A Review of Therapeutic Ultrasound: Biophysical Effects

Physical Therapy - Tập 81 Số 7 - Trang 1351-1358 - 2001
Kerry Baker1, Valma J Robertson2, Francis Duck3
1KG Baker, PT, PhD, is Senior Lecturer, Department of Health Science, Faculty of Health, Science, and Technology, UNITEC, Private Bag 92025, Auckland, New Zealand. He was Lecturer, School of Physiotherapy, Faculty of Health Sciences, University of Sydney, when this article was written.
2VJ Robertson, PT, PhD, is Associate Professor, School of Physiotherapy, La Trobe University, Bundoora, Victoria, Australia. She was Visiting Professor, Division of Physical Therapy, University of Miami, Miami, Fla, when this article was written
3FA Duck, PhD, FIPEM, is Medical Physicist, Royal United Hospital, Bath, United Kingdom

Tóm tắt

Abstract Almost 2 decades ago, it was pointed out that physical therapists tended to overlook the tenuous nature of the scientific basis for the use of therapeutic ultrasound. The purpose of this review is to examine the literature regarding the biophysical effects of therapeutic ultrasound to determine whether these effects may be considered sufficient to provide a reason (biological rationale) for the use of insonation for the treatment of people with pain and soft tissue injury. This review does not discuss articles that examined the clinical usefulness of ultrasound (see article by Robertson and Baker titled “A Review of Therapeutic Ultrasound: Effectiveness Studies” in this issue). The frequently described biophysical effects of ultrasound either do not occur in vivo under therapeutic conditions or have not been proven to have a clinical effect under these conditions. This review reveals that there is currently insufficient biophysical evidence to provide a scientific foundation for the clinical use of therapeutic ultrasound for the treatment of people with pain and soft tissue injury.

Từ khóa


Tài liệu tham khảo

Williams, 1983, Ultrasound: Biological Effects and Potential Hazards

Robertson, 1996, Dangers in extrapolating in vitro uses of therapeutic ultrasound [letter], Phys Ther, 76, 78, 10.1093/ptj/76.1.78

Watson, 1992, Recombinant DNA

Vander, 1998, Human Physiology: The Mechanism of Body Function

Harvey, 1975, Metabolic changes induced by ultrasound in fibroblasts in vitro, Proceedings of the Second European Congress on Ultrasonics in Medicine, 10

Ramirez, 1997, The effect of ultrasound on collagen synthesis and fibroblast proliferation in vitro, Med Sci Sport Exerc, 29, 326, 10.1097/00005768-199703000-00007

Fahnestock, 1989, Effects of ultrasound exposure in vitro on neuroblastoma cell membranes, Ultrasound Med Biol, 15, 133, 10.1016/0301-5629(89)90162-2

World Federation for Ultrasound in Medicine and Biology, 1997, Conclusions and recommendations on thermal and non-thermal mechanisms for biological effects of ultrasound, WFUMB News, 4, 2

Kitchen, 1990, A review of therapeutic ultrasound, part 1: background and physiological effects, Physiotherapy, 76, 593

Dyson, 1987, Mechanisms involved in therapeutic ultrasound, Physiotherapy, 73, 116

ter Haar, 1999, Therapeutic ultrasound, Eur J Ultrasound, 9, 3, 10.1016/S0929-8266(99)00013-0

ter Haar, 1988, Biological effects of ultrasound in clinical applications, Ultrasound: Its Chemical, Physical, and Biological Effects, 305

Coleman, 1996, Detection of acoustic emission from cavitation in tissue during clinical extracorporeal lithotripsy, Ultrasound Med Biol, 22, 1079, 10.1016/S0301-5629(96)00118-4

Duck, 1998, Radiation pressure and streaming, Ultrasound in Medicine, 39

ter Haar, 1987, Basic physics of therapeutic ultrasound, Physiotherapy, 73, 110

Lehmann, 1990, Therapeutic heat, Therapeutic Heat and Cold, 417

1983, Biological Effects of Ultrasound: Mechanisms and Clinical Implications

Suslick, 1988, Ultrasound: Its Chemical, Physical, and Biological Effects

Low, 1994, Electrotherapy Explained: Principles and Practice

ter Haar, 1981, Evidence for ultrasonically induced cavitation in vivo, Phys Med Biol, 26, 1145, 10.1088/0031-9155/26/6/013

ter Haar, 1982, Ultrasonically induced cavitation in vivo, Br J Cancer, 45, 151

Vakil, 1993, Transient acoustic cavitation in gallstone fragmentation: a study of gallstones fragmented in vivo, Ultrasound Med Biol, 19, 331, 10.1016/0301-5629(93)90105-W

