http://www.sciencedirect.com/science/article/pii/S1052305717304664
Introduction
Maintaining
good physiological circulation in the extremities requires an optimally
functioning muscle pump. Stroke symptoms indicate a change in venous
circulation. In this study, changes were measured in joint function and
microcirculation, and the correlation between them was examined.
Setting
Physiotherapy Center, Ss. Cosmas and Damian Rehabilitation Institute, Visegrád, Hungary.
Methodology
Sixteen
randomly selected poststroke patients with hemiparesis affecting mainly
the upper extremities began undergoing rehabilitation 13 ± 4 days
following stroke. Thermograms were taken with a Fluke Ti 20 (Fluke
Corporation, WA) pretreatment and post-treatment, and a physiotherapy
documentation form was completed. Treatment comprised 15 physiotherapy,
massage, and galvanic therapy sessions per patient,(Where do I find this protocol?) with the side
exhibiting no neurological symptoms as a control.
Results
Joint function showed significant improvement on the affected side (P < .05).
Thermographic examinations revealed microcirculatory dysfunction in the
affected extremities in 100% of the cases. Following treatment,
temperature increased significantly (P ≥ .5°C) on the affected side. A strong correlation (r) was observed between joint function and temperature change (P < .05).
Conclusion
Thermography
is shown to be a reliable method for monitoring the effects of stroke
rehabilitation treatment. Thermographic testing may enable us to predict
the course of the trauma and the efficacy of treatment even at the
acute stage.
Key Words
- Stroke;
- microcirculation;
- thermography;
- rehabilitation
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