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A meta-analysis found that ultrasound therapy is effective in reducing pain, increasing ROM, and reducing WOMAC functional scores in patients with knee osteoarthritis. [7] There are three potential therapeutic mechanisms of ultrasound in physical therapy. The first is the increase in blood flow in the treated area.
This method of medical ultrasound therapy can be used for various types of pain relief and physical therapy. In physics, the term "ultrasound" [1] applies to all acoustic energy with a frequency above the audible range of human hearing. The audible range of sound is 20 hertz – 20 kilohertz. Ultrasound frequency is greater than 20 kilohertz.
Low intensity pulsed ultrasound has been proposed as a therapy to support bone healing after fractures, [1] osteomies, or delayed healing. A 2017 review, however, found no trustworthy evidence for the use of low intensity pulsed ultrasound for bone healing, mostly based on the large pragmatic randomized controlled trial published in 2016.
The main applications are the destruction of tissue caused by hyperthermia, increasing perfusion and physical therapy. The use of ultrasound in the treatment of musculoskeletal conditions is another use in the physiotherapy setting. [5]
Medical ultrasound includes diagnostic techniques (mainly imaging techniques) using ultrasound, as well as therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscles, joints, blood vessels, and internal organs, to measure some characteristics (e.g., distances and velocities) or to generate an informative audible sound.
The transducer may be used in contact with the skin, as in fetal ultrasound imaging, or inserted into a body opening such as the rectum or vagina. Clinicians who perform ultrasound-guided procedures often use a probe positioning system to hold the ultrasonic transducer. [9] Compared to other medical imaging modalities, ultrasound has several ...
Ultrasound is sound with frequencies greater than 20 kilohertz. [1] This frequency is the approximate upper audible limit of human hearing in healthy young adults. The physical principles of acoustic waves apply to any frequency range, including ultrasound. Ultrasonic devices operate with frequencies from 20 kHz up to several gigahertz.
ESWT is used in physical therapy for pain reduction, increase in metabolism at the cellular level, revascularisation, and recovering normal muscle tone following various disorders. [30] The use of ESWT was demonstrated in patients with frozen shoulders compared to therapeutic ultrasound with exercises. [31]