García-de-la-Peña Raquel, Juárez-Jiménez José María, Cuevas Sánchez José Manuel, Rayo Rosado Rafael, Rayo Pérez Ana María
Department of Podiatry, University of Seville, 41009 Seville, Spain.
J Clin Med. 2024 Dec 15;13(24):7638. doi: 10.3390/jcm13247638.
Infrared thermography is an advanced technique that detects infrared light emitted by the body to map thermal changes related to blood flow. It is recognized for being noninvasive, fast, and reliable and is employed in the diagnosis and prevention of various medical conditions. In podiatry, it is utilized for managing diabetic foot ulcers, musculoskeletal injuries such as Achilles tendinopathy, and onychomycosis, among others. The primary objective is to analyze the application of thermography in podiatry as a diagnostic evaluation tool. Secondary objectives include evaluating the use of thermography in diagnosing musculoskeletal injuries, determining its role in preventing diabetic foot ulcers and onychomycosis, assessing its utility in sports performance evaluation with plantar orthoses, and reviewing its cost-effectiveness in detecting common foot conditions and deformities. A systematic review and meta-analysis of the existing literature on the use of thermography in podiatry were conducted. Studies addressing various applications of thermography were included, focusing on its effectiveness, sensitivity, and specificity. Both studies comparing plantar temperature before and after interventions with orthoses and those exploring thermography in diagnosing specific pathologies were analyzed. Ten randomized clinical trials on the use of infrared thermography in podiatric conditions were included, with participant ages ranging from 18 to 80 years ( = 10-223). Treatments for Achilles tendinopathy, diabetic foot ulcers, and peripheral arterial disease were explored. Infrared thermography was utilized to measure thermal changes, evaluate plantar orthoses, and diagnose onychomycosis. The findings underscore the potential of infrared thermography in preventing and diagnosing various podiatric pathologies. Infrared thermography is a noninvasive technique in podiatry that provides real-time imaging without radiation. It is useful for detecting musculoskeletal injuries, diabetic skin ulcers, and onychomycosis and contributes to enhancing sports performance. In conclusion, it is a valuable tool in podiatric practice to optimize therapeutic approaches.
红外热成像技术是一种先进技术，可检测人体发出的红外光，以绘制与血流相关的热变化图。它以无创、快速且可靠而著称，被用于各种医疗状况的诊断和预防。在足病学中，它被用于管理糖尿病足溃疡、跟腱病等肌肉骨骼损伤以及甲癣等病症。主要目的是分析热成像技术在足病学中作为诊断评估工具的应用。次要目的包括评估热成像技术在诊断肌肉骨骼损伤中的应用、确定其在预防糖尿病足溃疡和甲癣中的作用、评估其在使用足底矫形器进行运动表现评估中的效用，以及审查其在检测常见足部疾病和畸形方面的成本效益。对现有关于热成像技术在足病学中应用的文献进行了系统综述和荟萃分析。纳入了探讨热成像技术各种应用的研究，重点关注其有效性、敏感性和特异性。分析了比较使用矫形器前后足底温度的研究以及探索热成像技术在诊断特定病理中的研究。纳入了十项关于在足病情况下使用红外热成像技术的随机临床试验，参与者年龄在18至80岁之间（ = 10 - 223）。探讨了跟腱病、糖尿病足溃疡和外周动脉疾病的治疗方法。红外热成像技术被用于测量热变化、评估足底矫形器和诊断甲癣。研究结果强调了红外热成像技术在预防和诊断各种足病病理方面的潜力。红外热成像技术是足病学中的一种无创技术，可提供无辐射的实时成像。它有助于检测肌肉骨骼损伤、糖尿病皮肤溃疡和甲癣，并有助于提高运动表现。总之，它是足病实践中优化治疗方法的一种有价值的工具。
