Low-intensity pulsed ultrasound (LIPUS) (frequency 1.5 MHz; burst width 200fls; frequency 1 KHx; intensity 30 mW/cm2) has been shown to accelerate fracture healing in acute, non-unions, and stress fractures. Nonetheless, it is not being used clinically by physical therapists as a treatment option. Additionally, only 20.6% of senior physical therapy students believe that LIPUS is effective for fractures, while another 20.5% believe that ultrasound is an absolute contraindication over a fracture site. With the ever important need for evidence-based practice, students as well as practicing therapists should be aware of this treatment alternative. The purpose of this systematic literature review is to provide evidence in support of LIPUS for acute, non-union, and stress fractures, as well as establish the parameters used to establish effectiveness.

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