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Physical Agents
Ultrasound (PTA)
| Question | Answer |
|---|---|
| Frequency used for muscle/tissue | 1 MHz |
| Frequency used for superficial/bony | 3 MHz |
| Which frequency setting penetrates deeper: 1 or 3 MHz? | 1 MHz |
| For thermal effects, put the duty cycle on... | 100%; Continuous |
| For NON-thermal effects, put the duty cycle on... | <20%; Pulsed |
| For thermal effects at 1 MHz, adjust the intensity to... | 1.5-2.0 W/cm² |
| For thermal effects at 3 MHz, adjust the intensity to... | 0.5 W/cm² |
| For NON-thermal effects, adjust the intensity to... | 0.5-1.0 W/cm² |
| Approx. DURATION of Ultrasound treatment | 5-10 min. |
| the ERA (effective radiating area) covers... | 1/2 the size of the sound head |
| Indications for US | soft tissue shortening, pain control, dermal ulcers, surgical skin incisions, tendon injuries, resorption of calcium deposits, bone fractures, carpal tunnel syndrome, phonophoresis, plantar warts, herpes zoster infection |
| Precautions for US | acute inflammation, epiphyseal plates, fractures, breast implants |
| Contraindications for US | malignancy, pregnancy, CNS tissue, joint cement, plastic components, pacemaker, thrombophlebitis, eyes, reproductive organs |
| Adverse effects of US | burns, blood cell stasis |
| US can penetrate ___________ of soft tissue | 2-5 cm |
| What happens during continuous US? | effects BUILD UP in tissues |
| What happens during pulsed US? | interrupted waves allow RECOVERY in tissues |
| The _______ the frequency, the higher the absorption coefficient. | higher |
| Absorption is most effective in what type of tissue? | Tissue with high collagen content |
| What are the 3 types of NON-thermal US? | Cavitation, Microstreaming, Acoustic streaming |
| In thermal US, what generates heat? | Changes in the tissues |
| An acceptable BNR range is... | 2-6 |
| What is the importance of BNR (beam non-uniformity ratio)? | Lower BNR minimizes the risk of “hot spots” and allows for higher doses to be applied |
| US at a ______ frequency is absorbed more rapidly than at a _______ frequency | higher (i.e. 3 MHz); lower (i.e. 1 MHz) |
| Tissues with higher water content have a _______ absorption rate | lower (i.e. skin and adipose tissue) |
| Thermal US heats a _______ area & reaches _______. | smaller; deeper |