Effects of Therapeutic Ultrasound on Growth Plates: A Systematic Review.
Journal
Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association
ISSN: 1538-005X
Titre abrégé: Pediatr Phys Ther
Pays: United States
ID NLM: 8912748
Informations de publication
Date de publication:
01 01 2022
01 01 2022
Historique:
entrez:
27
12
2021
pubmed:
28
12
2021
medline:
11
1
2022
Statut:
ppublish
Résumé
The aim of this systematic review was to evaluate studies reporting on the effects of therapeutic ultrasound on the physis. Eight studies were included in the final analysis, all of which were animal studies. At higher doses, studies found skin and bone necrosis and inhibition of growth, while in lower doses some studies found that ultrasound had a transient stimulatory effect on growth, increased thickness of the hypertrophic zone, and increased thickness of the whole growth plate. Overall, experimental evidence in animal models suggests that therapeutic ultrasound, even at low doses, might induce microscopic changes to the histology of the growth plate. While we found no reports of growth disturbance in humans, given the histological changes found in animal studies, the current limited literature seems to support the recommendation that the application of therapeutic ultrasound around the physis should be avoided.
Identifiants
pubmed: 34958326
doi: 10.1097/PEP.0000000000000846
pii: 00001577-202201000-00002
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2-8Informations de copyright
Copyright © 2021 Academy of Pediatric Physical Therapy of the American Physical Therapy Association.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest
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