ultrasound Flashcards

(49 cards)

1
Q

T/F US must be absorbed by tissue for effect

A

t

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2
Q

T/f ultrasound is preferential absorbed by tissues with lower protein content

A

false - HIGHER

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3
Q

is ultrasound better absorbed by blood or bone

A

bone cus higher protein content

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4
Q

is 1 or 3 Mhz better for deep

A

1

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5
Q

is 1 or 3 MHz better for superficial

A

3

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6
Q

biophysical effects of ultrasound

A

thermal

non-thermal

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7
Q

the resting ____ causes heating from US

A

molecular friction

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8
Q

temperature increase from thermal US depends on

A

amount of energy applied
frequency of sound wave
type of tissue
duration

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9
Q

T/F 3 Mhz heats faster than 1

A

yes but more shallow

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10
Q

vigorous heating at ___ fora atlas 5 minute may increase extensibitly of joints, legs, scar and cause vasodilation

A

40-45C

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11
Q

T/F vigorous heating will provoke inflammatory reaction helpful in tissue healing

A

T

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12
Q

temps > 45 are destructive

A

true

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13
Q

effects of mild heating

A
reduce pain, mm spasm 
promote healing
alter nerve conduction velocity 
vasodilation 
increase activity
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14
Q

T/F US is a good way to heat near bone or joint

A

yea if the area is small

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15
Q

what risk of US tho

A

overheating cus periosteum can’t dissipate heat quickly so keeper moving

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16
Q

Thermal US for

A

pain relief
decrease joint stiffness
improve blood flow
promote tissue healing

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17
Q

non thermal ultrasound. mechanisms

A

cavitation (stable and unstable)
acoustic streaming
standing wave
micromassage

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18
Q

cavitation

A

tiny bubbles. stable or unstable.

stable might be good but unstable are mad

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19
Q

stable cavitation

A

bubbles form then oscillate, they might help in acoustic streaming

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20
Q

unstable cavitation

A

bubbles do large increase and decrease in volume and implode
could cause damage

21
Q

acoustic streaming

A
unidirectional 
flow around stable bubbles
alters NA permeabiltiy
influx of Ca 
accelerate tissue repair
22
Q

problem with cavitation studies

23
Q

standing waves

A

tissues isn’t homo so its unlikely these dangerous waves happen plus you’re moving the head

high intensity energy

24
Q

micromassage

A

caused by waves of compression
causes pressure differences
thought to reduce edema

25
non thermal effects of US
increased membrane permeability stimulation of protein synthesis improve scar tissue
26
how does US optimize inflammation
releases wound healing factors
27
t/f US augments tensile strength
t
28
joule calcuation (total energy)
w/cm2 x cm2 x SECONDS
29
phase of healing impacts US type
inflam - low dose prolif - higher remodelling - higher
30
whats most important factor in US
total energy given
31
energy determinants
``` intensity continuous or pulsed frequency size of area duration treatments ```
32
when do you use low dose
acute inflammatory phase
33
when do you use high dose
chronic , after first stage of healing
34
shorter duration for acute or chronic
acute
35
total energy depends on
intensity and duration
36
frequency of US
acute conditions daily | chronic alternate days at higher dose
37
how to record US
Watts, pulsed, hertz, time, where
38
indications for US
pain
39
contraindications for ultrasound
``` ab if preg lamigancy heemoraphage haemophilia active DVT eyes anyeror neck ```
40
can you US metals
ok if using pulses b ut not over pacemaker or other implants
41
precautions US
SC or superficial nervs regenerating vernces epiphyseal plate is unfused
42
dosage depends on
nature of problem (acute, sub or chronic) tissue depth size
43
LIPUS
low intensity pulsed US | might help with fractures, teeth and cartilage
44
does LIPUS help in fracture healing
yes but its not he equipment used in clinic
45
intensity for acute
.1-.3
46
intensity fo sub acute
.2-.5
47
intensity for chronic
.3-1
48
treatment time
1 x # of heads x pulse factors
49
how to determine pulse factors
add the ratio together