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Ultrasound/Phoresis/Laser
Lecture and Lab
66
Medical
Graduate
07/03/2015

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Cards

Term
Difference between ultrasound and diathermy
Definition
electromagnetic energy travels through a vacuum, ultrasound energy relies on molecular collision for energy transmission
Term
2 parts of the ultrasonic beam
Definition
near field, far field
Term
where do the therapeutic effects of ultrastound take place
Definition
near field
Term
as the US wave frequency increases, what happens to the wavelength
Definition
shortens
Term
the intensity of the ultrasonic beam is much more uniform in which field
Definition
far field
Term
non-thermal (mechanical) effects of ultrasound
Definition
stable cavitation, microstreaming
Term
formation of microbubbles in tissue which expand and contract at the same frequency of the acoustic waves
Definition
acoustic cavitation
Term
formation of microbubbles in tissue which expand and contract (at the same frequency of the acoustic waves) and are nonimplosive
Definition
stable cavitation
Term
non-thermal mechanical effects of US: what is microstreaming caused by
Definition
non-implosive repetitive pulsations of stable cavitation
Term
the minute flow of fluid into the vicinity of pulsating bubbles
Definition
microstreaming
Term
the higher the resonant frequency, the faster the rate of absorption by what tissues?
Definition
superficial tissues
Term
the lower the resonant frequency the rate absorption of is faster for what tissues?
Definition
deeper tissues
Term
3 Mhz of US resonant frequency will penetrate how deeply
Definition
within the first 2 cm
Term
1 Mhz of US energy will penetrate how deep
Definition
5 cm
Term
Which mode of US delivery would be used for thermal effects
Definition
continuous mode
Term
Which mode of US delivery would be used for mechanical effects?
Definition
pulsed modes
Term
how is power of US determined?
Definition
intensity x transducer size
Term
determine the power of the following US: 10cm^2 transducer 2 W/cm^2
Definition
20 W
Term
the duty cycle is only used for which mode of US
Definition
pulse US
Term
how is duty cycle determined?
Definition
(power on/(power on+power off))
Term
how is temporal average intensity determined?
Definition
pulse average intensity x duty cycle
Term
use of a pharmacological agent in addition to US coupling agent
Definition
phonophoresis
Term
US indications (4)
Definition
soft tissue restrictions and shortening, subacute and chronic inflammation, musculoskeletal pain associated with muscle spasms, wound healing
Term
US contraindications (11)
Definition
tx near a pacemaker, uterus of a pregnant woman, near a tumor (malignant or benign), near suspected thrombophelbitis, active infection, areas of active bleeding or potential for hemorrhage, epiphyseal plates in skeletally immature individuals, over the heart, over vertebral bodies, over the eyes ear genetilia, over superficial metal implants
Term
US Intensity for thermal effects
Definition
> 1W/cm2
Term
US intensity for mechanical effects
Definition
<1 W/cm2
Term
US frequency for deep tissue
Definition
1 MHz
Term
US frequency for superficial tissue
Definition
3 MHz
Term
Duty cycle for thermal effects
Definition
100%
Term
duty cycle for mechanical effects
Definition
20%
Term
US time for thermal effects
Definition
5-10 minutes
Term
US time for mechanical effects
Definition
3-6 minutes
Term
Laser is an abbreviation for what
Definition
Light Amplification by Stimulated Emission of Radiation
Term
fundamental properties of laser light
Definition
monochromatic, collimated, coherent
Term
Laser light: monochromatic
Definition
all photons have a single, specific wavelength, thus one color
Term
Laser light: collimated
Definition
little divergence of the light
Term
contraindications for therapeutic massage: coherent
Definition
all photons travel in the same wavelength or phase and in the same direction
Term
Laser light: temporal coherence
Definition
all photons travel in the same wavelength or phase
Term
Laser light: travel in the same direction
Definition
spatial coherence
Term
Therapeutic laser is found in the visible range of the electromagnetic spectrum, which is what?
Definition
red to near infrared
Term
Importance of monochromatic light for therapeutic laser treatment
Definition
absorption can be targeted to specific wave-length dependent chromophores
Term
importance of laser light being collimated and coherent for therapeutic reasons
Definition
specifically direct to a very small target
Term
form of laser therapy where there is no significant heat produces and seen therapeutically
Definition
low level laser therapy
Term
3 basic components of laser devices
Definition
active medium, the resonance chamber, energy source
Term
active medium for HeNe lasers
Definition
energy transfer from an excited helium to neon through the process of collision
Term
resonance chamber for HeNe laser
Definition
a sealed glass tube with fully reflective and a semireflective/semipermeable mirro at both sides housing the HeNe mixture
Term
HeNe laser energy source
Definition
electrical current passing through the gas mixture
Term
GaAS/GaAlAs laser active medium
Definition
combination of elements gallium and arsenide, sometimes including aluminium at the diode
Term
GaAS/GaAlAs laser resonance chamber
Definition
gap between the positive material and the negative material surrounded by reflective material
Term
GaAS/GaAlAs laser energy source
Definition
electrical current passing throug the p-n junction
Term
Direct laser penetration: GaAs and GaAlAs lasers penetrae how deeply
Definition
2 cm
Term
Direct Laser Penetration: How deep do HeNe lasers penetrate
Definition
.5 cm
Term
Indirect laser penetration: How deep do HeNe lasers penetrate
Definition
1 cm
Term
indirect laser penetration: How deep do GaAs and GaAlAs lasers penetrate
Definition
5 cm
Term
Main therapeutic effects of LLLT
Definition
tissue healing and pain management via photobiomodulation
Term
Which laser type provides a continuous wave form
Definition
HeNe
Term
Whish laser type delivers a pulsed wave form
Definition
GaAs laser
Term
Indications for LLLT
Definition
soft tissue heailng, wound care, pain
Term
Contraindicaitons for laser therapy
Definition
none
Term
a physical therapist selects a therapeutic ultrasound generator with a frequency of 3.0 MHz. Which condition would most warrant the use of this frequency
Definition
Anterior talofibular ligament sprain
Term
A physical therapist uses a 3.0 MHz ultrasound beam at 1.5 W/cm2 to treat a patient diagnosed with carpal tunnel syndrome. The majority of ultrasound energy will be absorbed within a dpeth of
Definition
1-2 cm
Term
A patient is treated used pulse wave ultrasound at 1.2 W/cm2 for seven minutes. The specific parameters of the pulsed wave are 2 msec on time and 8 msec off time for one pulse period. THe duty cycle should be recorded as
Definition
20%
Term
A PT administers US over a ptnt's anterior thigh. After 1 minute the patient reports a slight burning sensation under the soundhead. The therapist's most appopriate action is to...
Definition
temporarily discontinue treatment and examine the amount of coupling agent utilized
Term
A patient reports significant discomfort in the lower leg during ultrasound treatment. The therapist believes the discomfort is casued by periosteal pain from the US. Which scenario is most likely associated with with the patient's subjective report of discomfort?
Definition
An ultrasound unit with a high beam non-uniformity ratio
Term
US frequency for depper absorption
Definition
1 MHz
Term
US frequency for superficial tissues
Definition
3 MHz
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