Usefulness of Stress Digital Infrared Thermographic Imaging in Reflex Sympathetic Dystrophy of Stroke Patients. |
Park, Eun Sook , Park, Chang Il , Cho, Sung Rae , Kim, Eun Joo |
Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. silverzoo@orgio.net |
반사성 교감신경성 이영양증에서 스트레스 적외선 체열 검사의 유용성 |
박은숙·박창일·조성래·김은주 |
연세대학교 의과대학 재활의학교실 및 재활의학연구소 |
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Abstract |
Objective To evaluate the benefits of cold and warm stress Digital Infrared Thermographic Imaging (DITI) for detecting Reflex Sympathetic Dystrophy (RSD) in stroke patients compared with conventional non-stress DITI. Method Twenty-three stroke subjects with clinical RSD and fifteen stroke subjects without RSD underwent stress and non-stress DITI. Stress DITI study was performed by continuously imaging both hand dorsum for 30 minutes while immersing an sound side lower limb in cold and warm water bath. The cold and warm water bath were kept at 12.0⁑1.4oC and at 37.0⁑1.4oC respectively. Results The sensitivity and specificity of conventional non- stress DITI were 82.6% and 80.0% when side to side temperature difference was more than 1oC. The sensitivity and specificity of cold stress DITI test were improved to 95.7% and 93.3%, those of warm stress DITI test to 86.9% and 86.7%. Conclusion This study indicates that cold stress DITI study may be helpful method in identifying the RSD, which is not detected by conventional non-stress DITI test. (J Korean Acad Rehab Med 2002; 26: 687-692) |
Key Words:
Stress, Thermography, Reflex sympathetic dystrophy, Stroke |
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