A Comparison of Intramuscular Temperatures during 10-Minute 1.0-MHz Ultrasound Treatments at Different Intensities

2004 ◽  
Vol 13 (3) ◽  
pp. 244-254 ◽  
Author(s):  
Jamie Leonard ◽  
Mark Merrick ◽  
Chris Ingersoll ◽  
Mitchell Cordova

Context:Research on therapeutic ultrasound has not focused on the duration needed to cause thermal change with various ultrasound intensities.Objective:To analyze triceps surae intramuscular temperature using 4 intensity levels after a 10-min 1-MHz continuous ultrasound treatment at a depth of 4 cm.Design:1 × 4 repeated measures. Independent variable: intensity of 4 levels—0.5, 1.0, 1.5, and 2.0 W/cm2. Dependent variable: peak intramuscular temperature.Setting:Research laboratory.Participants:19 volunteers with no lower leg pathologies.Intervention:Treatment order was balanced via Latin square and performed 24 hr apart.Main Outcome Measures:Peak intramuscular temperatures.Results:The only significant difference detected was that the mean temperature after the 1.0-W/cm2 treatment (37.3 °C) was greater than that at 2.0-W/cm2 intensity (36.1 °C). No treatment reached the desired 4° increase needed for therapeutic efficacy.Conclusions:Treatments at 1.0 W/cm2 increased tissue temperatures more than those at 2.0 W/cm2.

2013 ◽  
Vol 22 (4) ◽  
pp. 296-300
Author(s):  
Daniel Krasinski ◽  
Ashley B. Thrasher ◽  
Michael G. Miller ◽  
William R. Holcomb

Context:A potential variable that could affect rate of temperature elevation with ultrasound is the pressure (mass) that is applied to the transducer head during application. Added pressure could compress the tissue, affecting density and the transmission of ultrasound energy. Little research has been completed to determine the effects of the amount of pressure applied during therapeutic ultrasound in vivo.Objective:To determine the effects of different applied transducer mass on intramuscular temperature during an ultrasound treatment within the left triceps surae.Design:Crossover clinical trial.Setting:Human performance research laboratory.Participants:Convenience sample of thirteen healthy, college-age students.Interventions:Three separate MHz, 1.0-W/cm2 ultrasound treatments were administered 1.5 cm within the triceps surae. The independent variables were the linear temperature standards (0.5°C, 1.0°C, 1.5°C, and 2.0°C above baseline) and the 3 different applied pressures measured in grams (200 g, 600 g, and 800 g).Main Outcome Measures:A thermocouple probe was used to measure triceps surae temperature, and time to reach the temperature standards was recorded during the ultrasound treatments. A 4 × 3 repeated-measures analysis of variance (RM-ANOVA) was used to analyze the differences for temperature points (0.5°C, 1.0°C, 1.5°C, and 2.0°C) and transducer mass (200 g, 600 g, and 800 g) and with respect to time.Results:The results of the RM-ANOVA showed no temperature-point and transducer-mass interaction (F6,72 = 1.69, P = .137) or main effect for mass (F2,24 = 1.23, P = .309). The time required to raise temperature 2°C was 209.1 ± 68.10 s at 200 g, 181.5 ± 61.50 s at 600 g, and 194.9 ± 75.54 s at 800 g.Conclusions:Under the conditions of this study, the amount of mass applied with the transducer during an ultrasound treatment does not ultimately affect the rate of tissue heating.


2022 ◽  
Vol 8 (1) ◽  
Author(s):  
Joanne DiFrancisco-Donoghue ◽  
Thomas Chan ◽  
Alexandra S. Jensen ◽  
James E. B. Docherty ◽  
Rebecca Grohman ◽  
...  

Abstract Context Muscle damage and delayed onset muscle soreness (DOMS) can occur following intense exercise. Various modalities have been studied to improve blood lactate accumulation, which is a primary reason for DOMS. It has been well established that active recovery facilitates blood lactate removal more rapidly that passive recovery due to the pumping action of the muscle. The pedal pump is a manual lymphatic technique used in osteopathic manipulative medicine to increase lymphatic drainage throughout the body. Pedal pump has been shown to increase lymphatic flow and improve immunity. This may improve circulation and improve clearance of metabolites post-exercise. Objective This study compared the use of pedal pump lymphatic technique to passive supine recovery following maximal exercise. Methods 17 subjects (male n = 10, age 23 ± 3.01; female n = 7, age 24 ± 1.8), performed a maximal volume O2 test (VO2 max) using a Bruce protocol, followed by a recovery protocol using either pedal pump technique or supine passive rest for 10 min, followed by sitting for 10 min. Outcome measures included blood lactate concentration (BL), heart rate (HR), systolic blood pressure (SBP) and VO2. Subjects returned on another day to repeat the VO2 max test to perform the other recovery protocol. All outcomes were measured at rest, within 1- minute post-peak exercise, and at minutes 4, 7, 10 and 20 of the recovery protocols. A 2 × 6 repeated measures ANOVA was used to compare outcome measures (p ≤ 0.05). Results No significant differences were found in VO2, HR, or SBP between any of the recovery protocols. There was no significant difference in BL concentrations for recovery at minutes 4, 7, or 10 (p > 0.05). However, the pedal pump recovery displayed significantly lower BL concentrations at minute 20 of recovery (p = 0.04). Conclusion The pedal pump significantly decreased blood lactate concentrations following intense exercise at recovery minute 20. The use of manual lymphatic techniques in exercise recovery should be investigated further.