Coleman, 1995, The cavitation threshold of human tissue exposed to 0, Ultrasound Med Biol, 21, 405, 10.1016/0301-5629(94)00116-U

Barnett, 1997, The sensitivity of biological tissue to ultrasound, Ultrasound Med Biol, 23, 805, 10.1016/S0301-5629(97)00027-6

Holland, 1996, Direct evidence of cavitation in vivo from diagnostic ultrasound, Ultrasound Med Biol, 22, 917, 10.1016/0301-5629(96)00083-X

Watmough, 1991, Imaging microbubbles and tissues using a linear focussed scanner operating at 20 MHz: possible implications for the detection of cavitation thresholds, Ultrasonics, 29, 312, 10.1016/0041-624X(91)90028-7

Lehmann, 1954, The effects of ultrasound on chromosomes, nuclei, and other structures in plant tissue, Arch Phys Med Rehabil, 35, 141

Dalecki, 1995, Intestinal hemorrhage from exposure to pulsed ultrasound, Ultrasound Med Biol, ;21, 1067, 10.1016/0301-5629(95)00041-O

Wu, 1994, Effect of acoustic streaming on ultrasonic heating, Ultrasound Med Biol, 20, 195, 10.1016/0301-5629(94)90084-1

Duck, 1998, Acoustic streaming and radiation pressure in diagnostic applications: what are the implications, Safety of Diagnostic Ultrasound

Dyson, 1982, Non-thermal cellular effects of ultrasound, Br J Cancer, 45, 165

Lota, 1955, Changes in the permeability of the red blood cell membrane in a homogeneous ultrasonic field, Arch Phys Med, 36, 282

McCance, 1998, Pathophysiology: The Biological Basis for Disease in Adults and in Children

Hanahan, 1996, Patterns and emerging mechanisms of the angiogenic switch during tumorigenesis, Cell, 86, 353, 10.1016/S0092-8674(00)80108-7

Hansen-Smith, 1996, In vivo angiogenesis in adult rat skeletal muscle: early changes in capillary network architecture and ultrastructure, Cell Tissue Res, 286, 123, 10.1007/s004410050681

Worthington, 1997, Mechanism of ultrasound enhanced porphyrin cytotoxicity, part I: a search for free radical effects, Ultrasound Med Biol, 23, 1095, 10.1016/S0301-5629(97)00019-7

Maxwell, 1992, Therapeutic ultrasound: its effects on the cellular and molecular mechanisms of inflammation and repair, Physiotherapy, 78, 421, 10.1016/S0031-9406(10)61528-3

Edmonds, 1983, Evidence for free radical production by ultrasonic cavitation in biological media, Ultrasound Med Biol, 9, 635, 10.1016/0301-5629(83)90009-1

World Federation for Ultrasound in Medicine and Biology, 1998, Recommendations on the safe use of ultrasound, Ultrasound Med Biol, 24, xv

Wells, 1997, Biomedical Ultrasonics, 19

Hogan, 1982, The effect of ultrasound on microvascular hemodynamics in skeletal muscle: effects during ischemia, Micro Res, 23, 370, 10.1016/S0026-2862(82)80009-5

Dyson, 1976, Stimulation of healing of varicose ulcers by ultrasound, Ultrasonics, 14, 232, 10.1016/0041-624X(76)90024-X

Hogan, 1982, The effect of ultrasound on microvascular hemodynamics in skeletal muscle: effect on arterioles, Ultrasound Med Biol, 8, 45, 10.1016/0301-5629(82)90068-0

Rubin, 1990, Acute effects of ultra-sound on skeletal muscle oxygen tension, blood flow, and capillary density, Ultrasound Med Biol, 16, 271, 10.1016/0301-5629(90)90006-X

Young, 1990, The effect of therapeutic ultrasound on angiogenesis, Ultrasound Med Biol, ;16, 261, 10.1016/0301-5629(90)90005-W

De Deyne, 1995, In vitro effects of therapeutic ultrasound on the nucleus of human fibroblasts, Phys Ther, 75, 629, 10.1093/ptj/75.7.629

Byl, 1992, Low-dose ultrasound effects on wound healing: a controlled study with Yucatan pigs, Arch Phys Med Rehabil, 73, 656

