Tag: termowizja

Temperature measurements on facial skin surface as evaluated by infrared thermal cam-era and pyrometer following physiotherapeutic light treatments

Danuta Lietz-Kijak, Piotr Skomro, Roman Ardan, Elżbieta Kubala, Paulina Strzelecka, Małgorzata Kowacka, Konrad Kijak, Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Helena Gronwald, Zbigniew Śliwiński

Danuta Lietz-Kijak, Piotr Skomro, Roman Ardan, Elżbieta Kubala, Paulina Strzelecka, Małgorzata Kowacka, Konrad Kijak, Aleksandra Bitenc-Jasiejko, Krzysztof Konior, Helena Gronwald, Zbigniew Śliwiński – Temperature measurements on facial skin surface as evaluated by infrared thermal cam-era and pyrometer following physiotherapeutic light treatments. Fizjoterapia Polska 2023; 23(2); 148-157

DOI: https://doi.org/10.56984/8ZG0DF529

Abstract
Any clinical procedure in dentistry, especially one that involves a breach of tissue integrity, carries the risk of complications, which can occur in any speciality. These include: postopera-tive wound pain, tissue swelling, bleeding, redness, elevated temperature, trismus, decreased sensation as a result of nerve damage. Postoperative patient care aims to minimise the risk of complications and to treat those which have developed. To this end, we can resort to physical therapy, one of the modalities of which is light therapy, using electromagnetic wave ranges of red, infrared, yellow and ultraviolet light. Yet, it remains unclear which wavelength should be used to treat any specific disease entity and which form of therapeutic light should be used in the rehabilitation of a specific complication following dental procedures? In this study, we used the Cason CA380 infrared digital pyrometer with a laser pointer and the Fluke Ti 400 thermal imaging camera. On the basis of the tests and statistical analysis, it can be concluded that the application of light significantly increases the temperature of the irradiated facial skin surface. Irrespective of the type of light used, each was associated with an increase in temper-ature. A more pronounced increase in temperature on the facial skin surface after a given ap-plication suggests that the effect of light therapy is shallow, which is relevant to the choice of a specific light wavelength to be applied in a particular disease entity or dental complication.
Key words: temperature measurement, light therapy, pyrometer, thermal imaging
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Thermovisual evaluation of the behavior of skin surface temperature following cryostimulation of the forearm in healthy adults

Zbigniew Śliwiński, Jan Talar

Zbigniew Śliwiński, Jan Talar – Thermovisual evaluation of the behavior of skin surface temperature following cryostimulation of the forearm in healthy adults. Fizjoterapia Polska 2001; 1(2); 155-160

Abstract
Introduction. The authors describe the impact of local cryotherapy on the human organism and the operating principles of the thermoregulation center. The article also contains information on thermovision. The research results presented here involve change in skin suface temperature in the upper limbs following chilling only one forearm by liquid nitrogen vapors for 2 minutes. Material and methods. 18 healthy volunteers (13 women, 5 men) were tested with the consent of the Bioethics Committee at the Bydgoszcz Academy of Medicine. Skin temperature changes were evaluated using an Agema 570 thermovision camera. A KS-1 apparatus manufactured by Hans-Sped (Głogów, Poland) was used for cryostimulation. Results. The results confirm that chilling one limb evokes changes in the other limb also. The temperature in the chilled limb after a two-minute administration did not achieve the initial values 5 minutes after conclusion of cryostimulation. In the limb which did not receive cryostimulation the temperature leveled out within 2 minutes after conclusion of stimulation, despite an initial drop. Intensive perfusion brought about a statistically significant increase in temperature to values higher than initial, in several cases, however, increased temperature was observed after conclusion of cryostimulation. This mechanism is not fully explained. Conclusions. The temperature increase in the untreated arm after conclusion of cryostimulation indicates that the thermoregulatory mechanism is operating properly, defending the organism against heat loss by increasing the blood supply to the limb. Cold reduced the sensitivity of smooth muscles to sympathetic stimuli and the effect of catecholamine, and this facilitates blood supply to the limbs. Cryostimulation to only one limb in healthy persons induces contralateralization of the consensual reflex, as shown by temperature changes on the skin of the limb not subjected to cryotherapy. This would seem to be associated with the arousal of cold thermoreceptors due to the reduction in skin temperature, which in turn leads to bioelectric arousal of the brain by the activating portion of the reticular network in the mesencephalon.