2015 ◽  
Vol 24 (3) ◽  
pp. 293-299 ◽  
Author(s):  
Kazem Malmir ◽  
Gholam Reza Olyaei ◽  
Saeed Talebian ◽  
Ali Ashraf Jamshidi

Context:Cyclic movements and muscle fatigue may result in musculoskeletal injuries by inducing changes in neuromuscular control. Ankle frontal-plane neuromuscular control has rarely been studied in spite of its importance.Objective:To compare the effects of peroneal muscle fatigue and a cyclic passive-inversion (CPI) protocol on ankle neuromuscular control during a lateral hop.Design:Quasi-experimental, repeated measures.Setting:University laboratory.Participants:22 recreationally active, healthy men with no history of ankle sprain or giving way.Interventions:Participants performed a lateral hop before and after 2 interventions on a Biodex dynamometer. They were randomly assigned to intervention order and interventions were 1 wk apart. A passive intervention included 40 CPIs at 5°/s through 80% of maximum range of motion, and a fatigue intervention involved an isometric eversion at 40% of the maximal voluntary isometric contraction until the torque decreased to 50% of its initial value.Main Outcome Measures:Median frequency of the peroneus longus during the fatigue protocol, energy absorption by the viscoelastic tissues during the CPI protocol, and feedforward onset and reaction time of the peroneus longus during landing.Results:A significant fall in median frequency (P < .05) and a significant decrease in energy absorption (P < .05) confirmed fatigue and a change in viscoelastic behavior, respectively. There was a significant main effect of condition on feedforward onset and reaction time (P < .05). No significant main effect of intervention or intervention × condition interaction was noted (P > .05). There was a significant difference between pre- and postintervention measures (P < .0125), but no significant difference was found between postintervention measures (P > .0125).Conclusions:Both fatigue and the CPI may similarly impair ankle neuromuscular control. Thus, in prolonged sports competitions and exercises, the ankle may be injured due to either fatigue or changes in the biomechanical properties of the viscoelastic tissues.


2015 ◽  
Vol 41 (2) ◽  
pp. e19-e23 ◽  
Author(s):  
Ki-Tae Koo ◽  
Min-Ho Kim ◽  
Hae-Young Kim ◽  
Ulf M. E. Wikesjö ◽  
Jae-Ho Yang ◽  
...  

This study evaluated the effects of drill wear on bone temperature during osteotomy preparation with 3 types of drills and compared heat production between drills. The drills used in this study were titanium nitride-coated metal, tungsten carbide carbon-coated metal, and zirconia ceramic drills. An osteotomy 11 mm in depth was formed in bovine scapular bone following the manufacturer's recommended drill sequences. Drilling was performed without irrigation and repeated 20 times; temperature was measured every 5 times. Next, 200 rounds of drilling during irrigation were performed for each drill, with temperature change monitored until round 200. Analysis of variance statistics were used for analyses of the measured data. Drilling without irrigation showed significant thermal increase at all time points compared to drilling with irrigation (P &lt; .001). No significant difference was found between drill materials. Under irrigation, the frequency of previous drilling had minimal effects on thermal change. The repeated-measures analysis of variance revealed major thermal change at the initial time point (P &lt; .0001), and the multiple comparison tests revealed a significant difference in temperature between the initial drills that had been used 50 or fewer times and those that had been used more than 50 times, irrespective of the drill material. The results of this study indicate that the initial drill should be changed in osteotomy preparation with irrigation after they have been used 50 times. Irrigation may be a more critical factor for the control of temperature elevation than is the drill material.


