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International Orthopaedics
Published in: International Orthopaedics 10/2017

01-10-2017 | Original Paper

Effects of low-intensity pulsed ultrasound on soft tissue micro-circulation in the foot

Authors: Anna Katharina Kösters, Bergita Ganse, Boyko Gueorguiev, Kajetan Klos, Ali Modabber, Sven Nebelung, Bong-Sung S. Kim, Matthias Knobe

Published in: International Orthopaedics | Issue 10/2017

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Abstract

Purpose

Low-intensity pulsed ultrasound (LIPUS) has been shown to accelerate bone healing and is considered to increase blood flow. The aim of this study was to assess changes in micro-circulation of the foots’ soft tissue in response to LIPUS intervention. We hypothesised improved micro-circulation in response to LIPUS.

Methods

Micro-circulation was assessed in 2 mm and 8 mm-deep skin of 50 healthy volunteers using non-invasive laser-doppler spectrophotometry (O2C-device). Measurements were performed before LIPUS-intervention (pre), directly after intervention (post) and 20, 40 and 60 minutes after LIPUS.

Results

All parameter of micro-circulation increased directly after LIPUS intervention at 8 mm depth. Participants with a low pre-intervention flow showed the largest changes (p < 0.001) with an increased post-flow of 38%. SO2 levels increased significantly after intervention (p = 0.045) and decreased after 60 minutes in comparison to pre-intervention status. rHb levels after 60 min were significantly higher in comparison to pre-intervention levels.

Conclusion

In healthy volunteers, low-intensity pulsed ultrasound led to significant short-term changes in microcirculation of the foot. Younger subjects with a low pre-flow level and smokers showed a higher potential to increase blood flow after LIPUS.
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Metadata
Title
Effects of low-intensity pulsed ultrasound on soft tissue micro-circulation in the foot
Authors
Anna Katharina Kösters
Bergita Ganse
Boyko Gueorguiev
Kajetan Klos
Ali Modabber
Sven Nebelung
Bong-Sung S. Kim
Matthias Knobe
Publication date
01-10-2017
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 10/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-017-3574-3

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