Unit 6: Ultrasound

Question 1

Primary use?

Answer 1

• Decreasing edema
• Facilitate wound healing

Question 2

Negative vs Positive Polarity?

Answer 2

Positive: Formation of granulation tissue; clot formation around wound.

Negative: Dissolves blood clots; increases inflammatory

Some literature recommends starting with Negative polarity 1st.

Question 3

During inflammatory stage of wound healing, what is the appropriate treatment?

Answer 3

• Immobilize or use Static Orthoses.
  – Protects healing wounds from further damage while maintaining healing-position.

Question 4

Client just had a Fasciectomy procedure, what is the appropriate treatment?

Answer 4

A Dupuytren’s Fasciectomy; a static orthosis used to maintain digit extension.

Question 5

Need to Lengthen Tissue, what do you use?

Answer 5

Mobilization Orthoses–does not cause tearing or inflammation of structures.
Used for long-durations during Proliferative & Remodeling phases of wound healing.

NOT to be used until 6 Weeks post-injury when wound is at 60% tensile strength.
*90º angle of ROM to not damage joint or cartilage!