Stress Infrared Telethermography Is Useful in the Diagnosis of Complex Regional Pain Syndrome, Type I (Formerly Reflex Sympathetic Dystrophy)

Gulevich, Steven; Conwell, Timothy; Lane, Judy; Lockwood, Bruce; Schwettmann, Rick S.; Rosenberg, Neil; Goldman, L.

doi:10.1097/00002508-199703000-00008

Cited by 74 publications

(28 citation statements)

References 13 publications

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“…Inflammation leads to hyperthermia, whereas degeneration, reduced muscular activity and poor perfusion may cause a hypothermic pattern [2]. There are several applications of MIT in the field of human medicine, such as neurological disorders [3], open- heart surgery [4], vascular diseases [5], reflex sympathetic dystrophy syndrome [6], urology problems [7] and mass fever screening [8]. Much research has been focused on the successful evaluation of breast cancer [9].…”

Section: Introductionmentioning

confidence: 99%

An Overview of Recent Application of Medical Infrared Thermography in Sports Medicine in Austria

Hildebrandt

Raschner

Ammer

2010

Sensors

301

201

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Medical infrared thermography (MIT) is used for analyzing physiological functions related to skin temperature. Technological advances have made MIT a reliable medical measurement tool. This paper provides an overview of MIT’s technical requirements and usefulness in sports medicine, with a special focus on overuse and traumatic knee injuries. Case studies are used to illustrate the clinical applicability and limitations of MIT. It is concluded that MIT is a non-invasive, non-radiating, low cost detection tool which should be applied for pre-scanning athletes in sports medicine.

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Section: Introductionmentioning

confidence: 99%

An Overview of Recent Application of Medical Infrared Thermography in Sports Medicine in Austria

Hildebrandt

Raschner

Ammer

2010

Sensors

301

201

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“…[20] However, there are no validated or standardized methods for applying cold stress before skin temperature measurements. Further, the proposed criteria for CRPS diagnosis does not require the measurement of skin temperature using a cold stressor or thermal suit, and repeated skin temperature measurements are also not required.…”

Section: Discussionmentioning

confidence: 99%

Multicenter study on the asymmetry of skin temperature in complex regional pain syndrome

et al. 2016

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According to the International Association for the Study of Pain (IASP) and American Medical Association (AMA), the diagnostic criteria for complex regional pain syndrome (CRPS) require the presence of skin temperature asymmetry. In CRPS, it is generally accepted that the temperature of skin of affected limbs changes from warm to cold; however, in our clinical practice, we have experienced many cases with different thermographic characteristics. Therefore, we conducted a retrospective multicenter study that examined the distribution of skin temperature in patients with CRPS and skin temperature asymmetry versus symptom duration.Patients diagnosed with type 1 or 2 CRPS were recruited. After confirming CRPS according to the IASP diagnostic criteria, infrared thermographic images were evaluated for skin temperature differences (ΔT) between the affected and unaffected limbs.A total of 296 patients with CRPS were included in this study. The median duration of symptoms was 6 months and the mean ± standard deviation of ΔT was –0.72 ± 1.65°C. A skin temperature difference between bilateral limbs (|ΔT|) of 1°C or less was seen in 131 patients (44.3%); thus, these 131 patients did not meet the IASP criteria for CRPS. Further, cool skin temperature was not observed in 88 patients (29.7%), meaning that these patients did not meet the AMA criteria for CRPS. There was no correlation between the symptom duration and ΔT (Spearman's rho = –0.075, P = 0.196) and there was no significant difference in the average ΔT among the 4 symptom duration groups (0–3 months, 4–6 months, 7–12 months, >12 months, P = 0.08).In conclusion, a considerable proportion of the patients that participated in this study did not meet the thermal criteria set forth by the IASP and AMA. Further, there was no correlation between symptom duration and skin temperature difference.

