• The Journal of Korean Physical Therapy
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• 제16권4호
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• pp.179-201
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• 2004

The purpose of this study was to determine the effect of application methods in ultrasound on skin temperature and muscle blood flow. Thirty healthy volunteers without known vascular problems participated and randomly divided into three groups such as continuous wave group (CWG) which received a ultrasound treatment of continuous-wave, intermittent wave group (IWG) which received a ultrasound treatment of intermittent-wave at a dosage of $1.5\;W/cm^2$ for a duration of 5 minutes, and placebo group (PG) which received a ultrasound treatment of no-wave and no-dosage ultrasound to the anterior forearm. Blood flow and skin temperature was measured using MP 150 before and after ultrasound administration. The results were as follows : 1. Administration of ultrasound in all groups had increased effect on skeletal muscle blood flow immediately after treatment and for up to 10 minutes posttreatment. 2. CWG and IWG showed increased skin temperature immediately after a ultrasound administration and maintained to 10 minutes posttreatment. PG showed increased skin temperature immediately after a ultrasound administration but returned to initial state to 10 minutes posttreatment. 3. The great change on skeletal muscle blood flow among three groups showed in CWG ($6.27{\pm}1.72$) and then displayed in PG ($5.12{\pm}1.66$) and IWG ($4.61{\pm}2.19$) in order. 4. The vast change on skin temperature among three groups showed in CWG and then IWG and PG in order.

• 대한임상전기생리학회지
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• 제9권1호
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• pp.23-28
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• 2011

Purpose : The purpose of study was to better understand the effects of Interferential Current (IFC) and Ultrasound on the ROM and pain in patients with chronic back muscle pain. Methods : Twenty patients with chronic back pain were randomly assigned to IFC stimulation groups and Ultrasound stimulation groups. Both groups used the same method for 20 minutes each session, three times a week for 4 weeks at the same time point and with the same amount of treatment. Measurement items are visual analogue scale (VAS) and range of motion (ROM). Results : This study showed that the IFC stimulation group and the ultrasound stimulation group demonstrated significant improvement in ROM increase and pain reduction. Both groups showed a significant reduction in VAS; however, the ultrasound stimulation group decreased more than ultrasound stimulation group. And, both groups showed a significant increase in ROM. The ultrasound stimulation group increased significantly more than the IFC stimulation group in ROM of flexion and extension. The IFC stimulation group increased significantly more than the ultrasound stimulation group in ROM of lateral flexion. Conclusion : Pain relief was more effective in the ultrasound group. The ultrasound showed a more significant effect than IFC in ROM of flexion and extension. The IFC showed a more significant effect than ultrasound in ROM lateral flexion. The results of this study suggest that the treatment effects are different on patients with chronic back pain, according to treatment methods.

• 한국전문물리치료학회지
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• 제9권2호
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• pp.97-105
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• 2002

The purpose of this study was to investigate the effectiveness of the low-intensity ultrasound (noblelife) treatment on the pain points of upper trapezius muscle. The study recruited 20 patients who had trigger points in one side of the upper trapezius. The effectiveness of the low-intensity ultrasound treatment was assessed with subjective pain intensity using visual analog scale (VAS) and pressure pain threshold (PPT). The PPT was measured by pressure threshold algometer. Before and after the treatment, changes of pain were evaluated. Wilcoxon test for VAS data and paired t-test for PPT data were used for statistical significance. Compared to the pain intensity before the treatment, the pain intensity after treatment was significantly decreased (p<.05). Low-intensity ultrasound could be safely used in clinical application and at home for the treatment of patients with pain in upper trapezius muscle.

• Journal of Acupuncture Research
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• 제40권2호
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• pp.162-166
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• 2023

This study aimed to demonstrate a safe and effective procedure targeting the A1 pulley with ultrasound-guided acupotomy in patients with a trigger finger. Six ultrasound-guided acupotomy procedures were performed on 1 patient. The Numerical Rating Scale (NRS) score, Quinnell's classification of triggering, Tanaka score, and A1 pulley thickness were measured using ultrasonography before and after treatment. This study revealed reduced NRS score, Quinnell's classification of triggering, Tanaka score, and thickness of the A1 pulley, with no side effects during the procedure. This indicates ultrasound-guided acupotomy as an effective and safe treatment method for patients with a trigger finger. Further studies are required to evaluate the beneficial effects of this treatment.

