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Journal of Athletic Training logoLink to Journal of Athletic Training
. 2000 Oct-Dec;35(4):417–421.

Effect of Coupling Medium Temperature on Rate of Intramuscular Temperature Rise Using Continuous Ultrasound

Corey A Oshikoya *, Sandra J Shultz , Danny Mistry , David H Perrin , Brent L Arnold , Bruce M Gansneder
PMCID: PMC1323367  PMID: 16558655

Abstract

Objective:

We determined the effects of coupling medium temperature on the rate of intramuscular temperature rise (RTR) during continuous ultrasound.

Design and Setting:

Ultrasound was applied in a continuous mode at a frequency of 1 MHz and intensity of 1.5 W/cm². Each subject received 3 treatments, using water-based coupling gel at temperatures of 18°C, 25°C, and 39°C. All treatments were performed in an athletic training room under controlled environmental conditions.

Subjects:

Eighteen healthy male subjects (mean age = 23.6 ± 3.5 years; height = 177.8 ± 6.9 cm; weight = 76.6 ± 8.2 kg; calf size = 37.6 ± 2.4 cm) participated in this study.

Measurements:

A thermistor was inserted into the left medial triceps surae at a depth of 5 cm, and baseline tissue temperatures were recorded before treatment. Intramuscular temperature was recorded every 30 seconds until the temperature rose 4°C above baseline or until discomfort was felt. RTR was calculated by dividing the absolute temperature change by treatment time.

Results:

A 1-way, repeated-measures analysis of variance revealed a significant difference in RTR among gel temperatures, RTR was significantly faster using the 25°C gel compared with the 18°C and 39°C gels. There was no difference between the 18°C and 39°C gel treatments.

Conclusions:

These results suggest that the use of a cooled or heated gel may be counterproductive when maximal thermal effects are desired within a given time frame.

Keywords: modalities, thermal, water-based gel

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ashton D. F., Draper D. O., Myrer J. W. Temperature rise in human muscle during ultrasound treatments using flex-all as a coupling agent. J Athl Train. 1998 Apr;33(2):136–140. [PMC free article] [PubMed] [Google Scholar]
  2. Cameron M. H., Monroe L. G. Relative transmission of ultrasound by media customarily used for phonophoresis. Phys Ther. 1992 Feb;72(2):142–148. doi: 10.1093/ptj/72.2.142. [DOI] [PubMed] [Google Scholar]
  3. Ciccone C. D., Leggin B. G., Callamaro J. J. Effects of ultrasound and trolamine salicylate phonophoresis on delayed-onset muscle soreness. Phys Ther. 1991 Sep;71(9):666–678. doi: 10.1093/ptj/71.9.666a. [DOI] [PubMed] [Google Scholar]
  4. Draper D. O., Castel J. C., Castel D. Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound. J Orthop Sports Phys Ther. 1995 Oct;22(4):142–150. doi: 10.2519/jospt.1995.22.4.142. [DOI] [PubMed] [Google Scholar]
  5. Draper D. O., Harris S. T., Schulthies S., Durrant E., Knight K. L., Ricard M. Hot-Pack and 1-MHz Ultrasound Treatments Have an Additive Effect on Muscle Temperature Increase. J Athl Train. 1998 Jan;33(1):21–24. [PMC free article] [PubMed] [Google Scholar]
  6. Draper D. O., Schulthies S., Sorvisto P., Hautala A. M. Temperature changes in deep muscles of humans during ice and ultrasound therapies: an in vivo study. J Orthop Sports Phys Ther. 1995 Mar;21(3):153–157. doi: 10.2519/jospt.1995.21.3.153. [DOI] [PubMed] [Google Scholar]
  7. Draper D. O., Sunderland S., Kirkendall D. T., Ricard M. A comparison of temperature rise in human calf muscles following applications of underwater and topical gel ultrasound. J Orthop Sports Phys Ther. 1993 May;17(5):247–251. doi: 10.2519/jospt.1993.17.5.247. [DOI] [PubMed] [Google Scholar]
  8. Griffin J. E. Transmissiveness of ultrasound through tap water, glycerin, and mineral oil. Phys Ther. 1980 Aug;60(8):1010–1016. doi: 10.1093/ptj/60.8.1010. [DOI] [PubMed] [Google Scholar]
  9. Kimura I. F., Gulick D. T., Shelly J., Ziskin M. C. Effects of two ultrasound devices and angles of application on the temperature of tissue phantom. J Orthop Sports Phys Ther. 1998 Jan;27(1):27–31. doi: 10.2519/jospt.1998.27.1.27. [DOI] [PubMed] [Google Scholar]
  10. Lehmann J. F., DeLateur B. J., Silverman D. R. Selective heating effects of ultrasound in human beings. Arch Phys Med Rehabil. 1966 Jun;47(6):331–339. [PubMed] [Google Scholar]
  11. Lehmann J. F., DeLateur B. J., Warren C. G., Stonebridge J. B. Heating of joint structures by ultrasound. Arch Phys Med Rehabil. 1968 Jan;49(1):28–30. [PubMed] [Google Scholar]
  12. Lehmann J. F., DeLateur B. J., Warren C. G., Stonebridge J. S. Heating produced by ultrasound in bone and soft tissue. Arch Phys Med Rehabil. 1967 Aug;48(8):397–401. [PubMed] [Google Scholar]
  13. Lehmann J. F., Delateur B. J., Stonebridge J. B., Warren C. G. Therapeutic temperature distribution produced by ultrasound as modified by dosage and volume of tissue exposed. Arch Phys Med Rehabil. 1967 Dec;48(12):662–666. [PubMed] [Google Scholar]
  14. Lehmann J. F., Stonebridge J. B., deLateur B. J., Warren C. G., Halar E. Temperatures in human thighs after hot pack treatment followed by ultrasound. Arch Phys Med Rehabil. 1978 Oct;59(10):472–475. [PubMed] [Google Scholar]
  15. Rimington S. J., Draper D. O., Durrant E., Fellingham G. Temperature changes during therapeutic ultrasound in the precooled human gastrocnemius muscle. J Athl Train. 1994 Dec;29(4):325–327. [PMC free article] [PubMed] [Google Scholar]
  16. Stiles W. B. When more of a good thing is better: reply to Hayes et al. (1996) J Consult Clin Psychol. 1996 Oct;64(5):915–918. doi: 10.1037//0022-006x.64.5.915. [DOI] [PubMed] [Google Scholar]
  17. Warren C. G., Koblanski J. N., Sigelmann R. A. Ultrasound coupling media: their relative transmissivity. Arch Phys Med Rehabil. 1976 May;57(5):218–222. [PubMed] [Google Scholar]

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