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“…It may serve as a clinical marker that allows a doctor to plan further evaluation and treatment carefully. Today, there are many scientific reports that medical thermography can be successfully used in the early detection of diseases and pathological conditions such as breast cancer, nerve damage, rheumatic diseases, in sports medicine and many others [3,20,23,25]. Thermography allows the visualization of pathophysiological changes before other anatomical imaging techniques are able to detect the pathological changes [16].…”

Section: Discussionmentioning

confidence: 99%

“…It allows to overlay the image of the anatomical picture with the physiological condition of the patient [18,19]. For this reason, an increased interest in the use of thermography is observed in certain areas of medicine such as: neurology, oncology, orthopaedics, dentistry and dermatology [20,21]. In recent years, thermography has also been used in surgery.…”

Section: Thermography In Medicinementioning

confidence: 99%

“…It allows to monitor the restart of the blood flow through the coronary arteries during the open-heart surgery [24]. Medical thermography helps to visualize disorders in vascularisation and blood flow in particular areas, the occurrence of an inflammation in the body and its precise localization, the conduction disorders in the nervous system, some metabolic disorders, as well as the location of the exact place of pain and its intensity [20,22]. The use of thermography in medicine is presented in Figure 1, while Figure 2 shows its imaging capabilities.…”

Section: Thermography In Medicinementioning

confidence: 99%

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Thermography as a non-invasive, reliable diagnostic tool in medicine - examples

Aplas¹,

Golachowska²,

Kurpas³

2015

PU-HSP

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puls Uczelni 2015 (9) 4Niniejszy materiał jest udostępniony na licencji creative commons -Uznanie autorstwa 4.0 pL.Pełne postanowienia tej licencji są dostępne na: http://creativecommons.org/licenses/by-nc-sa/4.0/legalcode Prace poglądowe | Reviews DOI: 10.5604/2081DOI: 10.5604/ -2021 tHerMOgrApHY AS A NON-iNvASive, reLiAbLe DiAgNOStic tOOL iN MeDiciNe -eXAMpLeS Termografia jako nieinwazyjne i wiarygodne narzędzie diagnostyczne w medycynie -wybrane przykłady A -przygotowanie projektu badania | study design, B -zbieranie danych | data collection, C -analiza statystyczna | statistical analysis, D -interpretacja danych | data interpretation, E -przygotowanie maszynopisu | manuscript preparation, F -opracowanie piśmiennictwa | literature search, G -pozyskanie funduszy | funds collection SUMMARYThermographic imaging is a measurement of a body surface temperature distribution. The symmetry of the skin temperature distribution is an important indicator of proper physiological body functions. Improper distribution brings information about the disorders which might be the first signals of a developing disease. In recent years, the dynamic expansion of thermographic imaging Is observed in many medical areas such as rheumatology, neurology, rehabilitation, orthopaedics, oncology and sports medicine. Thermography allows to visualize initial patho-physiological changes which are still too small to be detected by any other anatomy imaging techniques which are widely used. It is a valuable addition to standard imaging methods and allows to monitor the therapeutic process (both pharmacological and physiotherapeutic) in a non-stress and, what is particularly important, non-invasive way.Keywords: medical thermography, non-invasive imaging, early pathophysiology detection STRESZCZENIEObrazowanie termograficzne to pomiar rozkładu temperatury na badanej powierzchni ciała. Symetria rozkładu temperatury skóry jest ważnym wskaźnikiem prawidłowej fizjologii ludzkiego organizmu. Nieprawidłowy rozkład temperatury informuje natomiast o zaburzeniach fizjologicznych, które mogą być początkiem stanu chorobowego. Obecnie zauważany jest dynamiczny rozwój termografii w róż-nych dziadzinach medycyny, między innymi: reumatologii, neurologii, rehabilitacji, ortopedii, onkologii czy medycynie sportowej.Termografia pozwala na obrazowanie zmian patofizjologicznych, zanim inne techniki obrazowania anatomicznego będą w stanie wykryć zaburzenie w organizmie. Stanowi cenne uzupełnienie dotychczas stosowanych metod obrazowania oraz pozwala na monitorowanie prowadzonego leczenia farmakologicznego lub fizjoterapeutycznego w sposób bezstresowy i -co najważniejsze -bezinwazyjny.Słowa kluczowe: termografia medyczna, obrazowanie bezinwazyjne, wczesne wykrywanie zmian patofizjologicznych (PU-HSP 2015; 9, 4: 25-29)

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Stress Infrared Telethermography Is Useful in the Diagnosis of Complex Regional Pain Syndrome, Type I (Formerly Reflex Sympathetic Dystrophy)

Abstract: Stress IRT is a sensitive and specific indicator of CRPS-I.

Cited by 74 publications

References 13 publications

An Overview of Recent Application of Medical Infrared Thermography in Sports Medicine in Austria

An Overview of Recent Application of Medical Infrared Thermography in Sports Medicine in Austria

Multicenter study on the asymmetry of skin temperature in complex regional pain syndrome

Thermography as a non-invasive, reliable diagnostic tool in medicine - examples

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