Key words:
Cryostimulation, thermoregulation, thermovision

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Thermovisual evaluation of vascular behavior in the paretic upper limb after local cryostimulation in stroke patients

Zbigniew Śliwiński, Piotr Plaza

Zbigniew Śliwiński, Piotr Plaza – Thermovisual evaluation of vascular behavior in the paretic upper limb after local cryostimulation in stroke patients. Fizjoterapia Polska 2002; 2(2); 112-117

Abstract
Background. Stroke is the third most common cause of death, one of the most common causes of handicap, and the most common cause of disability among persons older than 40. Each year 4.6 million people around the world die from strokes, including 3.2 million in developing countries and 1.2 million in highly industrialized countries. In view of the high morbidity rate and the serious consequences of stroke, in the form of limb paresis, the authors decided to use a thermovision camera to check vascular reactions in the paretic limb by evaluating temperature changes on the skin subsequent to cryostimulation by liquid nitrogen vapors. Material and methods. Our research involved 28 patients with an average age of 61.3 years. The procedure was performed on the forearm of the paretic upper limb, which was cooled for 6 minutes (from the hand to the elbow cavity, the dorsal surface and the palm surface). Thermovision images were made 5 times for each patient. Results. The authors observed that as a result of the procedure the temperature of the cooled limb went down 12°C, and 2.6°C in the other limb. Conclusions. The results cannot be easily interpreted. In the authors’ opinion, the temperature reduction in the limb that was not cooled results from contralateralization of the consensual reflex. The present study is a preliminary report describing the phenomenon we observed.

Key words:
Stroke, Cryostimulation, thermovision, vascular behavior

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The thermogram of cervical spinal pain syndrome as an attempt to objectivize pain

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Janusz Otfinowski

Bożena Jasiak-Tyrkalska, Bogusław Frańczuk, Janusz Otfinowski – The thermogram of cervical spinal pain syndrome as an attempt to objectivize pain. Fizjoterapia Polska 2003; 3(3); 250-255

Abstract

Background. This paper describes the features of thermovisual images in cervical spinal pain syndrome and their variability over the course of rehabilitation, and makes an effort to specify the interdependence of these characteristics and pain relief. Material and methods. Thermovisual tests were performed on 71 patients in rehabilitation for cervical spine pain syndrome.Results. The thermovisual image of the cervical spinal region in patients with pain syndrome is different from that of healthy persons. It is characterized by considerable asymmetry of temperature and increased hyperthermia in the neck and shoulders. Over the course of rehabilitation a distinct evolution could be seen in the direction of temperature symmetry in this region. Conclusion. There is a significant correlation between pain relief and the features of the thermovisual image.

Key words:
thermovision, pain, rehabilitation
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An original method for analyzing thermo-images as an objective supplement to diagnosis outcome evaluation in knee pain syndrome

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Mirosław Janiszewski, Małgorzata Łukowicz

Jolanta Kujawa, Jarosław Oborzyński, Kamila Gworys, Mirosław Janiszewski, Małgorzata Łukowicz – An original method for analyzing thermo-images as an objective supplement to diagnosis outcome evaluation in knee pain syndrome. Fizjoterapia Polska 2003; 3(4); 375-383

Abstract

Background. This article presents a technique for analyzing thermovision images by calculating the knee-limb temperature index (KLTI). The usefulness of this technique for diagnosis and outcome evaluation is assessed. Material and methods. 41 patients with knee pain syndrome in 67 joints were examined, along with 30 healthy controls. The intensity of knee joint dysfunction was evaluated on a 0-30 point scale according to a specially developed test the sheet. Results. In the control group, the KLTI was in the range from -1.4°C to -0.2°C; the range from -1.31°C to -0.5°C was the norm for 90% of the population. In the experimental group, the KLTC place from -0.5°C to +1.8°C. The differences between the KLTI values in the two groups was statistically significant. There was also correlation between the intensity of dysfunction and the KLTI. In the experimental group the values were lower after treatment. Conclusions. The KLTI is a highly specific and sensitive instrument for evaluating knee pain syndrome. The technique described here is a valuable diagnostic supplement, objectivizing outcome evaluation in these patients.