• The Journal of Korean Physical Therapy
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• 제16권1호
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• pp.124-139
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• 2004

Taping treatment is frequently used in the management of musculoskeletal pain The purpose of this study was to assess the effectiveness of ultrasound and taping treatment on the pain and grip strength with lateral epicondylitis. Pain and grip strength were assessed prior, after first, after second, after third, after fourth, and after fifth treatment. All 6 times calculated pain and grip strength. To find out the effectiveness of taping treatment, we were divide two groups. the one group was consisted of 20 patients that treated with H/P, electrical therapy and ultrasound, and the other group was consisted of 20 patients that treated with H/P, electrical therapy and taping. The results were as follow: 1. There were statistical significance on the pain and grip strength with ultrasound group(P<0.05). 2. There were statistical significance on the pain and grip strength with taping group(P<0.05). 3. Taping group was more statistical significance than ultrasound group on the pain(P<0.05). 4. There was no statistical significance between ultrasound group and taping group on the grip strength(P>0.05).

• 한국전문물리치료학회지
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• 제10권2호
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• pp.45-59
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• 2003

The purpose of this study was to assess the effects of ultrasound on adjuvant-induced arthritis in rats. Adjuvant arthritis was induced in 26 female Sprauge-Dawley rats by the subcutaneous injection of a single dose of .1 mL of Complete Freund's Adjuvant (CFA) (1 mg of Mycobacterium Butyricum suspended in .1 $m{\ell}$ paraffin oil) into the right hind paw. After confirming inflammatory edema and arthritis in the paw 2 weeks later, the arthritic rats were divided into 3 groups, i.e., a control group, a pulsed ultrasound group (Group A), and a continuous ultrasound group (Group B) with 8 rats placed in each group. The rats in Group A were treated with pulsed ultrasound at 1 MHz frequency with .5 $W/cm^2$ intensity in 1 : 4 mode for 3 minutes. The rats in Group B were treated with continuous ultrasound at 1 MHz frequency with 2 $W/cm^2$ intensity in the continuous mode for 3 minutes. The ultrasound treatment was done in the left and right ankles for 2 weeks. Clinical, radiographic and histopathologic findings were then evaluated before and after treatment and yielded the following results. 1. No significant difference was present in body weight between the control group and the treated groups. 2. A statistically significant decrease in the edema of the paw was seen in the rats in Group A that was treated with pulsed ultrasound by 26~29 days after the treatment started (p<.05). 3. According to radiological examination, Group A showed the lowest score in arthritis scale which means it showed a tendency to suppress arthritic inflammation of the left and right hind paws. However, no statistically significant difference was present in the score between the control group, Group A and Group B. 4. According to histopathologic findings, the degree of infiltration by inflammatory cells and hypertrophy of the synovium were less in Group A compared with the control group and Group B. The results of the study show that rats that were treated with the pulsed ultrasound effectively suppressed adjuvant arthritis. However, more effort is needed to objectively prove the effectiveness of ultrasound by developing more sensitive testing methods that could quantitatively evaluate the treatment effects of acute rheumatoid arthritis and by trying out different ultrasound treatment methods.

• 한국응용곤충학회지
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• 제51권3호
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• pp.223-230
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• 2012

일부 고주파 음파 처리가 파밤나방(Spodoptera exigua)의 생리변화를 유발시킨다. 이 연구는 초음파(${\geq}$ 20 kHz) 처리가 파밤나방 유충 섭식, 용 발육 및 성충 교미행동에 미치는 영향을 분석하였다. 초음파 처리는 5령충의 섭식 활동을 억제시켰다. 특별히 30 kHz 또는 45 kHz 초음파 처리를 받은 유충은 50% 이상의 섭식활동이 감소하였다. 이러한 초음파 처리를 받은 유충은 혈장의 주요 영양물질 함량이 변동되었다. 혈장 단백질은 처리 초음파의 주파수 증가에 따라 감소하였다. 그러나 혈당은 처리 초음파의 주파수 증가에 따라 증가하였다. 지질 함량은 30 kHz 처리까지는 증가하다가 이후 감소하였다. 파밤나방 5령의 혈구, 지방체 및 표피세포의 세 조직은 스트레스 관련 유전자들인 세 종류의 열충격단백질과 apolipophorin III를 발현시켰다. 그러나 초음파를 처리할 경우 일부 스트레스 관련 유전자들의 발현을 크게 억제시켰다. 초음파 처리는 또한 용발육을 억제시켜, 용기간을 연장시키고 성충으로 우화를 현격하게 낮추었다. 끝으로 초음파 처리는 성충의 교미행동을 억제시켜 암컷의 산란력을 뚜렷하게 낮추었다. 이러한 결과는 초음파가 파밤나방의 생리적 스트레스로 작용하고 있다는 것을 제시하고 있다.

