Registration is open for a one-hour webinar that will present evidence to support the use of ultrasound to enhance the inflammatory, proliferative and remodeling phases of tissue repair, to reduce soft tissue stiffness and contracture, and ultimately to improve function.
Title: Ultrasound – Applying the Evidence to Achieve Effective Outcomes in Musculoskeletal Conditions
Date: November 13
Time: 2:00pm EST
Detailed Course Description: The literature points to differences among researchers about what ultrasound parameters to use to treat common musculoskeletal conditions. Meta-analyses generally find weak evidence in support of therapeutic ultrasound but the studies do not account for a possible dose-response pattern associated with benefit; trials are included based on methodology scores rather than appropriateness of treatment.
My approach was to critically appraise positive and negative ultrasound studies to identify possible dose-response patterns that could lead to development of clinical guidelines for treating musculoskeletal conditions. In the process, I found that incomplete reporting of ultrasound parameters was a challenge; journal reviewers should be more demanding of authors in this regard. In addition, I examined relevant basic science literature.
Research deals with two main indications for therapeutic ultrasound: using pulsed ultrasound to enhance tissue repair after injury and using continuous ultrasound to decrease chronic tissue stiffness. Laboratory studies are helpful for establishing optimal ultrasound settings for tissue heating alongside clarifying the limitations in terms of tissue depth and area that can be heated. Clinical studies confirm that ultrasound is ineffective for treating stiffness involving large tissue volumes. My recommendations include the need to treat healing tissue for longer duration and more frequently than have been used traditionally.
- Critically appraise the literature on ultrasound
- Demonstrate the importance of being a discerning consumer of ultrasound literature
- Demonstrate that using ultrasound to heat tissues need not be a matter of guess work
- Apply the evidence to develop effective treatment protocols
- Clarify the limitations of ultrasound as a therapeutic agent
About The Presenter: Dr. Nussbaum is an Associate Professor in the Department of Physical Therapy at the University of Toronto, Ontario, Canada, where she instructs the curriculum in Electrophysical Agents. She is cross-appointed to Western University, London, Ontario, within the MClSc degree in the wound healing field, and to Toronto Rehab as an adjunct scientist. She has practiced as a physical therapist in a major teaching hospital in the city of Toronto for more than 20 years. Her research mainly involves the use of ultrasound, laser light and ultraviolet radiation in tissue repair. Her work is published in numerous peer-reviewed journals and book chapters. She has held research grants from the Canadian Institutes of Health Research, The Physiotherapy Foundation of Canada, the University of Toronto, Medical Education Research Fund, The Ontario Neurotrauma Foundation and the Bickell Foundation of Canada. She is the receipient of numerous awards including the prestigious Silver Quill Award for the best quantitative research in Physiotherapy Canada, 2007, the University of Toronto Colin Wolff Award for Excellence in Continuing Medical Education and the Canadian Physiotherapy Association award for excellence in research. She is a frequent speaker at national and international conferences and regularly instructs courses involving Electrophysical Agents.