Evaluation of the effect of ultrasonic heating and exercise heating on muscles by ultrasound elastography: An experimental clinical trial
Keywords:Sonoelastography, Therapeutic ultrasound, Therapy, Exercise
Aim: 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 / cm2 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.
Miller DL, Smith NB, Bailey MR, Czarnota GJ, Hynynen K, Makin IR; Bioeffects Committee of the American Institute of Ultrasound in Medicine. Overview of therapeutic ultrasound applications and safety considerations. J Ultrasound Med. 2012 Apr;31(4):623-34.
Ebadi S, Henschke N, Nakhostin Ansari N, Fallah E, van Tulder MW. Therapeutic ultrasound for chronic low-back pain. Cochrane Database Syst Rev. 2014 Mar 14;(3):CD009169. doi: 10.1002/14651858.CD009169.pub2.
Mason TJ. Therapeutic ultrasound an overview. Ultrason Sonochem. 2011 Jul;18(4):847-52. doi: 10.1016/j.ultsonch.2011.01.004. Epub 2011 Jan 20.
Hoskins PR, Martin K, Thrush A. Diagnostic ultrasound: physics and equipment. 2nd ed. Cambridge medicine. 2010, Cambridge, UK ; New York: Cambridge University Press. xi, 263 p.
Demirel A, Baykara M, Koca TT, Berk E. Ultrasound elastography-based assessment of the elasticity of the supraspinatus muscle in impingement syndrome: does elastography has any diagnostic value? Clin Rheum. 2018 Jan 8. doi: 10.1007/s10067-017-3928-7. [Epub ahead of print]
González Hidalgo, M., A.M. Torres, and J. Varona Gómez, Deformation models : tracking, animation, and applications. Lecture notes in computational vision and biomechanics,. 2013, Dordrecht ; New York: Springer. xiv, 297.
O'Reilly MA, Hynynen K. Emerging non-cancer applications of therapeutic ultrasound. Int J Hyperthermia. 2015 May;31(3):310-8. doi: 10.3109/02656736.2015.1004375. Epub 2015 Mar 20.
Ahmadi F, McLoughlin IV, Chauhan S, ter-Haar G. Bio-effects and safety of low-intensity, low-frequency ultrasonic exposure. Prog Biophys Mol Biol. 2012 Apr;108(3):119-38. doi: 10.1016/j.pbiomolbio.2012.01.004. Epub 2012 Feb 28.
Furusawa Y, Hassan MA, Zhao QL, Ogawa R, Tabuchi Y, Kondo T. Effects of therapeutic ultrasound on the nucleus and genomic DNA. Ultrason Sonochem. 2014 Nov;21(6):2061-8. doi: 10.1016/j.ultsonch.2014.02.028. Epub 2014 Mar 7.
Mu HM, Wang LY. Effect of therapeutic ultrasound on brain angiogenesis following intracerebral hemorrhage in rats. Microvasc Res. 2015 Nov;102:11-8. doi: 10.1016/j.mvr.2015.08.001. Epub 2015 Aug 8.
Abtahi NS, Eimani H, Vosough A, Shahverdi A, Fathi R, Hayati N, et al. Effect of therapeutic ultrasound on folliculogenesis, angiogenesis and apoptosis after heterotopic mouse ovarian transplantation. Ultrasound Med Biol. 2014 Jul;40(7):1535-44. doi: 10.1016/j.ultrasmedbio.2014.02.006. Epub 2014 Apr 27.
Moros EG, Novak P, Straube WL, Kolluri P, Yablonskiy DA, Myerson RJ. Thermal contribution of compact bone to intervening tissue-like media exposed to planar ultrasound. Phys Med Biol. 2004 Mar 21;49(6):869-86.
Lioce EE, Novello M, Durando G, Bistolfi A, Actis MV, Massazza G, et al. Therapeutic ultrasound in physical medicine and rehabilitation: characterization and assessment of its physical effects on joint-mimicking phantoms. Ultrasound Med Biol. 2014 Nov;40(11):2743-8. doi: 10.1016/j.ultrasmedbio.2014.07.004. Epub 2014 Sep 12.
Ohwatashi A, Ikeda S, Harada K, Kamikawa Y, Yoshida A, Inoue K, et al. Temperature changes caused by the difference in the distance between the ultrasound transducer and bone during 1 mhz and 3 mhz continuous ultrasound: a phantom study. J Phys Ther Sci. 2015 Jan;27(1):205-8. doi: 10.1589/jpts.27.205. Epub 2015 Jan 9.
Norte GE, Saliba SA, Hart JM. Immediate Effects of Therapeutic Ultrasound on Quadriceps Spinal Reflex Excitability in Patients With Knee Injury. Arch Phys Med Rehabil. 2015 Sep;96(9):1591-8. doi: 10.1016/j.apmr.2015.03.014. Epub 2015 Mar 31.
Rigby JH, Taggart RM, Stratton KL, Lewis GK Jr, Draper DO. Intramuscular Heating Characteristics of Multihour Low-Intensity Therapeutic Ultrasound. Athl Train. 2015 Nov;50(11):1158-64. doi: 10.4085/1062-6050-50.11.03. Epub 2015 Oct 28.
Tsai WC, Tang ST, Liang FC. Effect of therapeutic ultrasound on tendons. Am J Phys Med Rehabil. 2011 Dec;90(12):1068-73. doi: 10.1097/PHM.0b013e31821a70be.
Vásquez B, Navarrete J, Farfán E, Cantín M. Effect of pulsed and continuous therapeutic ultrasound on healthy skeletal muscle in rats. Int J Clin Exp Pathol. 2014 Jan 15;7(2):779-83. eCollection 2014.
Montgomery L, Elliott SB, Adair HS. Muscle and tendon heating rates with therapeutic ultrasound in horses. Vet Surg. 2013 Apr;42(3):243-9. doi: 10.1111/j.1532-950X.2013.01099.x. Epub 2013 Feb 1.
Berko NS, Fitzgerald EF, Amaral TD, Payares M, Levin TL.Ultrasound elastography in children: establishing the normal range of muscle elasticity. Pediatr Radiol. 2014 Feb;44(2):158-63. doi: 10.1007/s00247-013-2793-z. Epub 2013 Oct 9.
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