Test 2 Part1 Flashcards

(33 cards)

1
Q

What deep heating modality uses sound waves at high frequencies, penetrates the skin and subcutaneous fat, and also has mechanical effects?

A

Ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the second most common heating modality used among chiropractors (63%)?

A

Ultrasound (moist hot packs is #1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the frequency range of most Ultrasound machines?

A

0.8-3.3 MHz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How is the duty cycle for US calculated?

A

time sound is delivered divided by total treatment time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Duty cycle of 100% =?

50% or 20%?

A

continuous US;

pulsed US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the purpose of continuous Ultrasound? of Pulsed?

A

tissue healing;

mechanical/nonthermal effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Mechanical deformation of a crystal causes an electrical current to form…

A

Piezoelectric effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Alternating current is passed through a crystal resulting in very fast contraction and expansion of the crystal producing high frequency sound waves…

A

Reverse piezoelectric effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the ERA?

BNR?

A

Effective Radiating Area;

Beam Nonuniformity Ratio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the term for the area of the sound head that produces sound energy which is always smaller than the size of the US head?

A

Effective Radiating Area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the term for the ratio between the peak intensity of the US beam divided by the average intensity of the US beam?

A

Beam Nonuniformity Ratio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the BNR used to determine?

A

comparison of the quality of different US machines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the ideal BNR?

A

1:1 but within the range of 2:1-8:1 is acceptable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

T/F: The lower the BNR, the less uniform the intensity of the sound wave.

A

False; lower ratio equals more uniform

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does PAMBNR stand for? and what does it describe?

A

Peak Area of the Maximum Beam Nonuniformity; describes the area of the sound head covered by the peak intensity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

T/F: Larger PAMBNR means less uniform heating.

A

True (peak intensity covers a larger area)

17
Q

T/F: Air is a poor conductor of US.

A

True, hence the use of gel and gel pads

18
Q

T/F: Underwater ultrasound is considered indirect ultrasound and should only be done in plastic buckets, not metal due to reflection.

19
Q

T/F: With US, more watts equals greater penetration.

A

False; equals more heating

20
Q

Frequency of US dictates depth of heating. What is the typical range?

21
Q

T/F: High frequency US (3MHz) is absorbed at a slower rate and therefore affects deeper tissues.

A

False; This is true of Low freq (1MHz), High freq is absorbed more rapidly affecting superficial tissues.

22
Q

T/F: More tissue healing occurs with continuous US than with pulsed.

23
Q

What is the difference b/w reflection and refraction?

A

reflection: reversal of direction
refraction: change from a straight path when passing obliquely from one medium to another

24
Q

T/F: The bending of US energy within tissue can lead to concentration of US at the point of reflection, such as where tendon joins bone.

A

False; should say point of REFRACTION

25
T/F: 2-3 degrees C increase of tissues increases blood flow and reduces muscle spasm, whereas 4 degrees C increase alters viscoelastic properties of collagen.
True
26
T/F: With US therapy, longer times are needed when lower intensities are used.
True
27
Since superficial tissues cool faster than deeper ones, when should tissue manipulation or stretching occur with regard to US treatment?
Immediately after (while things are "warm and loose")
28
T/F: Pulsed US has been shown to stimulate fibroblast activity.
True
29
What is the term for the movement of fluids along cell membranes due to mechanical pressure exerted by the sound waves?
Acoustical streaming
30
What is the term for the rhythmic expansion and contraction of bubbles during repeated pressure changes over many acoustic cycles?
stable cavitation
31
What is the term for the collapse of gas bubbles which may cause tissue damage, which is associated with low frequency high intensity US?
Unstable cavitation
32
T/F: Metal implants are a contraindication for US, but plastic and/or cemented implants are not.
False; vice versa
33
Why should you avoid using US over an Epiphyseal plate?
may alter bone growth