 weeks
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16
Q

US for tendons and ligament injuries

A
  • CUS or PUS
  • 1 or 3 MHz
  • 0.5 to 1.5 W/cm2
  • 3-5 minutes
17
Q

US for carpal tunnel

A

PUS

  • 25%
  • 1 MHz
  • 1-2 W/cm2
  • 5-10 minutes
18
Q

US for phonophoresis

A
  • PUS
  • 20%
  • 3MHz
  • 0.5-.75W/cm2
  • 5-10 minutes
19
Q

phonophoresis

A
  • US used to enhance delivery of the drug through the skin, delivering the drug for local or systemic effects
20
Q

how long does it take a 3MHz 1.5w/cm2 CUS to heat tissue up to 40 deg C

A
  • 4 minutes
21
Q

Frequency 1 or 3 MHz

A
  • deep: up to cm use 1 MHz

- superficial - up to 1-2 cm use 3MHz

22
Q

US thermal or non-thermal effects

A
  • thermal CUS 100%

- non thermal PUS 20%