J Korean Acad Rehabil Med Search


Journal of the Korean Academy of Rehabilitation Medicine 1994;18(3):1.
Diagnostic Usefulness of Digital Infrared Thermographic Imaging in Post-hemiplegic Shoulder-hand Syndrome
Sang Ho Ahn, M.D., Sae-il Chun, M.D., Ueon Woo Rah, M.D. , Eun Sook Park, M.D.
Department of Rehabilitation Medicine, Yonsei University College of Medicine
편마비후 견관절 수부 증후군에서 적외선 체열촬영 검사의 진단적 유용성
안상호, 전세일, 나은우, 박은숙
연세대학교 의과대학 재활의학교실

Shoulder-hand syndrome is characterized by pain, vasomotor instability, and tenderness, mainly in the distal upper extremity. The pathophysiologic mechanism of this syndrome is not yet proven. The purpose of this study is to determine the usefulness of digital infrared thermographic imaging for the early and objective diagnosis of shoulder-hand syndrome. Prospectively seventy seven patients of post cerebrovascular accident were analyzed. In this study the subjects were divided into the control group and the study group. The control group consisted of 49 hemiplegic patients without clinical symptom of shoulder-hand syndrome. The study group consisted of 28 hemiplegic patients who had the clinical symptom and showed diffuse uptake in the hand and wrist on delayed image of radionuclide scan.

In the control group, digital infrared thermographic imaging study revealed hypothermia on the involved upper extremity, compared with the opposite intact side (p<0.01). In the study group, it revealed hyperthermia on the dorsal hand and distal forearm of involved upper extremity (p<0.001), compared with the opposite intact side. In patients with stroke onset within 3 months, the sensitivity of digital infrared thermographic imaging for the diagnosis of shoulder-hand syndrome was 86.7% and the specificity was 100% in the dorsal hand. Digital infrared thermographic imaging is considered to be very sensitive to the changes of skin temperature in shoulder-hand syndrome and can be applied as a useful diagnostic modality for the early detection.

Key Words: Pompe's disease, Hemiplegia, Shoulder-hand syndrome, Diagnostic usefulness


Browse all articles >

Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2024 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer