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Skin Temperature Changes in Patients With Unilateral Lumbosacral Radiculopathy

OBJECTIVE: To clarify the relationship of skin temperature changes to clinical, radiologic, and electrophysiological findings in unilateral lumbosacral radiculopathy and to delineate the possible temperature-change mechanisms involved. METHODS: One hundred and one patients who had clinical symptoms...

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Autores principales: Ra, Jong Yun, An, Sun, Lee, Geun-Ho, Kim, Tae Uk, Lee, Seong Jae, Hyun, Jung Keun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713292/
https://www.ncbi.nlm.nih.gov/pubmed/23869333
http://dx.doi.org/10.5535/arm.2013.37.3.355
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author Ra, Jong Yun
An, Sun
Lee, Geun-Ho
Kim, Tae Uk
Lee, Seong Jae
Hyun, Jung Keun
author_facet Ra, Jong Yun
An, Sun
Lee, Geun-Ho
Kim, Tae Uk
Lee, Seong Jae
Hyun, Jung Keun
author_sort Ra, Jong Yun
collection PubMed
description OBJECTIVE: To clarify the relationship of skin temperature changes to clinical, radiologic, and electrophysiological findings in unilateral lumbosacral radiculopathy and to delineate the possible temperature-change mechanisms involved. METHODS: One hundred and one patients who had clinical symptoms and for whom there were physical findings suggestive or indicative of unilateral lumbosacral radiculopathy, along with 27 normal controls, were selected for the study, and the thermal-pattern results of digital infrared thermographic imaging (DITI) performed on the back and lower extremities were analyzed. Local temperatures were assessed by comparing the mean temperature differences (ΔT) in 30 regions of interest (ROIs), and abnormal thermal patterns were divided into seven regions. To aid the diagnosis of radiculopathy, magnetic resonance imaging (MRI) and electrophysiological tests were also carried out. RESULTS: The incidence of disc herniation on MRI was 86%; 43% of patients showed electrophysiological abnormalities. On DITI, 97% of the patients showed abnormal ΔT in at least one of the 30 ROIs, and 79% showed hypothermia on the involved side. Seventy-eight percent of the patients also showed abnormal thermal patterns in at least one of the seven regions. Patients who had motor weakness or lateral-type disc herniation showed some correlations with abnormal DITI findings. However, neither pain severity nor other physical or electrophysiological findings were related to the DITI findings. CONCLUSION: Skin temperature change following lumbosacral radiculopathy was related to some clinical and MRI findings, suggesting muscle atrophy. DITI, despite its limitations, might be useful as a complementary tool in the diagnosis of unilateral lumbosacral radiculopathy.
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spelling pubmed-37132922013-07-18 Skin Temperature Changes in Patients With Unilateral Lumbosacral Radiculopathy Ra, Jong Yun An, Sun Lee, Geun-Ho Kim, Tae Uk Lee, Seong Jae Hyun, Jung Keun Ann Rehabil Med Original Article OBJECTIVE: To clarify the relationship of skin temperature changes to clinical, radiologic, and electrophysiological findings in unilateral lumbosacral radiculopathy and to delineate the possible temperature-change mechanisms involved. METHODS: One hundred and one patients who had clinical symptoms and for whom there were physical findings suggestive or indicative of unilateral lumbosacral radiculopathy, along with 27 normal controls, were selected for the study, and the thermal-pattern results of digital infrared thermographic imaging (DITI) performed on the back and lower extremities were analyzed. Local temperatures were assessed by comparing the mean temperature differences (ΔT) in 30 regions of interest (ROIs), and abnormal thermal patterns were divided into seven regions. To aid the diagnosis of radiculopathy, magnetic resonance imaging (MRI) and electrophysiological tests were also carried out. RESULTS: The incidence of disc herniation on MRI was 86%; 43% of patients showed electrophysiological abnormalities. On DITI, 97% of the patients showed abnormal ΔT in at least one of the 30 ROIs, and 79% showed hypothermia on the involved side. Seventy-eight percent of the patients also showed abnormal thermal patterns in at least one of the seven regions. Patients who had motor weakness or lateral-type disc herniation showed some correlations with abnormal DITI findings. However, neither pain severity nor other physical or electrophysiological findings were related to the DITI findings. CONCLUSION: Skin temperature change following lumbosacral radiculopathy was related to some clinical and MRI findings, suggesting muscle atrophy. DITI, despite its limitations, might be useful as a complementary tool in the diagnosis of unilateral lumbosacral radiculopathy. Korean Academy of Rehabilitation Medicine 2013-06 2013-06-30 /pmc/articles/PMC3713292/ /pubmed/23869333 http://dx.doi.org/10.5535/arm.2013.37.3.355 Text en Copyright © 2013 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ra, Jong Yun
An, Sun
Lee, Geun-Ho
Kim, Tae Uk
Lee, Seong Jae
Hyun, Jung Keun
Skin Temperature Changes in Patients With Unilateral Lumbosacral Radiculopathy
title Skin Temperature Changes in Patients With Unilateral Lumbosacral Radiculopathy
title_full Skin Temperature Changes in Patients With Unilateral Lumbosacral Radiculopathy
title_fullStr Skin Temperature Changes in Patients With Unilateral Lumbosacral Radiculopathy
title_full_unstemmed Skin Temperature Changes in Patients With Unilateral Lumbosacral Radiculopathy
title_short Skin Temperature Changes in Patients With Unilateral Lumbosacral Radiculopathy
title_sort skin temperature changes in patients with unilateral lumbosacral radiculopathy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713292/
https://www.ncbi.nlm.nih.gov/pubmed/23869333
http://dx.doi.org/10.5535/arm.2013.37.3.355
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