Hegedűs Béla
Ss. Cosmas and Damian Rehabilitation Institute, Visegrád, Hungary.
J Stroke Cerebrovasc Dis. 2018 Feb;27(2):309-314. doi: 10.1016/j.jstrokecerebrovasdis.2017.08.045. Epub 2017 Oct 10.
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.
Physiotherapy Center, Ss. Cosmas and Damian Rehabilitation Institute, Visegrád, Hungary.
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, with the side exhibiting no neurological symptoms as a control.
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).
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.
维持四肢良好的生理循环需要肌肉泵功能正常。中风症状表明静脉循环发生了变化。在本研究中，测量了关节功能和微循环的变化，并检验了它们之间的相关性。
匈牙利维谢格拉德圣科斯马斯和达米安康复研究所理疗中心。
随机选取16例主要影响上肢的中风后偏瘫患者，在中风后13±4天开始接受康复治疗。治疗前和治疗后用福禄克Ti 20（福禄克公司，华盛顿州）拍摄热成像图，并填写理疗记录表格。每位患者接受15次理疗、按摩和电疗法治疗，以无神经症状的一侧作为对照。
患侧关节功能有显著改善（P<.05）。热成像检查显示，100%的病例患侧肢体存在微循环功能障碍。治疗后，患侧温度显著升高（P≥.5°C）。观察到关节功能与温度变化之间存在强相关性（r）（P<.05）。
热成像被证明是监测中风康复治疗效果的可靠方法。热成像测试甚至在急性期可能使我们能够预测创伤的进程和治疗效果。
