MindMap Gallery Ultrasound therapy
This is a mind map about ultrasound therapy. Treatment methods include conventional treatment, Ultrasound combined therapy, High-dose invasive treatments, etc.
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Ultrasound therapy
Overview
concept
Sound wave: The mechanical vibration of the sound source causes the surrounding elastic medium to vibrate. The vibration propagates from near to far in the medium. of mechanical waves.
Ultrasound: Sound waves in which mechanical vibration waves exceed the limits of human hearing.
The sound frequency that the human ear can hear is 16~20kHz
Ultrasound therapy: It is a physical therapy method that uses ultrasonic waves to act on the human body to treat diseases.
generation of ultrasonic waves
(1) Mechanical vibration method
Sound waves: sound source mechanical vibration
Ultrasound: exciting solid high-frequency machinery through strong gas or liquid Vibration can produce ultrasonic waves
Ultrasound: through intense gas or liquid
(2) Electroacoustic conversion method
Piezoelectric effect: mechanical energy → electrical energy
Inverse piezoelectric effect: electrical energy → mechanical energy
physical properties
parameter
Speed: The distance that ultrasonic waves travel per unit time in a medium. m/s is the fastest in solids, followed by liquids, and the slowest in gases. As the temperature rises, the speed increases.
Frequency: the number of ultrasonic wave fluctuations per unit time, unit: Hz. The frequency range commonly used in rehabilitation medicine is: 800-3000kHz
Sound pressure: When ultrasonic waves propagate in a medium, the medium particles reciprocate near their equilibrium position, causing rhythmic density changes inside the medium. This density change forms a pressure change, that is, sound pressure. Positive pressure is generated in areas with dense particles, and negative pressure is generated in areas with sparse particles. Sound pressure is directly proportional to the frequency and amplitude of the ultrasonic wave, and inversely proportional to the acoustic resistance. The sound pressure produced by medium-sized ultrasonic waves on human tissue is about 3 atmospheres.
Strong voice
Sound energy passing vertically through unit area per unit time
Sound intensity is the dose unit for ultrasound therapy
The usual ultrasound treatment dose in rehabilitation medicine is 0.1W/cm²~ 2.5W/cm2
spread
Longitudinal wave
Ultrasonic waves propagate in media mainly in the form of longitudinal waves, that is, the propagation direction of the wave is parallel to the vibration direction.
Ultrasonic wave propagation must rely on media and cannot propagate in a vacuum
degree of divergence
Ordinary sound waves: propagate from one point to the surrounding sphere
Expressed by the size of the divergence angle, the divergence angle depends on the diameter of the sound source and the wavelength of the sound wave. sin0 =1.2λ/d
As the frequency of sound waves increases, the degree of divergence gradually decreases
Acoustic resistance
The product of the density of a medium and the speed of sound is called acoustic resistance.
When the medium is uniform, the acoustic resistance is constant and the ultrasonic wave propagation direction remains unchanged.
When the medium is uneven or two media exist, the acoustic resistance changes, and ultrasonic waves are reflected, refracted, etc.
Reflection and refraction
Reflection: The smaller the incident angle of reflection, the smaller the reflection angle. The less the ultrasonic energy is reflected, the more efficient it is. The larger the incident angle, the larger the reflection angle, and the greater the ultrasonic energy loss. The smaller the difference in acoustic resistance between the two media, the smaller the energy reflection.
Refraction: The refracted ultrasonic energy is the difference between the incident energy and the reflected energy
Sound field
Sound field: The spatial range in which ultrasonic waves propagate in the medium, that is, the area in which ultrasonic waves can act.
Near field area (sound beam is slightly converged), far field area (beam spread)
Penetration and absorption
Influencing factors: (1) Medium: density, viscosity, thermal conductivity, sound speed, and frequency of the medium. (2) Frequency of sound speed: The higher the frequency, the stronger the medium’s ability to absorb ultrasonic waves, the worse the penetration ability of ultrasonic waves in the medium, and the smaller the penetration distance.
Half-valence layer: The distance that ultrasonic waves travel through the medium when the sound energy is attenuated to half of the original energy.
Interference and standing waves
Interference phenomenon: (1) The superposition of the resulting vibrations when several wave sources meet during wave propagation (2) The two waves have the same frequency, the same vibration direction, and the same propagation direction.
standing wave
biophysical properties
mechanical action
When ultrasonic waves propagate in the medium, they cause rhythmic density changes inside the particles, resulting in pressure changes and subtle changes in cell volume, which is called cell massage.
