Physiotherapy and PROCEDURE: The application of therapeutic ultrasound

Procedure Ultrasound therapy

DEFINITION/DESCRIPTION:

Application may be by:     direct contact

                                           water bath

                                           solid, sterile gel as a medium

                                           continuous or pulsed output

The application of local ultrasonic transmission to the tissues, such that ultrasound is absorbed and a local thermal effect may result. Thermal effects are reduced through lowering intensity of the pulsing of the output.

Dosage:     frequency     1 & 3 MHz

                  intensity       maximal 2 W/cm²   

                  time             maximal 5 minutes per size of transducer head

CONTRAINDICATIONS:

-           rapidly dividing tissue

-           infection

-           vascular problems

-           recent radiotherapy to the area

-           specialized tissue e.g. eyes, testes

-           loss of skin sensation

-           fractures metal implants in the treatment area

HAZARDS/COMPLICATION/PRECAUTION:

-           burn

-           tissue destruction

INFECTION CONTROL:

-           appropriate hygiene of apparatus in subject contact

-           appropriate subject skin care and cleanliness

-           hygiene associated with application and removal of  medium