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用于表征假肢使用者皮肤适应性的热成像技术。

Thermal imaging for characterization of skin adaptation in prosthesis users.

作者信息

Sanders Joan E, Lanahan Conor L, Mertens Joseph C

机构信息

University of Washington Department of Bioengineering, Seattle WA, USA.

University of Washington Department of Bioengineering, Seattle WA, USA.

出版信息

Med Eng Phys. 2025 Jan;135:104279. doi: 10.1016/j.medengphy.2024.104279. Epub 2024 Dec 20.

DOI:10.1016/j.medengphy.2024.104279
PMID:39922646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11872185/
Abstract

The purpose of this research was to investigate the use of time to peak temperature (TTP) as a metric for characterizing skin adaptation in prothesis users. Two experiments were conducted. A static pressure was applied to a participant's transtibial residual limb for 10 min, then a thermal imaging camera was used to capture the time-varying temperature response. The TTP, time to reach 70 % of the maximum temperature, was shorter at locations adapted to mechanical stress, the patellar tendon and anterior lateral distal region (mean 41.5 s and 47.2 s, respectively), than at mid-limb locations (127.1 s). In the second experiment, an able-bodied participant rubbed a towel across the anterior proximal aspect of his lower limb each day for 5 min per day for 11 days. His mean TTP in the region decreased from 68.5 s at Day 1 to 47.2 s at Day 11. The results suggest that a short TTP reflects skin well adapted to mechanical stress and a long TTP reflects skin not well adapted to mechanical stress. Investigations characterizing relationships between TTP and health outcomes should be pursued.

摘要

本研究的目的是调查使用峰值温度时间(TTP)作为一种衡量假肢使用者皮肤适应性的指标。进行了两项实验。对一名参与者的经胫骨残肢施加静态压力10分钟,然后使用热成像相机捕捉随时间变化的温度响应。在适应机械应力的部位,即髌腱和前外侧远端区域(平均分别为41.5秒和47.2秒),达到最高温度70%的时间(TTP)比肢体中部位置(127.1秒)要短。在第二项实验中,一名身体健全的参与者每天用毛巾摩擦其下肢前近端5分钟,持续11天。该区域的平均TTP从第1天的68.5秒降至第11天的47.2秒。结果表明,短的TTP反映皮肤对机械应力适应良好,而长的TTP反映皮肤对机械应力适应不佳。应开展关于TTP与健康结果之间关系的研究。

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本文引用的文献

1
A Workflow for Studying the Stump-Socket Interface in Persons with Transtibial Amputation through 3D Thermographic Mapping.通过三维热成像映射研究胫骨截肢者残端-接受腔界面的工作流程。
Sensors (Basel). 2023 May 24;23(11):5035. doi: 10.3390/s23115035.
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Efficacy of at home monitoring of foot temperature for risk reduction of diabetes-related foot ulcer: A meta-analysis.家庭足部温度监测对降低糖尿病相关足部溃疡风险的疗效:一项荟萃分析。
Diabetes Metab Res Rev. 2022 Sep;38(6):e3549. doi: 10.1002/dmrr.3549. Epub 2022 Jun 8.
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Optical coherence tomography for the investigation of skin adaptation in lower limb prosthesis users.光学相干断层扫描技术用于研究下肢假肢使用者的皮肤适应性。
J Prosthet Orthot. 2021 Oct;33(4):255-265. doi: 10.1097/jpo.0000000000000348.
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The effect of prosthetic alignment on the stump temperature and ground reaction forces during gait in transfemoral amputees.假肢对线对经股骨截肢者步态期间残端温度和地面反作用力的影响。
Gait Posture. 2022 Jun;95:76-83. doi: 10.1016/j.gaitpost.2022.04.003. Epub 2022 Apr 6.
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Optical coherence tomography for the investigation of skin adaptation to mechanical stress.光学相干断层扫描在皮肤对机械压力适应性研究中的应用。
Skin Res Technol. 2020 Sep;26(5):627-638. doi: 10.1111/srt.12843. Epub 2020 Mar 29.
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Vascular Adaptation to Exercise in Humans: Role of Hemodynamic Stimuli.人类运动中的血管适应性:血流动力学刺激的作用。
Physiol Rev. 2017 Apr;97(2):495-528. doi: 10.1152/physrev.00014.2016.
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Seven-day remote ischemic preconditioning improves local and systemic endothelial function and microcirculation in healthy humans.为期七天的远程缺血预处理可改善健康人的局部和全身内皮功能及微循环。
Am J Hypertens. 2014 Jul;27(7):918-25. doi: 10.1093/ajh/hpu004. Epub 2014 Mar 13.
8
Assessment of lower limb prosthesis through wearable sensors and thermography.通过可穿戴传感器和热成像技术评估下肢假肢
Sensors (Basel). 2014 Mar 11;14(3):5041-55. doi: 10.3390/s140305041.
9
Changes in interface pressures and shear stresses over time on trans-tibial amputee subjects ambulating with prosthetic limbs: comparison of diurnal and six-month differences.使用假肢行走的经胫骨截肢者受试者界面压力和剪切应力随时间的变化:昼夜差异与六个月差异的比较。
J Biomech. 2005 Aug;38(8):1566-73. doi: 10.1016/j.jbiomech.2004.08.008.
10
Residual-limb skin temperature in transtibial sockets.经胫骨截肢残肢皮肤温度
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