Therapeutic Ultrasound in Physical Medicine and Rehabilitation: Characterization and Assessment of Its Physical Effects on Joint-Mimicking Phantoms

Abstract The aim of the study described here was to quantitatively assess thermal and mechanical effects of therapeutic ultrasound (US) by sonicating a joint-mimicking phantom, made of muscle-equivalent material, using clinical US equipment. The phantom contains two bone disks simulating a deep join...

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Veröffentlicht in:Ultrasound in medicine & biology 2014-11, Vol.40 (11), p.2743-2748
Hauptverfasser: Lioce, Elisa Edi Anna Nadia, Novello, Matteo, Durando, Gianni, Bistolfi, Alessandro, Actis, Maria Vittoria, Massazza, Giuseppe, Magnetto, Chiara, Guiot, Caterina
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container_issue 11
container_start_page 2743
container_title Ultrasound in medicine & biology
container_volume 40
creator Lioce, Elisa Edi Anna Nadia
Novello, Matteo
Durando, Gianni
Bistolfi, Alessandro
Actis, Maria Vittoria
Massazza, Giuseppe
Magnetto, Chiara
Guiot, Caterina
description Abstract The aim of the study described here was to quantitatively assess thermal and mechanical effects of therapeutic ultrasound (US) by sonicating a joint-mimicking phantom, made of muscle-equivalent material, using clinical US equipment. The phantom contains two bone disks simulating a deep joint (treated at 1 MHz) and a superficial joint (3 MHz). Thermal probes were inserted in fixed positions. To test the mechanical (cavitational) effects, we used a latex balloon filled with oxygen-loaded nanobubbles; the dimensions of the oxygen-loaded nanobubbles were determined before and after sonication. Significant increases in temperature (up to 17°C) with fixed field using continuous waves were detected both in front of and behind the bones, depending on the US mode (continuous wave vs. pulsed wave) and on the treatment modality (fixed vs. massage). We found no significant differences in mechanical effects. Although limited by the in vitro design (no blood perfusion, no metabolic compensation), the results can be used to guide operators in their choice of the best US treatment modality for a specific joint.
doi_str_mv 10.1016/j.ultrasmedbio.2014.07.004
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subjects Animals
Cattle
Frequency dependence
Heat
Hot Temperature
Humans
Joint-mimicking phantom
Joints - diagnostic imaging
Massage - methods
Mechanical effect
Phantoms, Imaging
Physical and Rehabilitation Medicine - methods
Quality control
Radiology
Rehabilitation
Thermal effect
Ultrasonic therapy
Ultrasonic Therapy - methods
Ultrasonography
title Therapeutic Ultrasound in Physical Medicine and Rehabilitation: Characterization and Assessment of Its Physical Effects on Joint-Mimicking Phantoms
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