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Therapeutic Ultrasound - Coggle Diagram

- - - - 3MHz
    - - 1MHz
  - - - Pulse ratio 1:4 or 1:3
      - Intensity 0.1-0.3 W/cm2
    - - Pulse ratio 1:3 1:2
      - Intensity 0.2-0.5 W/cm2
    - - Pulse ratio 1:2 1:1 or continuous
      - Intensity 0.3-0.8 W/cm2
  - - - Week 1 and 2 - 3 treatments
      - Week 3 and 4 - 2 treatments
- - - - Stable cavitation
        
        Formation of gas bubbles
        
        Achieved through ultrasound
      - Unstable cavitation
        
        Collapse of gas bubbles
        
        Tissue damage
    - - Oscillation around vibrating structures
      - Affects diffusion rate and cell membrane permeability
    - - Protein synthesis
      - Vascular permeability
      - Angiogenesis
      - Collagen profile and alignment
    - - Affects enzyme control of metabolic processes
      - Protein synthesis and cellular secretions
  - - - Mast cells
        
        Degranulation
        
        Inflammatory mediators
      - Platelets
        
        Aggregation
      - White cells
        
        Phagocytosis
      - Macrophages
        
        Synthesis of fibroblasts
    - - Fibroblasts
        
        Increased proliferation
      - Endothelial cells
        
        Increased activity
        
        Angiogenesis
      - Myofibroblasts
        
        Increased activity
        
        Wound contraction
    - - Collagen
        
        Orientation
        
        Reabsorption of type III
        
        Replacement of type III with type I