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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