• 한국전문물리치료학회지
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• 제5권3호
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• pp.34-41
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• 1998

Noninvasive low intensity ultrasound has been shown to be an effective means of accelerating bone fracture repair in both animal and clinical studies. The effects of ultrasound stimulation on bone repair after fibular osteotomy were assessed in a rabbit fibular fracture model. Bilateral closed fibular fractures were made in skeletally mature male White Japanese rabbits. In this study, 24 subjects were randomly divided into 2 groups: experimental group 1 (n=12), and experimental group 2 (n=12). Experimental group 1 received 0.875 MHz continuous ultrasound and Experimental group 2 was treated with 3 MHz continuous u1trasound. The ultrasound intensity was 50 $mW/cm^2$ and treatment time was 10 minutes for every session in both groups. In each rabbit, one fibula served as a control and the other was subjected to ultrasound treatment 5 times per week for 3 weeks. After 3 weeks, rabbits were sacrificed and the ratios of the area between the trabeculae and bone marrow of the fibulae were calculated. At the end of the experimental period, 14 of the 24 rabbits were excluded due to complications from surgery or inadequate fracture status for this study. There was no statistically significant difference in the trabeculae area between experimental leg and control leg in experimental group 1 and experimental group 2 (p>0.05). And there was also no statistic-statistically significant difference between experimental group 1 and experimental group 2 according to ultrasound treatment frequencies, 0.875 MHz and 3 MHz (p>0.05). These data suggest that in Japanese white rabbits, low intensity ultrasound stimulation does not facilitate fracture repair nor is there any difference in fracture repair results between ultrasound frequencies, 0.875 MHz and 3 MHz.

• Clinics in Shoulder and Elbow
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• 제18권3호
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• pp.172-193
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• 2015

Nowadays shoulder ultrasound is commonly used in the assessment of shoulder diseases and is as accurate as magnetic resonance imaging in the detection of several pathologies. Operator dependence is the main disadvantage of shoulder ultrasound. After adhering to a strict examination protocol, good knowledge of normal anatomy and pathologic processes and an awareness of common pitfalls, it can be used as a focused examination providing rapid, real-time diagnosis, and treatment by ultrasound-guided interventions in desired clinical situations. Also shoulder ultrasound can help the surgeon decide whether treatment will be surgical or nonsurgical. If arthroscopy is planned, sonographic findings help to counsel patients regarding surgical and functional outcomes. If a nonsurgical approach is indicated, ultrasound can be used to follow patients. This review article presents the examination techniques, the normal sonographic appearances and the main pathologic conditions found in shoulder ultrasound. And also addresses a simplified approach to scanning and ultrasound-guided intervention. Knowledge of optimal techniques, normal anatomy, dynamic maneuvers, and pathologic conditions is essential for optimal performance and interpretation of images.

• 한국음향학회지
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• 제39권1호
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• pp.16-23
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• 2020

고강도 집중 초음파(High-Intensity Focused Ultrasound, HIFU) 치료에서 HIFU 초점의 효과적인 위치 파악은 안전한 치료 계획을 개발하는 데 중요하다. 자기 공명 영상 유도 HIFU(Magnetic Resonance Imaging guided HIFU, MRIgHIFU)는 HIFU 초점을 영상화하여 치료 중에 초음파 경로를 시각화 할 수 있지만 초음파 이미징 유도 HIFU(Ultrasound imaging guided HIFU, USIgHIFU)에서는 어려움이 있다. 본 연구에서는 USIgHIFU에 대해 HIFU 초점을 영상화할 수 있는 실시간 초음파 빔 시각화 기법을 제시 하였다. 제안 된 방법에서, 음향 강도(Ispta < 720 mW/㎠) 아래의 이미징 초음파 변환자의 동일한 중심 주파수를 갖는 짧은 펄스가 HIFU 변환기를 통해 전송되고, HIFU 빔 경로를 시각화하기 위해 수신 신호는 동적 수신 포커싱 및 후속 에코 처리를 거쳤다. 소 혈청 알부민 젤 팬텀을 이용한 생체외 실험으로부터, HIFU 빔 경로는 낮은 음향 강도 (Ispta = 94.8 mW/㎠)에서도 명확히 영상화 할 수 있었고 HIFU 초점은 손상이 생성되기 전에 성공적으로 시각화하였다. 이 결과는 제안 된 초음파 빔 경로 시각화 방법이 USIgHIFU 치료에서 원치 않는 조직 손상을 최소화하면서 실시간으로 HIFU 초점을 영상화하는 데 사용될 수 있음을 나타낸다.