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Florida OT Ultrasound Devices

Use of an ultrasound device for which a prescription is required by Federal law, 21 C.F.R. §801.109, is expressly prohibited, except by an occupational therapist or occupational therapy assistant who has received training as prescribed.

An “ultrasound device” is any device intended to generate and emit ultrasonic radiation for therapeutic purposes at ultrasonic frequencies above 100 kilohertz (kHz).

Required Training

The training required for students, postgraduates, and licensees to qualify for the use of an ultrasonic stimulation device shall include didactic training of at least four (4) hours and performance of at least five (5) treatments under supervision.

The required training may be obtained through educational programs, workshops, or seminars offered at a college or university approved for training of occupational therapists by the American Occupational Therapy Association or of physical therapists by the American Physical Therapy Association or at clinical facilities affiliated with such accredited colleges or universities or educational programs offered through the American Society of Hand Therapists or Florida Occupational Therapy Association. Online courses are not approved for the didactic or performance training.

Supervised Treatment Sessions

Supervised treatment sessions shall be conducted under the personal supervision of licensed occupational therapists and occupational therapy assistants who have completed four hours of coursework in the use of ultrasound devices and five (5) supervised treatments or licensed physical therapists and physical therapist assistants trained in the use of ultrasound devices.

Treatment supervisors must have a minimum of twenty-four (24) months prior experience in the use of ultrasound devices. Personal supervision means that the supervisor is in the room with the trainees and actively provides guidance and supervision of the performance treatments.

Training Program Standards

The training provided which teaches the therapeutic uses of ultrasound devices shall provide for the following minimum competency level:


    • The expected outcome of treatment with ultrasound must be consistent with the goals of treatment.
    • Treatment with ultrasound must be safely administered to the correct area and be of proper dosage.
    • Treatment with ultrasound must be adequately documented.


    • Ability to describe the physiological effects of pulsed versus continuous modes as well as differentiate tissue responses to the modes of application.
    • Ability to describe ultrasound absorption characteristics of various body tissues and identify sources and causes of excessive absorption in normal versus abnormal tissue.
    • Ability to determine the medium to be used and the temperature of that medium.
    • Ability to select the appropriate sound head size and contour considering the area and condition being treated.
    • Ability to describe equipment characteristics, indications and contraindications for treatment, including identifying source and mechanisms of generation of ultrasound energy and its transmission through air and physical matter.

Preparation for Treatment:

    • Ability to prepare the patient for treatment through positioning and adequate instruction.

Determination of Dosage:

    • Ability to determine dosage through determination of target depth, chronicity versus acuteness of the condition, and application of power/dosage calculation rules.

Treatment Administration:

    • Ability to administer treatment through identification of controls, sequence of operation, correct sound head application techniques and application of all safety rules and precautions.

Documentation of Treatment:

    • Ability to document treatment, including immediate and long-term effects of clinical ultrasound.

Proof of Training

Any occupational therapist or occupational therapy assistant who uses such electrical stimulation device shall, upon request of the Board, or the Department, present proof that he or she has obtained the training required by this rule.


Fla. Admin. Code § 64B11-4.001

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