Ultrasound diathermi

PRINCIPAL apply the couplant with/without anti-inflammatory gel

It is one of deep diathermy that uses a source of high 2. Set the dose: 0.5-2 w/cm2 (intermitten/continuous), Duty
frequency (1-3 MHz), the current are conveyed by coaxial cycle: 50-100%, Duration: 5-10 mm/day
cable to a transducer, then by piezoelectric crystal inside, the
current are converted to ultrasonic soundwave which are OPERATION TEKNIK EQUIPMENT
propagated through and absorbed by the tissue and - the doctor should be comfortable seated, to apply efficient
converted to heat. USD, ensuring close contact, appropriate movement and
physiologic effect: correct angle of the transducer during therapy
- thermal effect - the transducer is moved continuously over the surface, and
- non thermal effect (cavitation, accoustic streaming, micro- must be kept parallel to the skin surface and pressed firmly to
massage, to clear debris, proliferative, remodelling) exclude the air
- it could be applied to the body with couplant media (aqua - the transducer is applied directly to the skin surfece by
gel) stroking linear or circular
INTRODUCTION 1. wash hand, 2. greeting & introduce Ask patient :
Goal: relief neurogenic & chronic pain, reduce the - any pain, aching, prickling during the treatment
microtraumatic exudates, heal the soft tissue extensibility - if there is any discomfort:
Benefit: increase soft tissue extensibility, improve hand Intensity should be reduced
function, increase ADL independent the treatment must be terminated
Treatment procedure : TERMINATING THE TREATMENT
a. USD will be applied with couplant media (gel) Stop the treatment :
b. The dose & duration of the treatment 1. Switch off
c. How should it feel during & after trearment - return the intesity to zero
d. The patient should be relax - switch off the power
5. Ask the consent 2. Check the part of equipment
- remove the transducer from tissue contact
PREPARATION PATIENT - clean the skin from couplant medium
1.Check the area for any sign of any inflammation, edema, - clean the transducer with non-abrasive antiseptic solution
and/or pain (Ask any syptom, evaluate terapetic effect, fix the clothes,
2. Ask the correct position : hand wash)
Sitting down with UE ready to be treated EDUCATION
- Specific exercise: Hand &wirst stretching, Sensory reduction on
PREPARATION EQUIPMENT hand
1. Switch on: plug the cable, switch on the equipment Control regularly: Frequency of treatment : 3x/week for 6-12
2. Apply the couplant gel/under water technique: session