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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(4):928-932.
Clinical Application of Digital Infrared Thermographic Imaging for the Prediction of Foot Ulcer Development in Diabetic Patients.
Lee, Su Young , Yoo, Doo Sik , Chong, Soon Yeol , Chung, Jin Sang
Department of Rehabilitation Medicine, College of Medicine, Kon-Kuk University.
당뇨병 환자의 족부 적외선 체열촬영의 임상적 적용
이수영, 유두식, 정순열, 정진상
건국대학교 의과대학 재활의학교실
Abstract

Objective
To investigate the regional differences of skin blood flow and to evaluate the effects of foot temperature on the severity of neuropathic pain and to predict the development of plantar foot ulceration by measuring of the temperature variations on the plantar surface of feet in the diabetic patients.


Method
We measured the temperature variations on plantar surface of the feet in controls (n=18) and diabetic patients with(n=20) or without(n=23) polyneuropathy. The surface temperature from the 3rd metatarsal head(MTH), greater toe(GT), heel, medial and lateral longitudinal arch(LA) was measured by Digital Infrared Thermographic Imaging(DITI).


Results
The mean foot temperature of diabetic patients with polyneuropathy was significantly increased compared to controls or diabetic patients without polyneuropathy(p<0.001). The surface temperature readings of the GT, medial LA and the 3rd MTH tended to be increased in controls and patients with polyneuropathy. The mean plantar surface temperature was significantly increased according to the duration of diabetes mellitus(DM)(p<0.05).


Conclusion
The results suggest that DITI provides a diagnostic modality in the prediction of neuropathic foot and increased risks of foot ulcer development in the diabetic patients.

Key Words: Diabetic polyneuropathy, Digital infrared thermographic imaging Myofascial pain syndrome, Thermography, Lidocaine injection, Dry needling


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