Contraindications (200 is a mnemonic)
Contraindications
-Acute injuries for thermal
-Malignancies
-Infection
-Pregnant women
-Gonads
-Eyes
-CNS
-Cement/Plastic
-Over pacemaker
-DVTs
-Epiphyseal Plate
-Breast implants
-Skin disease
-Lack of sensation
1 MHz = Deep
3 MHz = Superficial
0.5 Intensity
1) 1 MHz
2) 3 MHz
1) 95 minutes
2) 12 minutes & 40 seconds
What should be included in your intro?
-Wash in & Check vitals
-Identify self
-Healthcare role
-Permission to treat
-Health Changes
-Pain Rating
-Orient
Contraindication Mneumonic
BICEPS CAMP GELD
Breast implants, Infection, Cement/Plastic, Epiphyseal plate, Pregnancy, Skin disease, CNS, Acute injuries for thermal, Malignancy, Pacemaker, Gonad, Eye, Lack of sensation, DVTs
Treat only ___x the size of the ERA of the sound head
2-3
1.0 Intensity
1) 1 MHz
2) 3 MHz
1) 19 minutes
2) 6 minutes & 20 seconds
What should you do before starting US?
-Prepare equipment & supplies
-Check sensation
-Transfer, drape, & position patient
-Articulate to the patient how US works & why it will help them with their injury
Goals of Thermal US
-Continuous Mode
-Increased Tissue Extensibility
-Decreased Joint Fluid Viscosity
-Increased Blood Flow (Vasodilation)
-Pain Reduction
-Promote Cell Activity/Increase Metabolism
1.5 Intensity
1) 1 MHz
2) 3 MHz
1) 12 minutes & 40 seconds
2) 4 minutes & 13 seconds
What do you need to do when applying US?
-Apply US gel/coupling agent to the correct area
-Maintain proper contact & motion with the soundhead (NO SCOOPING)
-Choose the correct frequency & sound head size (Or verbalize the size)
-Choose correct intensity & determine the treatment time
Goals of Nonthermal US
-Micromassage: Increase cell membrane permeability
-Promotes Cell Activity
-Promotes Protein Synthesis
-Facilitates Tissue Repair
-Increases Phagocytosis
-Increases Fibroblast Production
-Angiogenesis: Process of forming new blood vessels
-Enhances Wound Contraction
2.0 Intensity
1) 1 MHz
2) 3 MHz
1) 9 minutes & 30 seconds
2) 3 minutes & 10 seconds
How do you wrap up your skills check?
-At treatment conclusion, dry & inspect the treatment area, clean items used properly
-Wash out & Report to PT
What is a cavitation & what type of US do you see this with?
-The formation, growth, & pulsation of gas-filled bubbles caused by US, made smaller during compression & larger during rarefaction
-Nonthermal
2.5 Intensity
1) 1 MHz
2) 3 MHz
1) 7 minutes & 36 seconds
2) 2 minutes & 32 seconds