ultrasound - Answers -sound waves with a frequency greater than 20,000 hertz
-has a thermal/nonthermal effects when applied to the body
sound waves enter the body and are attenuated by? - Answers -absorption
-reflection
-refraction
attenuation - Answers gradual decrease in intensity as ultrasound travels through tissue
absorption - Answers -some tissues are capable of greater absorption of ultrasound than others
-tissue and frequency specific
-higher absorption occurs in tissue with a high collagen rate and with higher us frequencies
ultrasound energy absorption - Answers best in tendon, ligament, fascia joint capsule and scar
tissue
reflection of a sound wave - Answers occurs when the wave passes between two tissues and a
fraction of the wave "bounces" back
refraction - Answers occurs when the US signal is deflected from a straight path and the angle
of deflection is away from the transducer
coupling agents - Answers gel and water
US parameters - Answers -effective radiating area (ERA) -cm2
-beam nonuniformity ratio (BNR)- ratio
-intensity- w.cm2
-frequency- MHZ
-duty cycle-%
effective radiating area (ERA) - Answers -area of the crystal that actually produces sound waves
-energy is concentrated near the center
-era is always smaller than the total size of the transducer head
beam profile - Answers -multiple ways to emerge from the head
-energy diverges as it moves away from the source
, -energy is uniform close to the head (fresnel zone)
-becomes less consistent farther away from the head (spatial peak intensity)
beam nonuniformity ration (BNR) - Answers -describes amount of variation in the beam
-perfect beam would have a BNR of 1:1
ration is between the spatial peak intensity and spatial averaged intensity
-high the quality of the crystal, the lower the BMR
-lower BNR is more favorable since patients will be less likely to experience hot spots and
discomfort during treatment
frequency - Answers -selected according to the depth of the tissue to be treated
-US delivered at a higher frequency is absorbed more rapidly than US delivered at a lower
frequency
3 MHZ - Answers reaches soft tissues 1-2 cm deep
1 MHZ - Answers reaches soft tissues up to 5 cm deep
intensity - Answers -measures the quantity of energy delivered per unit area
-spatial average intensity: the average intensity of the US input over the area of the transducer;
expressed in w/cm2
-selected according to treatment goal
-3 MHZ increases tissue temp ~3x faster than 1 MHZ when same
duty cycle - Answers portion of treatment time that US is generated during the entire treatment
continuous - Answers uninterrupted flow of sound waves; intensity remains constant; 100%
used when the goal is to increase tissue temp
pulsed - Answers produced by intermittently interrupting the supply of electrical energy to the
US head, which causes the sound waves to be discontinuous; 20% most recommended pulsed
cycle; used when nonthermal effects desired
thermal effects - Answers -increase extensibility of collagen structures
-decrease joint stiffness and inflammation
-pain relief
-increase blood flow