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脉冲短波透热疗法和超声波治疗时小腿的热量分布。

Heat distribution in the lower leg from pulsed short-wave diathermy and ultrasound treatments.

机构信息

Brigham Young University, Provo, UT.

出版信息

J Athl Train. 2000 Jan;35(1):50-5.

PMID:16558608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1323438/
Abstract

OBJECTIVE

To compare tissue temperature rise and decay after 20-minute diathermy and ultrasound treatments.

DESIGN AND SETTING

We inserted 3 26-gauge thermistor microprobes into the medial aspect of the anesthetized triceps surae muscle at a depth of 3 cm and spaced 5 cm apart. Eight subjects received the diathermy treatment first, followed by the ultrasound treatment. This sequence was reversed for the remaining 8 subjects. The diathermy was applied at a frequency of 27.12 MHz at the following settings: 800 bursts per second, 400-microsecond burst duration, 850-microsecond interburst interval, peak root mean square amplitude of 150 W per burst, and an average root mean square output of 48 W per burst. The ultrasound was delivered at a frequency of 1 MHz and an intensity of 1.5 W/cm(2) in the continuous mode for 20 minutes over an area of 40 times the effective radiating area. The study was performed in a ventilated research laboratory.

SUBJECTS

Sixteen (11 men, 5 women) healthy subjects (mean age = 23.56 +/- 4.73 years) volunteered to participate in this study.

MEASUREMENTS

We recorded baseline, final, and decay temperatures for each of the 3 sites.

RESULTS

The average temperature increases over baseline temperature after pulsed short-wave diathermy were 3.02 degrees C +/- 1.02 degrees C in site 1, 4.58 degrees C +/- 0.87 degrees C in site 2, and 3.28 degrees C +/- 1.64 degrees C in site 3. The average temperature increases over baseline temperature after ultrasound were only 0.17 degrees C +/- 0.40 degrees C, 0.09 degrees C +/- 0.56 degrees C, and -0.43 degrees C +/- 0.41 degrees C in sites 1, 2, and 3, respectively. The temperature dropped only 1 degrees C in 7.65 +/- 4.96 minutes after pulsed short-wave diathermy.

CONCLUSIONS

We conclude that pulsed short-wave diathermy was more effective than 1-MHz ultrasound in heating a large muscle mass and resulted in the muscles' retaining heat longer.

摘要

目的

比较 20 分钟热疗和超声治疗后的组织温升和衰减。

设计与设置

我们在麻醉后的三头肌内侧插入 3 个 26 号热敏微探头,深度为 3 厘米,间隔 5 厘米。8 名受试者先接受热疗,然后接受超声治疗。其余 8 名受试者的顺序相反。热疗频率为 27.12 MHz,设置如下:每秒 800 个脉冲,脉冲持续时间 400 微秒,脉冲间隔 850 微秒,每个脉冲的峰值均方根幅度为 150 W,平均均方根输出为 48 W。超声以 1 MHz 的频率在连续模式下以 1.5 W/cm2 的强度作用 20 分钟,作用面积为有效辐射面积的 40 倍。研究在通风的研究实验室进行。

受试者

16 名(11 名男性,5 名女性)健康受试者(平均年龄=23.56 +/- 4.73 岁)自愿参加本研究。

测量

我们记录了每个部位的基线、终值和衰减温度。

结果

脉冲短波热疗后平均体温升高超过基础体温分别为 3.02 摄氏度 +/- 1.02 摄氏度(部位 1)、4.58 摄氏度 +/- 0.87 摄氏度(部位 2)和 3.28 摄氏度 +/- 1.64 摄氏度(部位 3)。超声后平均体温升高仅为 0.17 摄氏度 +/- 0.40 摄氏度、0.09 摄氏度 +/- 0.56 摄氏度和-0.43 摄氏度 +/- 0.41 摄氏度(部位 1、2 和 3)。脉冲短波热疗后仅 7.65 +/- 4.96 分钟,温度下降 1 摄氏度。

结论

我们得出结论,脉冲短波热疗在加热大块肌肉方面比 1 MHz 超声更有效,并且使肌肉保持热量的时间更长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/77531992f706/jathtrain00001-0054-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/b3dd2bce1be0/jathtrain00001-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/7beaf29e0551/jathtrain00001-0053-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/2689900ffb3e/jathtrain00001-0053-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/26fceafa08c5/jathtrain00001-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/77531992f706/jathtrain00001-0054-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/b3dd2bce1be0/jathtrain00001-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/7beaf29e0551/jathtrain00001-0053-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/2689900ffb3e/jathtrain00001-0053-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/26fceafa08c5/jathtrain00001-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caca/1323438/77531992f706/jathtrain00001-0054-b.jpg

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