|DUG - Association of Physiotherapists using Ultrasound imaging|
Dynamic Ultrasound Group (DUG) is part of the Electrotherapy and Diagnostic Ultrasound Professional Network, and is a clinical interest group established to provide education, guidance and support for clinicians using ultrasound imaging. Though membership is made up primarily of chartered physiotherapists, associate membership is available to other related clinical groups.
Ultrasound guided Therapies, Hydrodilatation, Barbatage Dry needling, Steroid injections and alternative therapies. Network AGM will be held at lunchtime.
Professor Ann Cools
Members - action required
DUG now affiliated to the CSP Electrotherapy clinical interest group ACPIE.
Ultrasound is now used for a wide range of applications in physiotherapy, including
Rehabilitation and biofeedback, Orthopaedic, Respiratory, Women’s health and continence, Haemophilia , 3-D assessment of muscle structure, Botox injections, Joint and soft tissue steroid injections, Shockwave therapy, Acupuncture needle placement, EMG electrode placement
Real time ultrasound imaging is used to dynamically evaluate and quantify muscle activity during specific exercises and functional activities. Allowing the patient to observe muscle activity using ultrasound, while performing exercise is proving to be a potent biofeedback technique. These techniques are most often applied to the action of the deep abdominal and lumbar musculature.
With ultrasound imaging contractions of the pelvic floor muscles can be observed, along with their effect on the bladder, vagina and urethra. This enables the therapist to make a more effective assessment not only of muscle function, but also its impact on the continence mechanism.
Similarly, real time ultrasound
can be used to assist in the
clinical evaluation of musculoskeletal structures throughout the body.
is particularly suited for assessing the morphology and behaviour of
tendons, fascial planes and fluids along with their interaction with
neighbouring structures. This is invaluable in the evaluation of
subluxations and effusions and has and obvious role in monitoring the
to treatment. Ultrasound is also the most appropriate method of image
for many therapeutic soft tissue injections, which are part of
scope of practice in the
The use of ultasound in helping to examine the chest and lungs is increasing with both ITU medics and physiotherapists around the country assessing pleural effusions, collapse and consolidation objectively.
There are a range of courses run by different groups for clinicians using ultrasound. We have listed those we have organised or that we have been informed of that are suitable for physiotherapists. We plan to post a more comprehensive list in the next month or so.
The Physics and the technology involved in ultrasound imaging has a profound effect on how structures appear. The dynamic nature of ultrasound scanning makes understanding of the processes involved essential.