Key words:
thermovision, knee pain syndrome, physiotherapy
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The impact of laser biostimulation combined with diclofenac inunction on treatment outcome in patient with gonarthrosis

Jolanta Kujawa, Jan Talar, Kamila Gworys, Przemysław Gworys, Jarosław Oborzyński, Ireneusz Pieszyński, Mirosław Janiszewski

Jolanta Kujawa, Jan Talar, Kamila Gworys, Przemysław Gworys, Jarosław Oborzyński, Ireneusz Pieszyński, Mirosław Janiszewski – The impact of laser biostimulation combined with diclofenac inunction on treatment outcome in patient with gonarthrosis. Fizjoterapia Polska 2004; 4(3); 185-193

Abstract

Background. In patients with chronic knee pain and degenerative gonarthrosis, a wide range of physical agents are used, along with local application of non-steroid anti-inflammatory and analgesic drugs in gel or cream form. The evaluation of the clinical and functional status associated with changes in muscle tension and blood flow in the knee region can be facilitated by thermovisual tests, which measure the intensity of infrared radiation to determine skin temperature differences. Material and methods. 99 successive patients diagnosed with gonarthrosis and knee pain persisting > 6 weeks were enrolled. All patients were randomly assigned to one of three groups: Group A (n=32), who received laser biostimulation; Group B (n=35), who received the same laser procedures, and were also instructed to use sodium diclofenac (Voltaren gel) as an inunction on the affected joint; and Group C (n=32), a comparison group. We evaluated pain intensity using the VAS scale, and measured temperature distribution with thermograms performed twice in all patients, before and after treatment. Results. Significant reductions in pain intensity and frequency were observed in groups A and B, but Group B showed significantly greater improvement. In both experimental groups, thermograms showed normalization of temperature distribution. Conclusions. An improper temperature distribution along the lower extremity and around the patella was observed in patients with knee pain syndrome. The application of laser biostimulation in gonarthrosis produces temperature normalization in the irradiated tissues and reduced pain symptoms, which was more pronounced when combined with externally applied sodium diclofenac gel.

Key words:
low intensity laser therapy, thermovision, Pain Management
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Assessment of the efficacy of local cryotherapy in children with cerebral palsy

Marek Woszczak, Zbigniew Śliwiński, Marek Kiljański, Wojciech Kiebzak, Marcin Szczepanik, Wiesław Tomaszewski

Marek Woszczak, Zbigniew Śliwiński, Marek Kiljański, Wojciech Kiebzak, Marcin Szczepanik, Wiesław Tomaszewski – Assessment of the efficacy of local cryotherapy in children with cerebral palsy. Fizjoterapia Polska 2007; 7(3); 275-285

Abstract
Background. The author presents the results of a study of 60 children with infantile cerebral palsy carried out at a rehabilitation centre in the town of Zgorzelec. The study aimed to demonstrate that a 4-week programme of customised kinesiotherapy with cryostimulation of the lower limbs with liquid nitrogen vapour could have a beneficial effect on motor status as well as muscle tone and skin surface temperature in children with infantile cerebral palsy. Material and methods. A group of children of both sexes aged 3-14 with infantile cerebral palsy underwent 4 weeks of customised kinesiotherapy combined with cryostimulation of both lower limbs. Muscle tone was determined with a Szirmai myotonometer using special methodology. The level of spasticity was estimated with the Ashworth test, and motor activity assessment was made before and after the treatment according to a score table designed by the authors. Thermovisual recordings of skin surface temperature in the lower limbs were made immediately before and 5 and 15 minutes after cryostimulation procedures at the beginning and end of the 4-week programme. Results and Conclusions. A comparison of the results of the motor activity assessment, Ashworth test and myotonometry before and after the rehabilitation programme shows that the use of cryostimulation in the rehabilitation of children with infantile cerebral palsy results in a reduction of spasticity in the lower limbs and improvement in motor activity. Thermovisual analysis of skin surface temperature demonstrates full adaptation of the children’s vascular system, i.e. excellent safety of topical cryostimulation.
Key words:
infantile cerebral palsy, spastic muscle tone, local cryostimulation, Ashworth test, motor activity assessment, Szirmai myotonometer, thermovision
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Thermovisual evaluation of temperatures of the upper limbs following cryostimulation in post-stroke patients

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk

Zbigniew Śliwiński, Piotr Płaza, Krzysztof Gieremek, Wojciech Kufel, Beata Michalak, Bartłomiej Halat, Grzegorz Śliwiński, Magdalena Wilk – Thermovisual evaluation of temperatures of the upper limbs following cryostimulation in post-stroke patients. Fizjoterapia Polska 2008; 8(1); 23-34