Turner, 1989, The effect of ultrasound on the healing of repaired cockerel tendon: is collagen cross-linkage a factor?, J Hand Surg, 14, 428, 10.1016/0266-7681(89)90161-7

Enwemeka, 1989, The effects of therapeutic ultrasound on tendon healing: a biomechanical study, Am J Phys Med Rehabil, 68, 283, 10.1097/00002060-198912000-00005

Enwemeka, 1990, The biomechanical effects of low-intensity ultrasound on healing tendons, Ultrasound Med Biol, 16, 801, 10.1016/0301-5629(90)90044-D

Nyborg, 1985, Mechanisms, Biological Effects of Ultrasound, 12

Fyfe, 1985, Therapeutic ultrasound: some historical background and development in knowledge of its effect on healing, Australian Journal of Physiotherapy, 31, 220, 10.1016/S0004-9514(14)60635-8

Draper, 1993, A comparison of temperature rise in human calf muscle following applications of underwater and topical gel ultrasound, J Orthop Sports Phys Ther, 17, 247, 10.2519/jospt.1993.17.5.247

Lehmann, 1959, Comparative study of the efficiency of short-wave, microwave and ultrasonic diathermy in heating the hip joint, Arch Phys Med Rehabil, 40, 510

ter Haar, 1982, Ultrasonic heating of mammalian tissues in vivo, Br J Cancer, 45, 65

Guyton, 1996, Textbook of Medical Physiology

Draper, 1995, Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound, J Orthop Sports Phys Ther, 22, 142, 10.2519/jospt.1995.22.4.142

Johnson, 1976, Interactions between local and reflex influences on human forearm skin blood flow, J Appl Physiol, 41, 826, 10.1152/jappl.1976.41.6.826

Rowell, 1986, Human Circulation: Regulation During Physical Stress

Abraham, 1994, Diameter and blood flow velocity changes in the saphenous vein during thermal stress, Eur J Appl Physiol, 69, 305, 10.1007/BF00392035

Wyper, 1976, Effects of some physiotherapeutic agents on skeletal muscle blood flow, Physiotherapy, 62, 83

Robinson, 1995, Effect of continuous-wave ultrasound on blood flow in skeletal muscle, Phys Ther, 75, 145, 10.1093/ptj/75.2.145

Paul, 1955, Temperature and blood flow studies after ultrasonic irradiation, Am J Phys Med, 34, 370

Herrick, 1953, Certain physiologic and pathologic effects of microwaves, Elec Eng, 72, 239, 10.1109/EE.1953.6438552

Bickford, 1953, Influences of ultrasonic irradiation on temperature and blood flow in the human skeletal muscle, Circ Res, 1, 534, 10.1161/01.RES.1.6.534

Akyurekli, 1997, Changes in muscle blood flow distribution during hyperthermia, Int J Hyperthermia, 13, 481, 10.3109/02656739709023547

Nykanen, 1995, Pulsed ultrasound treatment of the painful shoulder: a randomized, double-blind, placebo-controlled study, Scand J Rehabil Med, 27, 105

Hashish, 1986, Anti-inflammatory effects of ultra-sound therapy: evidence for a major placebo effect, Br J Rheumatol, 25, 77, 10.1093/rheumatology/25.1.77

Lundeberg, 1988, A comparative study of continuous ultrasound, placebo ultrasound, and rest in epicondylagia, Scand J Rehabil Med, 20, 99

Hashish, 1988, Reproduction of postoperative pain and swelling by ultrasound treatment: a placebo effect, Pain, 33, 303, 10.1016/0304-3959(88)90289-8

Grant, 1989, Ultrasound and pulsed electromagnetic energy treatment for perineal trauma: a randomized placebo-controlled trial, Br J Obstet Gynaecol, 96, 434, 10.1111/j.1471-0528.1989.tb02419.x

ter Riet, 1996, A randomized clinical trial of ultrasound treatment for pressure ulcers, Phys Ther, 76, 1301, 10.1093/ptj/76.12.1301

Reed, 1997, The effects of heating with ultrasound on knee joint displacement, J Orthop Sports Phys Ther, 26, 131, 10.2519/jospt.1997.26.3.131

Lehmann, 1970, Effect of therapeutic temperatures on tendon extensibility, Arch Phys Med Rehabil, 51, 481

Rigby, 1964, The effect of mechanical extension upon the thermal stability of collagen, Biochim Biophys Acta, 79, 634

Sackett, 1997, Evidence-based Medicine: How to Practice and Teach EBM

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Physical Therapy

Tập 81 Số 7

1351-1358

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