Ultrasound Therapy Techniques
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Questions and Answers

What is the primary effect of microstreaming on cell membranes?

  • Reduces cell exchange
  • Inhibits tissue repair
  • Agitates cell membranes (correct)
  • Decreases ion permeability
  • Which frequency is most suitable for superficial heating up to 3 cm?

  • 2 MHz
  • 4 MHz
  • 1 MHz
  • 3 MHz (correct)
  • In the context of phonophoresis, what is the main purpose of using ultrasound?

  • To generate heat for scar tissue
  • To reduce blood flow
  • To transdermally deliver medication (correct)
  • To dry skin
  • At what duty cycle are non-thermal effects observed when using pulsed ultrasound?

    <p>20% duty cycle</p> Signup and view all the answers

    What is the maximum intensity for 1 MHz ultrasound when targeting deeper tissue heating?

    <p>1.5 w/cm²</p> Signup and view all the answers

    What should be considered regarding the treatment area in relation to the ERA of the transducer?

    <p>The treatment area should be up to 2 times the size of ERA.</p> Signup and view all the answers

    Which of the following is a characteristic of continuous ultrasound?

    <p>Leads to thermal effects</p> Signup and view all the answers

    When using indirect ultrasound, how should the transducer head be positioned?

    <p>1-2 cm from the skin</p> Signup and view all the answers

    Study Notes

    Microstreaming and Cavitation

    • Microstreaming is the flow of currents around gas bubbles, caused by cavitation.
    • This agitation affects cell membranes, increasing ion permeability.
    • Stable cavitation contributes to increased cell permeability, ion exchange, and tissue repair.

    Phonophoresis

    • Phonophoresis uses ultrasound to deliver medication transdermally, typically to reduce inflammation.
    • Parameters:
      • Frequency: Usually 3 MHz (though 1 MHz is also used).
      • Duty cycle: 20% pulsed.
      • Intensity: 0.5-0.75 W/cm².
      • Treatment duration: 5-10 minutes.

    Deep Heat via Ultrasound

    • Ultrasound converts sound waves to mechanical vibrations, generating heat and non-thermal effects in tissue.
    • The ultrasound agent penetrates up to 5 cm.
    • Parameter selection is crucial:
      • Frequency:
        • 3 MHz for superficial heating (1-3 cm). Higher intensity, less heat on scars.
        • 1 MHz for deep heating (up to 5 cm). Lower intensity, careful around piriformis.
      • Intensity: (ranges vary depending on Frequency and duty cycle):
        • 3 MHz (superficial): 0.5-1.0 W/cm²
        • 1 MHz (deep): up to 1.5 W/cm²
      • Duty Cycle: Impacts thermal vs non-thermal effects.
        • Pulsed: Non-thermal, promotes ion exchange, acute conditions, healing.
        • Continuous: Thermal, intense healing, chronic conditions, increases blood flow and tissue extensibility, uninterrupted sound waves.
      • Thermal vs. Non-Thermal: Thermal parameters:
        • 100% Duty cycle (Continuous):
          • 1-2 cm: 3 MHz, 1.0 W/cm²
          • Up to 5 cm: 1.5-2.0 W/cm²
        • Non-Thermal (Pulsed): 20% duty cycle
          • 1-2 cm: 0.5-1.0 W/cm²
          • Up to 5 cm: 0.5-1.0 W/cm²
      • Treatment Area and Duration: 2-4 times the size of ERA for 5-10 minutes.
      • Direct vs Indirect application. Direct using Gel/lotion/pad, indirect in water with transducer 1-2 cm from skin-increase 50% intensity).

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    Description

    This quiz covers essential ultrasound therapy techniques, including microstreaming, phonophoresis, and deep heat application via ultrasound. Understand how these methods facilitate tissue repair and medication delivery while considering critical parameters like frequency and intensity.

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