1978 ◽  
Vol 10 (2) ◽  
pp. 203-207 ◽  
Author(s):  
Denise B. Elgart

Comprehension is achieved through three different modes of reception — oral reading, silent reading, and listening. The relative effectiveness of each of the three modes has been examined, but has yielded conflicting results due to intersubject variation and difference in degree of reading materials. The purpose of this study was to use a research design which eliminated those two sources of error as they affect a comparison of the three modes of reception — oral reading, silent reading, listening on comprehension. Forty-five third-grade students were selected. The pupils read orally, read silently, and listened to selections taken from the Gates-MacGinitie Reading Comprehension Test-Primary C, Form 2. An Analysis of Variance using a Latin Square Design with repeated measures was used. Results indicated that there was a significant difference between the three modes of reception with oral reading significantly more effective than silent reading in comprehending material.


2017 ◽  
Vol 26 (4) ◽  
pp. 216-222 ◽  
Author(s):  
In-cheol Jeon ◽  
Oh-yun Kwon ◽  
Jong-hyuck Weon ◽  
Ui-jae Hwang ◽  
Sung-hoon Jung

Context:Prone hip extension has been recommended for strengthening the back and hip muscles. Previous studies have investigated prone hip extension conducted with subjects on the floor in the prone position. However, no study has compared 3 different table hip-extension (THE) positions in terms of the activities of the back- and hip-joint muscles with lumbopelvic motion.Objective:To identify more effective exercises for strengthening the gluteus maximus (GM) by comparing 3 different exercises (THE alone, THE with the abdominal drawing-in maneuver [THEA], and THEA with chair support under the knee [THEAC]) based on electromyographic muscle activity and pelvic compensation.Design:Repeated-measure within-subject intervention.Setting:University research laboratory.Participants:16 healthy men.Main Outcome Measures:Surface electromyography (EMG) was used to obtain data on the GM, erector spinae (ES), multifidus, biceps femoris (BF), and semitendinosus (ST). Pelvic compensation was monitored using an electromagnetic motion-tracking device. Exertion during each exercise was recorded. Any significant difference in electromyographic muscle activity and pelvic motion among the 3 conditions (THE vs THEA vs THEAC) was assessed using a 1-way repeated-measures analysis of variance (ANOVA) with Bonferroni post hoc test.Results:The muscle activities recorded by EMG differed significantly among the 3 exercises (P < .01). GM activity was increased significantly during THEAC (P < .01). There was a significant difference in lumbopelvic kinematics in terms of anterior tilting (F = 19.49, P < .01) and rotation (F= 27.38, P < .01) among the 3 exercises.Conclusions:The THEAC exercise was the most effective for strengthening the GM without overactivity of the ES, BF, and ST muscles and lumbopelvic compensation compared with THE and THEA.


2006 ◽  
Vol 15 (4) ◽  
pp. 271-279 ◽  
Author(s):  
Lee Herrington ◽  
Stephen Pearson

Context:One factor believed to affect Patella tracking is an alteration in the timing of the contraction of the muscular stabilizers of the patella. The muscles responsible for this are Vastus Medialis Oblique (VMO) and Vastus Laterialis (VL). A number of authors believe that asynchronous recruitment of the VMO muscle occurs in patella mal-tracking, with the VL muscle firing first and VMO firing first with normal tracking. This has lead to a variety of exercise interventions to reverse the situation with varying success. The discrepancy between the majority of the available research findings and the clinical hypothesis of VMO action or facilitation of this action may in part be due to methodological variability between studies, especially lack of control of the exercise variables of angular velocity and relative load.Objective:To assess the effect of different quadriceps exercises on VMO and VL EMG recruitment timing, while controlling load and velocity of contraction.Design:Repeated measures.Setting:Biomechanics laboratory.Main Outcome Measures:Differences in time of onset of muscle activity between VMO and VL.Results:No significant difference existed between gender (P= 0.78). Analysis factorial ANOVA (muscle, contraction type and exercise type) showed the main effects of muscle (P= 0.15) and type of contraction (P= 0.79) did not have a significant effect, the nature of exercise (OKC or CKC) had a significant effect (P< 0.001). The interaction of muscle and exercise type (P= 0.34) also had a nonsignificant effect.Conclusions:Onset timing does not differ significantly between VMO and VL during a variety of exercise tasks.


