什麼是超音波治療?
相信很多人去看醫生時都有做過超音波治療,今天要和大家介紹超音波治療如何幫助你的痛痛復原。有些病患去做超音波的時候,會以為開強一點,有痠痛的fu會比較有效,這樣真的好嗎???
超音波治療儀器的原理
你的耳朵能夠聽到聲音,是因為空氣震動,層層傳到耳蝸轉成聽覺訊號。而人的耳朵能夠聽到的震動範圍大概是15~20,000 Hz這個區間,Hz是赫茲,也就是每秒震動幾次的意思。超過這個範圍就叫超音波,人的耳朵是聽不到的。
超音波治療儀器就是把高頻率的震動打進你的身體裡,把能量灌進去,以達到治療的效果。震動有分成幾種:
- 持續型震動,意思是一直在震,震不停,直到你關掉它。
- 震兩毫秒,休息兩毫秒,震兩毫秒,休息兩毫秒,這種震動和休息一樣多時間的叫1:1,也可以說叫50%,意思是它只有50%的時間在工作。
- 和上面類似,但是震動與休息的時間可以是1:2 (33%)、1:3 (25%)、1:4 (20%)。
選擇不同的震動間隔,取決於我們想要傳送什麼樣的能量進去,是熱能多一點呢?還是震動多一點呢?你也可以選擇時間間隔是兩毫秒還是四毫秒。
除了頻率,我們還可以決定到底要送多強的能量進去你的身體。假如你希望使用以熱能為主的超音波治療,那可能就是持續型的震動再配上0.5W/(cm^2)的參數。意思是每平方公分的面積上,每秒鐘送進0.5焦耳的能量。
為什麼做超音波治療的時候要抹藍膠?
聲波是一種藉由物質震動來傳遞的能量,所以他一定要有物質來當作中間的介質才行。不像電磁波(光波)可以在真空中射來射去,不需要介質。
介質的問題是,不同介質之間要是差異很大的話,聲波(含超音波)是會在兩中介質中間反射的,而無法順利繼續走下去的。
超音波儀器震動的頭是金屬的,而頭外面是空氣,空氣和金屬差太多了,所以99.998%的超音波會被反射!!!那豈不就反射光了嗎?超音波還超屁呀~~~
沒錯,所以超音波儀器的金屬頭要緊緊貼在你的皮膚上…….上…….啊要是你的皮膚和儀器頭中間有空氣不就完蛋了。沒錯,就完蛋了,所以我們要塗上一種黏黏滑滑的藍膠,藍色膠狀液體作為儀器頭和皮膚中間的介質,趕走儀器頭和你皮膚中間的空氣們。除了藍膠,有需要的時候也能選擇其他的液體當作中間介質,例如水也是蠻不錯的。
(註:膠不是只有藍色的,藍色常見又有梗,所以拿來寫。它其實有不同顏色。)
另外,超音波的最好是垂直你的皮膚來打進去,最好不要歪歪斜斜,就算歪斜也不要超過15度喲~
超音波治療的小知識
基本上身體要能吸收這些能量才會產生治療效果。而身體不同的組織吸收超音波能量的能力也不同,所以超音波會進到你皮膚底下好幾公分才被吸光。
震動傳到你的身體裡之後,在不同的組織部位被吸收,他會發生四件事:
- 能量轉變成熱能,所以你的身體組織溫度升高了。所以你可以把超音波當成深層的熱敷,在正確的操作下,他可使你的組織升溫到攝氏40~45度,組織會充血,促進循環。
- 超音波在你的身體裡製造了一些微小的漩渦叫作聲波流,聲波流會影響到那個部位的擴散能力和滲透能力,進而使那邊細胞變得很興奮!!!!來達到治療的效果。
- 空泡效應(或者翻作空蝕或氣穴),超音波會在你的身體裡產生微小的氣泡。微小的氣泡可以增加上面講的聲波流。
- 震動對你的身體組織做了微小的按摩,小小的,但每秒一百萬下、三百萬下的按摩,手速真的太快了,那個加什麼鷹的直接吃土了。
上面的四件事情,第一件是熱效應,其他三件是非熱效應。兩種效應之間的比例會影響到治療的效果。
所以超音波治療到底怎麼幫助身體修復?
你身體的軟組織受傷修復分成四個階段,第一階段是受傷流血,第二個階段是發炎反應,第三個階段是增生增殖,第四個階段是重新塑型。
大部分而言,超音波治療會用在發炎、增生、重塑三個階段。
超音波並不會幫你消炎,事實上發炎不是壞事,發炎是身體良好的修復反應之一,清理髒東西、壞東西,準備修復受損的組織。超音波是來幫助你「優化」那個發炎,刺激你的血小板和巨噬細胞等等,讓發炎更有效率。
在增生階段,超音波可以讓纖維組織母細胞、肌成纖維細胞變high。它不會讓增生的時間變短,更快進入下個階段,但是可以讓增生做得更好。
最後進入重塑階段,超音波可以影響膠原蛋白的生成類型,來幫助復原後的強度。
你會發現,超音波只是「幫助」你復原,重點還是你自身的復原能力。如果你本身就不運動、生活習慣又很差,身體裡的細胞都是肥宅、廢宅狀態,就算你用超音波刺激他們,讓他們變成廢宅之王…..還是廢宅呀。
所以他的效果取決於人、治療的部位和症狀適不適合超音波。人的部分,有些人體質適合超音波,有些人不適合,另外操作者的技術也是很重要的。
超音波治療適合用在哪裡?
你身體裡面哪些組織比較能夠吸收超音波的能量呢?答案是身體裡比較能吸收超音波的組織。富含蛋白質或膠原蛋白的那些,例如肌腱、韌帶、關節囊、筋膜這些軟Q有彈性的結締組織。有些研究認為肌腱鈣化、特定部位的肌腱炎(例如手肘)用超音波治療的效果比較顯著。
如果是含水量較高的組織就比較不適合超音波,例如肌肉、水腫的地方之類的。含水量較高的組織比較用脈衝短波去治療。
超音波治療理想上,是做到有輕微、一滴滴的酸或刺痛感,接著降低強度,依據治療師專業的判斷來操作。有些病患會去追求強烈的感覺,似乎這樣才有燃燒生命的快感,但其實並沒有文獻指出比較有感覺就比較有效,追求那個 fu 並不是明智的事情。也有些治療師不會讓你感到痠或痛,但是一樣具有療效。講半天就是讓物理治療師去決定該如何做超音波治療,請不要自行判斷,只要忠實告訴治療師你的感受就行了,放心交給他吧!!!
超音波治療的禁忌症
人體有些地方並不適合用超音波去治療,不,應該說不能用超音波去打!
眼睛、心臟、生殖腺、嬰幼兒、靜脈曲張、腫瘤、凝血不全、肺結核、骨病變等地方是不能用超音波去治療的,另外孕婦也不可以。
另外推薦其他的儀器治療文章:干擾波電療、體外震波治療。

好痛痛復健科、骨科、物理治療、運動訓練搜尋器
腳板前痛,超音波治療都未見效?
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