Conjoint Tissue: A Case Study

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within the tissue. Although there is obvious evidence that ultrasound temperature heats up thetarget tissue, there is a lack of evidence depicting exactly how much the tissue is heated, so themajority of evidence-based science regarding this aspect is qualitative in nature (Haar, 1999). Itis theorized that the positive effects of ultrasound therapy, referring to strictly the thermal effects,result from increased flexibility of tendons, ligaments, and scar tissue. These effects increasejoint movability, decrease stiffness, aid in pain relief, and increase blood flow to the area treated.The non-thermal effects are quite a bit more complex, involving more physics that centeraround sound-pressure dynamics. The largest non-thermal effect is thought…show more content…
If ultrasound therapy is applied during the inflammation phase,the total amount of time in this phase is reduced (Haar, 1999). During the proliferative phase,cells rapidly divide in the area, and collagen is synthesized resulting in healing of the tissue withscar tissue. Ultrasound therapy during this phase stimulates the fibroblasts to create collagen at aquicker rate, and the resulting scar tissue is more pliable than scar tissue that wasn’t treated withultrasound therapy (Haar, 1999). Ultrasound therapy even increases the chances for skin grafts tobe accepted and become living tissue.Bone injuries also can benefit from ultrasound therapy tremendously. Bone repair healssimilarly to soft tissue damage, following the same pattern. During the inflammation andproliferative phases, ultrasound therapy quickens the healing process. However, people must becautious of the timing of ultrasound therapy, because during the late proliferative phase,ultrasound therapy actually hinders the healing process. The mechanisms are not exactly known,but it interrupts the calcification of the broken bones coming together (Haar, 1999).Ultrasound Application ProcessThe first step to the application process is ensuring that the application area is clean anddry, then applying a gel matrix to the head of the ultrasound transducer (the head that generatesthe sound waves). The healthcare provider should move the transducer in a circular stroke, with½ of the previous…show more content…
The sound waves heat up the tissue, offering thermal benefits, while at the sametime slightly oscillating the tissue, offering non-thermal benefits (Watson, 2015). The thermaleffects including bringing more blood flow to the treated area, decreasing joint stiffness, andincreasing the elasticity of tendons (Haar, 1999). The non-thermal benefits include moving thetissue in a form of miniature massage and altering the concentration gradients of potassium andsodium in the target tissue. Ultrasound therapy can be beneficial for soft tissue, bone, and jointdamage. Ultrasound stimulates tissue repair by increasing blood flow and collagen production indamaged soft tissue. In damaged bone, ultrasound applied during the inflammation and earlyproliferative phase speeds up the recovery process (Haar, 1999). During the application process,the area being treated should only be roughly two times the size of the transducer head, and thehead should be perpendicular to the area being treated. It is also important that the transducerstays in contact with the gel matrix on the skin (Watson, 2015). Although ultrasound is typicallyagreed upon as an effective treatment, there is still a group of scientists and healthcare providersthat disagree. There is a lack of evidence of exactly how ultrasound works, which is needed toensure the utmost safety for patients being treated (Powers, 2017). Another
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