Reliability of transcutaneous oxygen tension measurement on the back of the hand and complex regional pain syndrome after stroke

Daviet, Jean-Christophe; Dudognon, P; Preux, Pierre‐Marie; Rebeyrotte, Isabelle; Lacroix, Philippe; Munoz, Marguerite; Salle, Jean-Yves

doi:10.1016/j.apmr.2003.09.034

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…During exercise, this measurement was shown to be both accurate and reliable in the evaluation of exercise-induced ischemia (Abraham et al, 2003, 2005; Bouye et al, 2004; Abraham, 2006; Henni et al, 2018). Although absolute TcpO2 has shown fair reliability (Rooke and Osmundson, 1989; Daviet et al, 2004), the calculation of the DROP index improved reliability in test–retest recordings (Bouye et al, 2004). In the present study, TcpO2 facilitated the measurement of regional blood flow impairments, regardless of the underlying mechanism, and showed satisfactory reliability.…”

Section: Discussionmentioning

confidence: 99%

Microvascular Response to the Roos Test Has Excellent Feasibility and Good Reliability in Patients With Suspected Thoracic Outlet Syndrome

et al. 2019

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Background: Exercise oximetry allows operator-independent recordings of microvascular blood flow impairments during exercise and can be used during upper arm provocative maneuvers. Objective: To study the test-retest reliability of upper-limb oximetry during the Roos test in patients with suspected thoracic outlet syndrome (TOS). Materials and Methods: Forty-two patients (28 men, 14 women; mean age: 40.8 years) were examined via transcutaneous oxygen pressure (TcpO2) recordings during two consecutive Roos tests in the standing position. The minimal decrease from rest of oxygen pressure (DROPmin) value was recorded after each maneuver was performed on both arms. The area under the receiver operating characteristic (ROC) curve defined the DROPmin diagnostic performance in the presence of symptoms during the tests. The Mann–Whitney U -test was used to compare the DROPmin in the symptomatic vs. asymptomatic arms. The test-retest reliability was analyzed with Bland-Altman representations. The results are presented as means ± standard deviations (SD) or medians [25–75 percentiles]. Results: The symptoms by history were different from the symptoms expressed during the Roos maneuvers in one-third of the patients. The DROPmin measurements were −19 [−36; −7] mmHg and −8 [−16; −5] mmHg in the symptomatic ( n = 108) and asymptomatic ( n = 60) arms, respectively. When TOS observed on ultrasound imaging was the endpoint, the area under the ROC curve (AUC) was 0.725 ± 0.058, with an optimal cutoff point of −15 mmHg. This value provided 67% sensitivity and 78% specificity for the presence TOS via ultrasound. When symptoms occurring during the test represented the endpoint, the AUC was 0.698 ± 0.04, with a cutoff point of −10 mmHg. This provided 62% sensitivity and 66% specificity for the presence of pain in the ipsilateral arm during the test. The test-retest reliability of DROPmin proved to be good but not perfect, partly because of unreliability of the provocation maneuvers. Conclusion: To the best of our knowledge, this study is the first to investigate microvascular responses during the Roos maneuver in patients with suspected TOS. The presence of symptoms was significantly associated with ischemia. TcpO2 facilitated the recording of both macrovascular and microvascular responses to the Roos test. The Roos maneuver should probably be performed at least twice in patients with suspected TOS.

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Section: Discussionmentioning

confidence: 99%

Microvascular Response to the Roos Test Has Excellent Feasibility and Good Reliability in Patients With Suspected Thoracic Outlet Syndrome

et al. 2019

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“…[4][5][6][7][8] There are no corresponding normal values available for the upper limb due to inconsistences in previous studies. [9][10][11] We previously evaluated both upper and lower limb P tc O 2 in cohorts of healthy volunteers, but retracted those data after discovering an error in the instrumentation we used. 12 Here, we replicate those studies with reliable instrumentation to establish normal P tc O 2 at multiple positions on the upper and lower limb in healthy, nonsmoking adult subjects using the TCM400 Transcutaneous (tc) pO 2 Monitoring System with tc Sensor E5250 and O 2 membranes (Radiometer Medical ApS, Bronshoj, Denmark).…”

Section: Introductionmentioning

confidence: 99%

Transcutaneous oximetry: variability in normal values for the upper and lower limb

2018

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The broad dispersion in PO in our healthy cohort reflects the inherent biologic variability in dermal perfusion and oxygen delivery, making it difficult to define narrow, rigid 'normal' values. Thus, we cannot recommend a single PO value as 'normal' for the upper or lower limb. A thorough patient assessment is essential to establish appropriateness for hyperbaric oxygen therapy, with TCOM used as an aid to guide this decision and not as an absolute.

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“…Spontaneous recovery is usual and can be delayed by up to 2 years; however, irreversible sequelae may occur (Ornetti and Maillefert, 2004). This sequelae is responsible for a reduction or a loss in function (Daviet et al, 2004). In addition to pain, motor dysfunction in the involved extremity may be a significant cause of disability (Galer et al, 1995).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of upper extremity rehabilitation in hemiplegic patients with and without complex regional pain syndrome type 1

Nakipoğlu¹,

Doğan-Aslan²,

Özgirgin³

2008

International Journal of Rehabilitation Research

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We investigated the effects of the complex regional pain syndrome (CRPS) type 1 on upper extremity rehabilitation in hemiplegic patients. Eighty patients were enrolled and were randomly assigned to either study (40 hemiplegic patients with CRPS) or control (40 hemiplegic patients without CRPS) groups. All patients participated in a hemiplegia rehabilitation program consisting of neurodevelopmental techniques, stretching and strengthening exercises, and conventional methods. Additionally, participants in the study group received analgesic and calcitonin therapy, elevation, range of movement therapy for the affected joints, and contrast baths. Clinical findings were assessed before and after rehabilitation using the upper-limb function (ULF), hand movements (HM), and advanced hand activities (AHA) subscales of the Motor Assessment Scale (MAS) and the Ashworth scale for upper extremities. A statistically significant difference in MAS ULF was apparent at admission and upon discharge in both groups. In the control group, a significant difference was found between MAS HM and MAS AHA on admission and at discharge, no difference was found in the study group for these parameters. No difference was found for either group with regard to the Ashworth scale. No between-group differences were found regarding MAS ULF, MAS HM, and MAS AHA at admission and at discharge. Our data showed no influence of CRPS on MAS ULF, MAS HM, and MAS AHA and the Ashworth scale for upper extremities.

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Reliability of transcutaneous oxygen tension measurement on the back of the hand and complex regional pain syndrome after stroke

Cited by 4 publications

References 8 publications

Microvascular Response to the Roos Test Has Excellent Feasibility and Good Reliability in Patients With Suspected Thoracic Outlet Syndrome

Microvascular Response to the Roos Test Has Excellent Feasibility and Good Reliability in Patients With Suspected Thoracic Outlet Syndrome

Transcutaneous oximetry: variability in normal values for the upper and lower limb

Evaluation of upper extremity rehabilitation in hemiplegic patients with and without complex regional pain syndrome type 1

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