Infrared Thermal Imaging in Hemiplegic Patients of Upper Extremity by Stroke.

, Lim, Kil Byung; , Lee, Jeong Ah; , Lee, Hong Jae; , Chung, Woong Tae

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2005;29(2):171-176.

Lim, Kil Byung , Lee, Jeong Ah , Lee, Hong Jae , Chung, Woong Tae

Department of Rehabilitation Medicine, Inje University College of Medicine, Korea. irapp@hanmial.net

뇌졸중에 의한 편마비 환자의 상지 적외선 체열검사 소견

임길병, 이정아, 이홍재, 정웅태

인제대학교 의과대학 재활의학교실

Abstract

Objective
To investigate the usefulness of infrared thermal imaging for define the cause of shoulder pain on hemiplegic patients.
Method
Subjects were 91 stroke patients who admitted to rehabilitation department from January 2002 to June 2003. Retrospective study was done by review of medical records. The subjects were divided into the control group (n=42) without shoulder pain and study group (n=49) who had the shoulder pain. The study group were also divided into subluxation, adhesive capsulitis, complex regional pain syn-drome (CRPS) type I by main cause of pain.
Results
In the control group, the result revealed hypothermia on the involved upper extremity compared with the opposite intact side (p＜0.05). In the study group, it revealed hyperthermia on the hand and forearm who diagnosed with CRPS type I.
Conclusion
Distal infrared thermal imaging is considered to be useful diagnostic tool of CRPS type I in hemiplegic patient with shoulder pain. (J Korean Acad Rehab Med 2005; 29: 171-176)

Key Words: Shoulder pain, Complex regional pain syndrome (CRPS) type I, Infrared thermal imaging