2012 ◽  
Vol 21 (4) ◽  
pp. 306-312 ◽  
Author(s):  
David J Dominguese ◽  
Jeff Seegmiller ◽  
B. Andrew Krause

Context:Lower extremity injury is prevalent among individuals participating in sports. Numerous variables have been reported as predisposing risk factors to injury; however, the effects of muscle fatigue on landing kinetics are unclear.Objectives:To investigate the effects of a single session of repeated muscle fatigue on peak vertical ground-reaction force (GRF) during drop landings.Design:Mixed factorial with repeated measures.Setting:Controlled laboratory.Participants:10 female and 10 male healthy recreational athletes.Intervention:Subjects performed 3 fatigued drop landings (60 cm) after four 20-s Wingate anaerobic tests (WATs) with 5 min of active recovery between fatigued conditions.Main Outcome Measures:Kinetic data of peak forefoot (F1) force, peak rear-foot (F2) force, and anteroposterior (AP) and mediolateral (ML) forces at both F1 and F2.Results:A significant main effect was observed in the nonfatigued and fatigued drop landings in respect to peak F2 force. The greatest significant difference was shown between the first fatigued drop-landing condition and the last fatigued drop-landing condition. No significant difference was observed between genders for all GRF variables across fatigue conditions.Conclusion:A single session of repeated conditions of anaerobic muscle fatigue induced by WATs caused an initial reduction in peak F2 force followed by an increase in peak F2 force across conditions. Muscle fatigue consequently alters landing kinetics, potentially increasing the risk of injury.


2011 ◽  
Vol 20 (3) ◽  
pp. 333-344 ◽  
Author(s):  
David A. Krause ◽  
Beth A. Cloud ◽  
Lindsey A. Forster ◽  
Jennifer A. Schrank ◽  
John H. Hollman

Context:Limited ankle DF (DF) range of motion (ROM) resulting from restricted gastrocnemius and soleus mobility is associated with a variety of lower extremity pathologies. Several techniques are used clinically to measure ankle DF.Objectives:To evaluate the reliability and minimal detectable change of DF ROM measurement, determine whether there is a difference in measured DF between techniques, and quantify the electromyographic (EMG) activity of the soleus and tibialis anterior muscles associated with the techniques.Design:Repeated measures.Setting:Controlled laboratory setting.Participants:39 healthy subjects, age 22–33.Main Outcome Measures:DF measurements using 5 different techniques including active and passive DF with the knee extended and flexed to 90° and a modified lunge. EMG activity of the soleus and anterior tibialis muscles.Results:Intrarater reliability values (ICC3,1) ranged from .68 to .89. Interrater reliability (ICC2,1) ranged from .55 to .82. ICCs were the greatest with the modified lunge. The minimal detectable change (MDC95) ranged from 6° to 8° among the different techniques. A significant difference in DF ROM was found between all methods. Measurements taken with active DF were greater than the same measures taken passively. The lunge position resulted in greater DF ROM than both active and passive techniques. EMG activity of the soleus was greater with active DF and the lunge than with passive DF.Conclusions:The modified lunge, which demonstrated excellent intrarater and interrater reliability, may best represent maximal DF. Active end-range DF was significantly greater than passive end-range DF when measured at either 0° or 90° knee flexion. Greater active DF was not explained by inhibition of the soleus. Finally, using the modified lunge, a difference between 2 measurements over time of 6° or more suggests that a meaningful change has occurred.


2012 ◽  
Vol 21 (2) ◽  
pp. 175-181 ◽  
Author(s):  
Kenji Masumoto ◽  
Ayako Hamada ◽  
Hiro-omi Tomonaga ◽  
Kana Kodama ◽  
Noboru Hotta

Context:Walking in water has been included in rehabilitation programs. However, there is a dearth of information regarding the influence of a water current on physiological responses, rating of perceived exertion (RPE), and stride characteristics of subjects while they walk in water.Objective:To compare physiological responses, RPE, and stride characteristics of subjects walking in water (with and without a current) with those of subjects walking on dry land.Design:Repeated measures.Setting:University laboratory.Participants:7 male adults (mean age = 21.6 y).Intervention:Subjects walked on a treadmill on dry land and on an underwater treadmill immersed to the level of the xiphoid process. The walking speeds in water were set to be half of that on dry land.Main Outcome Measures:Oxygen consumption (VO2), respiratory-exchange ratio (RER), heart rate (HR), minute ventilation (VE), RPE (for breathing and legs, RPE-Br and RPE-Legs, respectively), systolic (SBP) and diastolic (DBP) blood pressures, and stride frequency (SF) were measured. In addition, stride length (SL) was calculated.Results:There was no significant difference in the VO2, RER, HR, VE, RPE-Br, and RPE-Legs while walking in water with a current compared with walking on dry land (P > .05). Furthermore, VO2, RER, HR, VE, RPE-Br, RPE-Legs, SF, and SBP while walking in water were significantly higher with a water current than without (P < .05).Conclusions:These observations suggest that half the speed should be required to work at the similar metabolic costs and RPE while walking in water with a current, compared with walking on dry land. Furthermore, it was suggested that the physiological responses and RPE would be higher while walking in water with a current than without.


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