How do you set-up/use an Ultrasound Physical Therapy machine?
More specifically, when would one use Pulsed vs. Continuous? How much power to use, 5 watts cm², 10 w/cm², 15, even 20 w/cm²? How much time to spend on an area? It is a 1 MHz machine
I know to use the gel and keep it moving in order not to burn tissue. Also, keep in mind the FDA is not everywhere and some places on the planet simply have equipment and need someone to use it. So please do not say go to a professional, get schooling, or otherwise. We simply need to know how to use it properly.
Thank you.
We would be looking mainly at muscle and tendon strain injuries. If there is no cookbook, I’m assuming there are some guidelines. For example, more power bigger muscle, less power smaller muscle or near bone, power determined by ? heat sensation felt by patient ? etc.
It depends on the nature of the problem. First, there is an issue if your machine only does 1 MHz. This does not allow you to manage the depth of penetration. For more superficial problems (within 1-2 centimeters of the surface), you need a higher frequency so it does not go as deep. 3 Mhtz is typically used in this process. Whereas, 1 MHz can reach up to 5 cm and is appropriate for deeper muscles and structures.
The nature of the problem will dictate if you need pulsed or unpulsed and the intensity. Generally speaking, you never want to go higher than 1.5 W/cm2. 1-1.5 is usually used for thermal effects and it typically takes 5-8 minutes for a treatment area on a continuous mode. The area of sonnation shouldn’t be more than a few times larger than your soundhead. The patient should feel mild heat only, if at all.
For increasing vascular permeability (ie, flushing out the alrea), lower instensities (up to 1.0) are used but on a pulsed setting. The patient should not feel any heat.
For bone stimulation, it requires typically a very low frequency typically 0.5 Mhtz, a very low intensity 0.1 w/cm2 and for up to 15 minutes or so…depending on the protocol.
Generally speaking, US is not shown to do much in terms of rehabilitation, but it can damage you if you use it incorrectly…these are some general guidlines, however, the research about US is really quite poor.
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