Evidenz für die Effektivität von therapeutischem Ultraschall

Zusammenfassung der Hauptergebnisse

  • Therapeutischer Ultraschall erwärmt das Gewebe effektiv, aber die notwendige Gewebetemperatur für einen Nutzen ist unbekannt.4-6
  • Therapeutischer Ultraschall niedriger Intensität kann die Zeit bis zur Heilung von Frakturen verkürzen.7-9 CAVE: Neure Übersichtsarbeiten bestätigen dies nicht. S. link
  • Ultraschall hat eine sehr begrenzte Wirkung hinsichtlich einer Schmerzreduktion.3,10-12
  • Ultraschall hat keine Wirkung auf Muskelkater (DOMS).13-17
  • Die Phonophorese ist nicht wirksam bezüglich der Verabreichung von Medikamenten unter die Epidermis.18-21

Literaturangaben

  1. Draper DO, Edvalson CG, Knight KL, Eggett D, Shurtz J. Temperature increases in the human Achilles tendon during ultrasound treatments with commercial ultrasound gel and full-thickness and half-thickness gel pads. J Athl Train. 2010;45:333–337.
  2. Chan AK, Myrer JW, Measom GJ, Draper DO. Temperature changes in human patellar tendon in response to therapeutic ultrasound. J Athl Train. 1998;33:130–135.
  3. Draper DO, Richard MD. Rate of temperature decay in human muscle following 3 MHz ultrasound: the stretching window revealed. J Athl Train. 1995;30:304–307.
  4. Kristiansen TK, Ryaby JP, McCabe J, Frey JJ, Roe LR. Accelerated healing of distal radial fractures with the use of specific, low-intensity ultrasound. A multicent, prospective, randomized, double-blind, placebo-controlled study. J Bone Joint Surg Am. 997;79:961–973
  5. Heckman JD, Ryaby JP, McCabe J, Frey JJ, Kilcoyne RF. Acceleration of tibial fracture-healing by non-invasive, low-intensity pulsed ultrasound. J Bone Joint Surg Am. 199;;76:26–34.
  6. Leung K-S, Lee W-s, Tsui H-F, Liu PP-L, Cheung W-H. Complex tibial fracture outcomes following treatment with low-intensity pulsed ultrasound. Ultrasound Med Biol. 2004;30:389–395.
  7. Alexander LD, Gilman DRD, Brown DR, Brown JL, Houghton PE. Exposure to low amounts of ultrasound energy does not improve soft tissue shoulder pathology: a systematic review. Phys Ther. 2010;90:14–25.
  8. Philadelphia panel evidence-based clinical practice guidelines on selected rehabilitation interventions for shoulder pain. Phys Ther. 2001;81:1719–1730.
  9. Robertson VJ, Baker KG. A review of therapeutic ultrasound: effective-ness studies. Phys Ther. 2001;81:1339–1350.
  10. Nyanzi CS, Langridge J, Heyworth JRC, Mani R. Randomized controlled study of ultrasound therapy in the management of acute lateral ligament sprains of the ankle joint. Clin Rehabil. 1999;13:16–22.
  11. Aytar A, Tuzun EH, Eker L, Yuruk Z, Daskapan A, Akman MN. Effectiveness of low-dose pulsed ultrasound for treatment of delayed-onset muscle soreness: a double-blind randomized controlled trial. Isokinet Exerc Sci. 2008;16:239–247.
  12. Stay JC, Richard MD, Draper DO, Schulthies SS, Durrant E. Pulsed ultrasound fails to diminish delayed-onset muscle soreness symptoms. J Athl Train. 1998;33:341–346.
  13. Symons BT, Clasey JL, Gater DR, Yates JW. Effects of deep heat as a preventative mechanism on delayed onset muscle soreness. J Strength Cond Res. 2004;18:155–161.
  14. Tiidus PM, Cort J, Woodruff SJ, Bryden P. Ultrasound treatment and recovery from eccentric-exercise-induced muscle damage. J Sport Rehabil. 2002;11:305–314.
  15. Bare AC, McAnaw MB, Pritchard AE, et al. Phonophoretic delivery of 10% hydrocortisone through the epidermis of humans as determined by serum cortisol concentrations . . . including commentary by Robinson AJ, and Echternach JL with author response. Phy Ther. 1996;76:738–749.
  16. Darrow H, Schulthies S, Draper D, Richard M, Measom GJ. Serum dexamethasone levels after decadron phonophoresis. J Athl Train. 1999;34:338–341.
  17. Kuntz AR, Griffiths CM, Rankin JM, Armstrong CW, McLoughlin TJ. Cortisol concentrations in human skeletal muscle tissue after phonophoresis with 10% hydrocortisone gel. J Athl Train. 2006;41:321–324.
  18. Saliba S, Mistry DJ, Perrin DH, Gieck J, Weltman A. Phonophoresis and the absorption of dexamethasone in the presence of an occlusive dressing. J Athl Train. 2007;42:249–354.