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骨科与运动物理治疗中超声使用趋势概述

Overview of ultrasound usage trends in orthopedic and sports physiotherapy.

作者信息

de Brito Vieira Wouber Herickson, Aguiar Kardec Alecxandro, da Silva Kimberly Moreira, Canela Pablo Miranda, da Silva Flávio Santos, Abreu Bento João

机构信息

Departamento de Morfologia, Universidade Federal do Rio Grande do Norte, Av, Lagoa Nova S/N, Natal, Rio Grande do Norte, 1524-59072-970, Brazil.

出版信息

Crit Ultrasound J. 2012 May 28;4(1):11. doi: 10.1186/2036-7902-4-11.

DOI:10.1186/2036-7902-4-11
PMID:22871050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3439362/
Abstract

BACKGROUND

The purpose of this study is to examine current beliefs about the use, the clinical importance, the theoretical fundamentals and the utilization criteria of therapeutic ultrasound (TUS) among physical therapists on the clinical practice in orthopedic and sports physiotherapy in Brazil.

METHODS

A brief survey was developed based on previous studies and was sent to 55 physical therapists with advanced competency in orthopedics and sports physiotherapy. The questions addressed general topics about the professional profile and ultrasound usage and dosage.

RESULTS

Our data show the wide availability and frequent use of TUS in this sample of physical therapists. TUS is used in distinct musculoskeletal injuries and/or disorders in both acute and chronic conditions. Muscles, tendons and ligaments represented the major structures where TUS is used. Questions on the basic theory of TUS demonstrated a lack of knowledge of the ultrasound physiological effects as well as its interaction with biological tissues and TUS absolute contraindication.

CONCLUSION

A Brazilian profile about the US usage and dosage in orthopedic and sports physiotherapy is presented and highlights the need for a continuous upgrading process and further research into its effects.

摘要

背景

本研究旨在调查巴西物理治疗师在骨科和运动物理治疗临床实践中,对于治疗性超声(TUS)的使用、临床重要性、理论基础及应用标准的当前认知。

方法

基于先前研究设计了一份简短调查问卷,并发送给55名在骨科和运动物理治疗方面具有高级资质的物理治疗师。问题涉及专业概况以及超声使用和剂量等一般主题。

结果

我们的数据表明,在该物理治疗师样本中,TUS广泛可得且使用频繁。TUS用于急慢性不同的肌肉骨骼损伤和 / 或病症。肌肉、肌腱和韧带是使用TUS的主要结构。关于TUS基础理论的问题表明,对超声生理效应及其与生物组织的相互作用以及TUS绝对禁忌症缺乏了解。

结论

呈现了巴西在骨科和运动物理治疗中超声使用和剂量的概况,并强调了持续更新过程以及对其效果进行进一步研究的必要性。

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Comparison of the effects of low energy laser and ultrasound in treatment of shoulder myofascial pain syndrome: a randomized single-blinded clinical trial.低能量激光与超声治疗肩肌筋膜疼痛综合征的效果比较:一项随机单盲临床试验。
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Short-term effects of high-intensity laser therapy versus ultrasound therapy in the treatment of low back pain: a randomized controlled trial.高强度激光治疗与超声治疗治疗腰痛的短期疗效比较:一项随机对照试验。
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使用指甲花作为半永久性皮肤标记物来指示超声骨刺激的应用部位。
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Anti-inflammatory activity of niosomes entrapped with Plai oil ( Roxb.) by therapeutic ultrasound in a rat model.治疗性超声介导的载有白豆蔻油(Roxb.)的非离子表面活性剂囊泡在大鼠模型中的抗炎活性。
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Short-term sensory and cutaneous vascular responses to therapeutic ultrasound in the forearms of healthy volunteers.健康志愿者前臂对治疗性超声的短期感觉和皮肤血管反应。
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低强度脉冲超声波在体外、动物和人体骨折愈合中的证据。
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Ultrasound and joint mobilizations for achieving normal wrist range of motion after injury or surgery: a case series.超声与关节松动术治疗创伤或手术后腕关节正常活动范围:病例系列研究。
J Athl Train. 2010 Sep-Oct;45(5):486-91. doi: 10.4085/1062-6050-45.5.486.
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Temperature increases in the human achilles tendon during ultrasound treatments with commercial ultrasound gel and full-thickness and half-thickness gel pads.在使用商用超声凝胶和全厚及半厚凝胶垫进行超声治疗时,人体跟腱的温度会升高。
J Athl Train. 2010 Jul-Aug;45(4):333-7. doi: 10.4085/1062-6050-45.4.333.
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Ultrasound for fracture healing: current evidence.超声在骨折愈合评估中的应用:当前证据。
J Orthop Trauma. 2010 Mar;24 Suppl 1:S56-61. doi: 10.1097/BOT.0b013e3181d2efaf.
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Low intensity pulsed ultrasound for fracture healing: a review of the clinical evidence and the associated biological mechanism of action.低强度脉冲超声促进骨折愈合:临床证据及相关生物学作用机制综述
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