18/01/2019
https://m.facebook.com/story.php?story_fbid=2160306390886976&id=1578947515689536
In every treatment concoction, what we find in the prescription: ULTRASOUND❗️
✅CLINICAL QUESTION:
What effects does therapeutic ultrasound (US) have on measurable outcomes⁉️Here are the answers:
❌Recommendation: In accordance with the 2009 Centre for Evidence-Based Medicine levels of evidence, there is grade I (insufficient) evidence to support the positive effects of the US device for improving the following clinical outcomes: tissue temperature, decreasing pain, and increasing function (Daniels et al, 2018)
❌The updated review shows that in people with osteoarthritis:
❇️Therapeutic ultrasound may be beneficial for people with osteoarthritis of the knee and physical function but this finding could be the result of chance🧐
❇️We are uncertain about the magnitude of effects on pain relief or the ability to use your knee, because of the low quality of the evidence.
❇️There are no studies that address the benefits of therapeutic ultrasound in people with hip osteoarthritis. (Cochrane Review, 2010)
❌The addition of therapeutic ultrasound did not improve the efficacy of conservative treatment for plantar fasciitis.
❇️Therefore, the authors recommend excluding therapeutic ultrasound from the treatment of plantar fasciitis and agree with results of previous studies that stretching may be an effective treatment for healing plantar fasciitis Katzap et al, 2018)
❌No high quality evidence was found to support the use of ultrasound for improving pain or quality of life in patients with non‐specific chronic LBP. (Cochrane Review)
❌Ultrasound therapy was not shown to have a clinically important effect on pain relief for people with patellofemoral pain syndrome.
(Cochrane Review)
❌The available evidence does suggest a possible benefit of ultrasound therapy in the healing of venous leg ulcers (Cochrane Review)
❌In patients with Subacromial impingement, there was greater reduction in pain and improvement in articular movement functionality and muscle strength of the affected shoulder after 10 treatment sessions of Laser therapy than did participants receiving US therapy (Santamato, 2009)
❌In an RTC of 125 ChLBP patients manipulation/exercise showed a greater improvement compared with those receiving ultrasound/exercise at both the end of the treatment period and at 6-month follow-up (Mohseni-Bandpei,2006)
❌This result suggested that therapeutic US provided no additional benefit in improving pain and functions in addition to exercise training (Cakir et al, 2014)
❌The potential treatment effects of ultrasound appear to be generally small and probably of limited clinical importance, especially in the context of the short-term recovery period in most people with these injuries. However, the available evidence is insufficient to rule out the possibility that there is an optimal dosage schedule for ultrasound therapy that may be of benefit (van den Bekerom, 2012)
📖📖📖📖📖📖References :
1. Sarah Daniels, Gabriela Santiago, Jennifer Cuchna, Bonnie Van Lunen; The Effects of Low-Intensity Therapeutic Ultrasound on Measurable Outcomes: A Critically Appraised Topic; Journal of Sport Rehabilitation 2018 Jul 1; 27 (4) : 390-39.
2. Cochrane Database of Systematic Reviews, 2010
3. Yigal Katzap, Michael Haidukov, Olivier M Berland, Ron Ben Itzhak, Leonid Kalichman Additive Effect of Therapeutic Ultrasound in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial. Journal of Orthopaedic and Sports Physical Therapy 2018 Nov; 48 (11) : 847-855.
4. Cochrane Database of Systematic Reviews, 2014
5. Cochrane Database of Systematic Reviews, 2001
6. Cochrane Database of Systematic Reviews, 2000
7. Andrea Santamato; Short-term Effects of High-Intensity Laser Therapy Versus Ultrasound Therapy in the Treatment of People With Subacromial Impingement Syndrome: A Randomized Clinical Trial; 2009
8. Mohammad A. Mohseni-Bandpei, Jacqueline Critchley, Thomas Staunton, Barbara Richardson, A prospective randomised controlled trial of spinal manipulation and ultrasound in the treatment of chronic low back pain,
Physiotherapy,Volume 92, Issue 1,2006
9.Serap Cakir, Simin Hepguler, Cihat Ozturk, Murat Korkmaz, Banu Isleten, Funda Calis Atamaz; Efficacy of therapeutic ultrasound for the management of knee osteoarthritis: a randomized, controlled, and double-blind study.; American Journal of Physical Medicine & Rehabilitation 2014 May; 93 (5) : 405-12.
10. M P J van den Bekerom, D A W M van der Windt, G Ter Riet, G J van der Heijden, L M Bouter; Therapeutic ultrasound for acute ankle sprains. European Journal of Physical and Rehabilitation Medicine 2012 Jun; 48 (2) : 325-34.
