Immediate Effects of Therapeutic Ultrasound on Quadriceps Spinal Reflex Excitability in Patients With Knee Injury

“…In this scoping review ultrasound therapy24 and vibration22 23 demonstrated very low-quality evidence for efficacy. Although two clinical studies (one vibration and one ultrasound) in ACLR patients demonstrated small statistically significant improvements (in CAR and H-reflex, respectively), these were of questionable clinical importance.…”

Section: Discussionmentioning

confidence: 96%

Arthrogenic muscle inhibition after ACL reconstruction: a scoping review of the efficacy of interventions

et al. 2018

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“…29 Ultrasound therapy could be attributable to a reverse effect on arthrogenic muscle inhibition and could be faciliated motoneuron pool excitability. 30 Rodríguez et al 31 reported that ultrasound therapy could be efficacious for decreasing pain and could increase quadriceps muscle strength and functional improvement in knee osteoarthritis. We found sta tistically significant differences in pain relief and improving functional capacity in ultrasound ther apy group after treatment.…”

Section: Discussionmentioning

confidence: 99%

Short-term effects of neuromuscular electrical stimulation and ultrasound therapies on muscle architecture and functional capacity in knee osteoarthritis: a randomized study

2018

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Objective: To determine the effects of ultrasound therapy and neuromuscular electrical stimulation (NMES) application on the muscle architecture and functional capacity in patients with knee osteoarthritis. Design: A randomized study. Subjects: A total of 60 patients with knee osteoarthritis. Interventions: Participants were randomized into one of the following two intervention groups, five days a week, for three weeks: the combination of NMES application, hot pack, and exercise therapy was applied to the NMES group. The combination of therapeutic ultrasound, hot pack and exercise therapy was applied to the ultrasound therapy group. Main measures: Subjects were evaluated for pain and functional capacity with the use of the visual analog pain scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), and 15 meter walking test. The muscle architecture (muscle thickness, pennation angle and fascicle length) was assessed from vastus lateralis and quadriceps femoris muscles bilaterally by ultrasonography. Results: Two groups presented significant improvements in all outcome measures before and after treatment (P < 0.01). There were significant improvements in VAS rest pain (P < 0.05), VAS activity pain (P < 0.05), WOMAC pain (P < 0.05), WOMAC stiffness score (P < 0.05), and WOMAC physical function (P < 0.05) for the ultrasound therapy group in comparison to the NMES group. NMES group exhibited more increases in the muscle thickness and fascicle length values when compared to ultrasound therapy group (P < 0.05). Conclusion: Ultrasound therapy appears to be an effective treatment in reducing pain and improving functional capacity. NMES application has more effects on the muscle architecture.

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“…Ohwatashi et al [15] studied on a phantom, which is composed of pigskin and tissue-like material, was measured by ThermoGraph after application of 2.0 w / cm, 5 min US, ranging from 1-3 MHz. At 1 MHz application, the maximum temperature was measured in the near of the transducer, at 3 MHz application while the maximum temperature was found to be at bone tissue.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial

Demirel¹,

Baykara²,

Koca³

et al. 2018

Journal of Surgery and Medicine

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How to cite / Atıf için: Demirel A, Baykara M, Koca TT, Berk E. Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractAim: Ultrasound (US) has been used for therapeutic purposes for many years due to its biological beneficial effects. İn this report we compare the effect of therapeutic ultrasonic heating with exercise-heating on the gastrocnemius / soleus muscles by quantitative measurements of ultrasound elastography. Methods: İt is designed as a single blind experimental clinical study. Fourty (40) healthy male patients aged between 19-23 years were included randomly in the study. To the first group, we applied a continuous wave therapeutic US on both calfs (symmetrically) consisting gastrocnemius / soleus muscle groups at a frequency of 3 Mhz, 2 w / cm 2 dose, for 6 minutes. To the second group, we applied a 15-minute jogging exercise program. Bilateral, symmetric measurements were made in the first 5 minutes with a wide band linear probe, US elastography before and after application.Results: A statistically significant decrease in ultrasound elastography strain value (UESV) after therapeutic US in gastrocnemius / soleus muscle groups was observed (p < 0.001 / p < 0.001). There was no statistically significant change in UESV in the gastrocnemius / soleus muscle groups in the jogging group (p = 0.792 / p =0.187). When the percentages of ultrasound elastography strain ratio (UESR) were examined, there was a significant difference in the change of percentages in the gastrocnemius / soleus muscle groups in both groups (p = 0.005/ p = 0.001). According to this, in both muscle groups, the elasticity increased and the stiffness decreased in group 1 and in group 2, the stiffness increased in some cases and decreased in some, and in overall it was observed to increase. Conclusion: Therapeutic US-heating is an effective, reliable method that generally increases elasticity and reduces stiffness in calf muscles than exercise-heating.

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Immediate Effects of Therapeutic Ultrasound on Quadriceps Spinal Reflex Excitability in Patients With Knee Injury

Cited by 11 publications

References 43 publications

Arthrogenic muscle inhibition after ACL reconstruction: a scoping review of the efficacy of interventions

Arthrogenic muscle inhibition after ACL reconstruction: a scoping review of the efficacy of interventions

Short-term effects of neuromuscular electrical stimulation and ultrasound therapies on muscle architecture and functional capacity in knee osteoarthritis: a randomized study

Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial

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