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DUG - Association of Physiotherapists using Ultrasound imaging


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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.

News

Ultrasound Guided Therapy Study Day 26th November, London

Ultrasound guided Therapies, Hydrodilatation, Barbatage Dry needling, Steroid injections and alternative therapies. Network AGM will be held at  lunchtime.

Two Day Musculoskeletal Ultrasound course in Kent in November

Professor Ann Cools
Shoulder Rehabilitation Course
Friday 6th and Saturday 7th September 2013
Birmingham CANCELLED

 
Ultrasound of the Shoulder
Sunday 8th September

Members - action required
CSP members of DUG please follow this link to extend current membership to 2017.

DUG AGM and Shockwave study day
20th November 2012

Tim Watson and Mark Maybury will be leading the study day at CSP headquarters in London
DUG members only £10 if you have passed your CSP membership details on to Sue Finley


London MSK Ultrasound Programme

The London programme is now being run by an independent group.
There is a new intake in November 2011, follow the link for details.

DUG now affiliated to the CSP Electrotherapy clinical interest group ACPIE.

New technique for evaluating subscapularis activation using a trans scapula approach

List of UK suppliers


Applications 

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

Rehabilitation 

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.


ultrasound of lateral abdominal wall, relaxed ultrasound lateral abominal wall contracted
Ultrasound image of relaxed abdominal wall
Subject in standing
Concious active contraction of transverse abdominus

 

Women’s Health  

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.

Orthopaedics  

Similarly, real time ultrasound can be used to assist in the clinical evaluation of musculoskeletal structures throughout the body. Ultrasound is particularly suited for assessing the morphology and behaviour of muscles, tendons, fascial planes and fluids along with their interaction with neighbouring structures. This is invaluable in the evaluation of adhesions, subluxations and effusions and has and obvious role in monitoring the response to treatment. Ultrasound is also the most appropriate method of image guidance for many therapeutic soft tissue injections, which are part of physiotherapy scope of practice in the UK.

ultrasound image of calf tear
Ultrasound image of calf tear. Sagital section (dual screen) through medial head of triceps showing large haematoma.

Respiratory

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.


ultrasound image large incidental effusion
Ultrasound image of a large incidental right sided effusion. The top of the image represents the probe resting on the chest wall, the dark area (e) is the effusion which has completely displaced the lung. The bright band (d) is the diaphragm, with the liver (l) inferior (to the right)




Courses

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.


How it Works

 The ultrasound image is created by first transmitting sound waves into the body and then interpreting the intensity of the reflected echoes.  This is achieved using a hand held probe which contacts the body via a water based gel.  The data collected is then processed within the body of the scanner and displayed as a black and white image generally referred to as grey scale.

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.