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Does Therapeutic Ultrasound Actually Work? | Expert Physio Reviews the Evidence
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- Opublikowany 4 sty 2023
- In this tutorial, we review the evidence to determine if there is any clinical benefit in using Therapeutic Ultrasound in the treatment of musculoskeletal conditions.
References
*Shanks et al., 2010: www.sciencedirect.com/science...
*Cakir et al., 2014: journals.lww.com/ajpmr/Abstra...
*Desmeules et al., 2015: www.sciencedirect.com/science...
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Thank you Dr Khalid
U r such a gem in the field of physiotherapy .World needs many therapist like you.
I always increase my knowledge with your vedios as I am also a physiotherapist in India working at GB Pant hospital,New Delhi.
Very kind of you Daniyal! Thank you so much for your kind words!
Thanks for this! As a recent grad I pretty much knew therapeutic US was not supported by the evidence but it was nice to have you synthesise the results of some high quality literature. Any plans for doing similar videos on ESWT or laser therapy?
Thank you! Yes we have a video on ESWT (shockwave) already and will be planning on doing TENS
I wonder what would the effects of sham US vs no US at all would be in some of those studies. Would be interesting to compare the results.
That’s also a very interesting question!!!
Thank you Khalid!
Could you please do a video on how best to do researches like the way you do?
Thank you David! Nice idea will see if this is possible!
What a great therapist. As a 5th year chiro student, I strive to use the best modalities fitted for each patient's needs. I'll give US a skip in the future.😉
Thank you so much for your kind words!
I am studying physiotherapy in China, I have increased my cognition and knowledge a lot from your channel! much love! thanks.
Thank you!
Nice review sir.
In my experience,When my Px asks if the machine is working, I just stop moving the head and hot/sharp pain felt. There you have it sir. It’s working. Lol
😂
It can be used to diagnose a stressfracture :)
@S, the ultrasound used for diagnosis purposes is quite different from the therapeutic one. 👍🏽
@Clinical Physio also you can just use a therapeutic ultrasound to diagnose a stressfracture. So they are not totally invaluable :)
Absolutely it has a role in Imaging especially for soft tissue ! But as a treatment technique, the evidence is not supportive unfortunately!
I bought my own ultrasound machine. It helped my shoulder immensely. It also cleared up my tennis elbow.
I often suspect who pays for these studies. If it's some study which wants to profit from other treatments which they can make money by selling medicines etc.
The medical field is such a scam by big business which only seeks to make money by selling treatments which are valued at billions of dollars.
Glad to hear it has helped you!
@shaxhub8927 - Well whatever works, works . That's all the proof I need.
Well according to available evidence its just placebo effect.
Need a video on does TENS really work in pain management
👍🏼
Sir please make a detail video on pnf techniques.
🙏🏼👍🏼
After viewing your all videos the only question that left is what actually work for patients in physiotherapy 😖
MANY MANY THINGS!!! But perhaps most important ones are Exercise and Education!!
Thank you for this conclusion
Thank you!
Can you do one on TENS
Good idea!
No matter what - all the test results were actually the same. Hmmm what a co-incidence. 🤔 Dont worry any one I dont market them so you cant blame me.
Thank you Khaled, Happy New Year!
Thank you Hikumo! Happy New Year to you!
Can you do a vid like this but on infrared plz ?
@classic info 👍🏼
Yes we need a video on TENS and infra
Good idea!
I disagree with you here...
Even in sham US, that constant movement of US head will create heat, which could possibly be the reason for patient feeling better..
Haha that's funny. That's ridiculous. You're obviously not being serious right? Imagine the guys arm moving in circles at ultrasound frequency to generate the heat on the sham ultrasound head
So then the question would be….
1. Do we think that the heat created from the movement of sham US is enough to influence tissue healing at a deep cellular level?
2. If that is the case, why would we do real US at all? This would indicate that if sham US is as effective as real US, then it’s not the actual US waves that lead to the healing because there are no US waves present in sham US
U don't think that's decieving?
How do you mean Joyce?