Change the permeability of the membrane, promote the exchange of metabolic substances, strengthen local blood circulation, improve the nutritional status of tissues, improve the regeneration ability of tissue cells, and can treat soft tissue injuries and other diseases.
Make connective tissue lengthen and soften, loosen adhesion tissue, use To treat scars, contractures and other diseases
"Cell massage" is the most basic mechanism of ultrasound treatment of diseases
Thermophilic effect
At the same dose, bone and connective tissue produce the most heat, while fat and blood produce the least.
Enhance local blood circulation and nutritional metabolism. Reduce tension and sensory nerve excitability. Relieve spasms and pain
When ultrasonic waves act on the human body, the body absorbs sound energy and generates heat energy.
Physical and chemical effects
Cavitation: Changes cell membrane permeability and promotes tissue repair. Change nerve electrical activity and relieve pain.
Thixotropy: Treatment of diseases related to tissue dehydration
Diffusion: Improve biofilm permeability
Adjust pH: Increase, relieve pain
Depolymerization: regulates enzyme activity
Therapeutic effect
It can accelerate the blood flow of local tissues of the human body, improve blood circulation, and increase peristalsis of blood vessel walls;
Muscles relax, muscle tone decreases, and pain is reduced or relieved;
Increased cell membrane permeability, redistribution of ions, and vigorous metabolism;
The concentration of hydrogen ions in the tissue is reduced, enzyme activity is enhanced, and the ability of tissue regeneration and repair is enhanced.
High intensity, large dose (> 3W/cm²): inhibition, destruction, causing irreversible tissue morphological changes
Low intensity, small to medium dose (0.1~2.5W/cm²): does not cause or only causes slight reversible tissue morphological changes
Treatment techniques and methods
equipment
Ultrasound therapy machine
Auxiliary equipment: sink, water bag, funnel, sound head tube
Coupling agent: reason: to prevent reflection caused by air layer; to fill the gap between the acoustic head and the skin; to reduce reflection and refraction to facilitate the passage of ultrasonic energy
Ultrasonic output mode: continuous ultrasonic mechanical action and thermal effect; pulsed ultrasonic waves are emitted regularly and intermittently
treatment method
conventional treatment
Direct treatment: moving method, fixed method
Indirect treatment: underwater method, assistive device therapy
Ultrasonic composite therapy: ultrasonic atomization inhalation therapy, ultrasonic electrodynamic therapy, ultrasonic drug penetration therapy
High-dose invasive treatments: ultrasound for cancer treatment, ultrasonic lithotripsy
Clinical application
Notes: 1. Be familiar with the performance of the instrument and regularly measure the output intensity of the ultrasonic therapy instrument to ensure the accurate dose of ultrasonic therapy; 2. During treatment, first touch the acoustic head to the treatment site or immerse it in water before adjusting the output. Do not leave the acoustic head empty. and collision to prevent the crystal from being damaged or broken due to overheating; 3. During treatment, the acoustic head should be close to the skin without leaving any slight gaps; do not stop during the mobile treatment. To avoid causing pain reactions; 4. During the treatment process, closely observe the patient's reaction and the working status of the instrument, such as overheating or pain at the treatment site. Treatment should be suspended, the cause should be found and dealt with; 5. When treating with water bag method and underwater method, warm water should be poured in slowly, and there should be no air bubbles in the water or on the skin; 6. When performing gastrointestinal treatment, the patient should drink about 300ml of warm water before treatment and sit down for treatment. 7. Do not curl or twist the instrument wires during treatment; pay attention to the heat dissipation of the instrument and sound head 8. At the end of the treatment, adjust the ultrasonic output back to "0" and turn off the power before moving the sound head away. 9. It should be noted that the treatment time cannot be shortened by increasing the intensity, nor the treatment intensity can be reduced by extending the time. 10. The treatment personnel should pay attention to self-protection and can wear double gloves during operation. 11. When using continuously, pay attention to check the temperature of the sound head to avoid scalding the patient or damaging the instrument.
Contraindications: Special diseases: malignant tumors, acute systemic infection, active pulmonary tuberculosis, bleeding tendency, persistent high fever. Special parts: lower abdomen of pregnant women, epiphysis, genitals, abnormal sensory nerve areas, sympathetic ganglia in children
Indications: Neuritis, neuralgia, arthritis, soft tissue injuries, scars, adhesions, induration, thrombophlebitis, hematoma, sequelae of postcerebral hemorrhage