Abstract
Background. Cerebral stroke is a very serious life-threatening condition regardiess of the clinical picture at the onset. In most cases cerebral stroke is a consequence of systemic vascular diseases such as atherosclerosis or hypertension. Material and methods. The study group comprised 103 patients, including 52 post-stroke patients with a paretic upper limb and 51 healthy participants. The group of stroke patients included 18 women and 34 men, while the healthy group consisted of 41 women and 10 men. The mean age of the male patients was 55.6 and of the female patients 66.1 years. The mean age of the control group was 37.2 years. Local cryostimulation was applied to the hand and forearm of the paretic limb in the stroke patients and to the hand the forearm of the right upper limb in the healthy group. The limb was exposed to cold for 6 minutes. The temperatures were measured using an Agema 570 thermovision camera.Results. Subjecting only one forearm to cryotherapy procedures results in a decrease in temperature. In the post-stroke patients the return to the basseline value after the procedure was more rapid. This is possibly connected with more efficient mechanisms protecting the body against loss of warmth, since in this group temperature values were higher. In the control group the temperature in the non-cooled limb decreases by an average of 1.6 st.C, compared to only 1.3 st.C in the stroke patients. Conclusions. The temperatures of an area in the forearm exposed to 6 minutes of cryotherapy were different in the post-stroke patients and in the healthy controls. This is probably attributable to stroke-related brain damage. Contralateralization, i. e. the decline of temperature in the non-cooled limb, occurred both in the post-stroke patients and in the healthy controls. Temperature decreases produced by the exposure of limbs to cold were higher in the stroke patients than in the healthy participants. The temperature returned to baseline more rapidly in the post-stroke patients. The temperature in the cooled limb dod not return to, or exceed, baseline value fifteen minutes after the procedure.
Key words:
cerebral stroke, cryostimulation, thermovision, vascular play
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Assessment of thermal effects of kinesiology tape application

Henryk Racheniuk, Jan Szczeielniak, Katarzyna Bogacz, Sławomir Zator, Jacek Łuniewski, Grzegorz Skiba, Zbigniew Śliwiński

Henryk Racheniuk, Jan Szczeielniak, Katarzyna Bogacz, Sławomir Zator, Jacek Łuniewski, Grzegorz Skiba, Zbigniew Śliwiński – Assessment of thermal effects of kinesiology tape application. Fizjoterapia Polska 2008; 8(3); 310-316

Abstract
Background. This work presents the results of a thermovisual analysis of 20 patients subjected to a single Kinesiology Tape application to the lumbosacral region. The Y muscle technique was used for thermovisual assessment. Material and methods. The study involved a group of 20 volunteers, students of Opole Technical University, including 16 women and 4 men, at an average age of 21 years. The subjects had previously reported intermittent low back pain. The surface temperature of the area where Kinesiology Tape was applied was measured three times: before taping, at one hour after taping and 24 hours after the KT application. Results. The biggest increase in surface temperature was observed in centrally located Area 1, where mean temperature increased by 1.27°C while mean temperature increases in lateral test areas were 0.6°C. Temperature increases in test areas located directly on the tapes were 0.3°C. These values fall within thermovisual camera statistical error range. Conclusion. The highest temperature increase was observed in the central test area. The values of temperature increases of the lateral test areas and those located directly on the tape fell within the thermovisual camera statistical error range.
Key words:
Kinesiology Taping, thermovision, physiotherapy
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Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński – Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens. Fizjoterapia Polska 2008; 8(3); 267-271

Abstract
Background. The aim of the study was to evaluate the effectiveness of cryotherapy and physiotherapy regimens in patients with indications for use of these procedures in the knee joint region or knee joints. Material and methods. The study was performed in the Cracow Rehabilitation Centre in 2008. The study involved a group of 38 patients who underwent cryotherapy of the knee joint region. The patients were dMded into two groups. Group 1 included patients who performed lower limb exercises immediately after the cryotherapy procedure, and patients in group 2 performed exercises 30 minutes following the cryotherapy procedure. Changes in thermograms were recorded in all patients. Results. Mean temperature in the affected knee joint before treatment was x=30.19°C in group 1 and 31.46°C in group 2. The differences between the study groups revealed in examination 2 were also not statistically significant. Examination 3 showed signi-ficant differences. The mean value of the temperature range was x=28.54C in Group 1 and 23.38°C in Group 2. The last exami-nation, performed 30 minutes after the completion of the cryogenic therapy procedure, showed a mean temperature of the treated knee joint of x=28.99°C in Group 1 and x=29.43C in Group 2. Conclusions. Tissue temperature in the knee joint region increased at a slower rate in patients who did not undergo kinesi-therapy immediately after cryotherapy of that region.
Key words:
knee joint, cryotherapy, thermovision, physiotherapy
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