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Reliability of a novel thermal imaging system for temperature assessment of healthy feet.
Petrova, NL, Whittam, A, MacDonald, A, Ainarkar, S, Donaldson, AN, Bevans, J, Allen, J, Plassmann, P, Kluwe, B, Ring, F, et al
Journal of foot and ankle research. 2018;:22
Abstract
BACKGROUND Thermal imaging is a useful modality for identifying preulcerative lesions ("hot spots") in diabetic foot patients. Despite its recognised potential, at present, there is no readily available instrument for routine podiatric assessment of patients at risk. To address this need, a novel thermal imaging system was recently developed. This paper reports the reliability of this device for temperature assessment of healthy feet. METHODS Plantar skin foot temperatures were measured with the novel thermal imaging device (Diabetic Foot Ulcer Prevention System (DFUPS), constructed by Photometrix Imaging Ltd) and also with a hand-held infrared spot thermometer (Thermofocus® 01500A3, Tecnimed, Italy) after 20 min of barefoot resting with legs supported and extended in 105 subjects (52 males and 53 females; age range 18 to 69 years) as part of a multicentre clinical trial. The temperature differences between the right and left foot at five regions of interest (ROIs), including 1st and 4th toes, 1st, 3rd and 5th metatarsal heads were calculated. The intra-instrument agreement (three repeated measures) and the inter-instrument agreement (hand-held thermometer and thermal imaging device) were quantified using intra-class correlation coefficients (ICCs) and the 95% confidence intervals (CI). RESULTS Both devices showed almost perfect agreement in replication by instrument. The intra-instrument ICCs for the thermal imaging device at all five ROIs ranged from 0.95 to 0.97 and the intra-instrument ICCs for the hand-held-thermometer ranged from 0.94 to 0.97. There was substantial to perfect inter-instrument agreement between the hand-held thermometer and the thermal imaging device and the ICCs at all five ROIs ranged between 0.94 and 0.97. CONCLUSIONS This study reports the performance of a novel thermal imaging device in the assessment of foot temperatures in healthy volunteers in comparison with a hand-held infrared thermometer. The newly developed thermal imaging device showed very good agreement in repeated temperature assessments at defined ROIs as well as substantial to perfect agreement in temperature assessment with the hand-held infrared thermometer. In addition to the reported non-inferior performance in temperature assessment, the thermal imaging device holds the potential to provide an instantaneous thermal image of all sites of the feet (plantar, dorsal, lateral and medial views). TRIAL REGISTRATION Diabetic Foot Ulcer Prevention System NCT02317835, registered December 10, 2014.
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The effect of age and speed on foot and ankle kinematics assessed using a 4-segment foot model.
van Hoeve, S, Leenstra, B, Willems, P, Poeze, M, Meijer, K
Medicine. 2017;(35):e7907
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Abstract
BACKGROUND The effects of age and speed on foot and ankle kinematics in gait studies using foot models are not fully understood, whereas this can have significant influence. We analyzed these variables with the 4-segment Oxford foot model. METHODS Twenty-one healthy subjects (aged 20-65 years) were recruited for gait analysis. The effect of speed on foot and ankle kinematics was assessed by comparing results during slow walking and fast walking. To assess the effect of age, a group of 13 healthy young adults (aged 20-24 years) were compared with a group of 8 older adults (aged 53-65 years). Also, the interaction between age and speed was analyzed. RESULTS Regarding speed, there was a significant difference between forefoot/hindfoot motion in the sagittal plane (flexion/extension) during both loading- and push-off phase (P = .004, P < .001). Between hindfoot/tibia, there was a significant difference for all parameters except for motion in the sagittal plane (flexion/extension) during push-off phase (P = .5). Age did not significantly influence kinematics. There was no interaction between age and speed. CONCLUSION Our analysis found that speed significantly influenced the kinematic outcome parameters. This was more pronounced in the ankle joint. In contrast, no significant differences were found between younger and older healthy subjects.
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The effects of orthotic intervention on multisegment foot kinematics and plantar fascia strain in recreational runners.
Sinclair, J, Isherwood, J, Taylor, PJ
Journal of applied biomechanics. 2015;(1):28-34
Abstract
Chronic injuries are a common complaint in recreational runners. Foot orthoses have been shown to be effective for the treatment of running injuries but their mechanical effects are still not well understood. This study aims to examine the influence of orthotic intervention on multisegment foot kinematics and plantar fascia strain during running. Fifteen male participants ran at 4.0 m · s(-1) with and without orthotics. Multisegment foot kinematics and plantar fascia strain were obtained during the stance phase and contrasted using paired t tests. Relative coronal plane range of motion of the midfoot relative to the rearfoot was significantly reduced with orthotics (1.0°) compared to without (2.2°). Similarly, relative transverse plane range of motion was significantly lower with orthotics (1.1°) compared to without (1.8°). Plantar fascia strain did not differ significantly between orthotic (7.1) and nonorthotic (7.1) conditions. This study shows that although orthotics did not serve to reduce plantar fascia strain, they are able to mediate reductions in coronal and transverse plane rotations of the midfoot.
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Effects of hyperoxia on thermoregulatory responses during feet immersion to hot water in humans.
Yamashita, K, Tochihara, Y
Journal of physiological anthropology and applied human science. 2003;(4):181-5
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Abstract
This study examined effects of hyperoxia on thermoregulatory responses. Eight healthy male students (23.5+/-1.8 yrs) were involved in this study. They immersed their legs in a hot water bath (42 degrees C) for 60 minutes in a climate chamber. The conditions of oxygen concentration of a chamber were set at 21% (control), 25% (25%O(2)), and 30% (30%O(2)). Ambient temperature and relative humidity was maintained at 25 degrees C and 50% in every condition, respectively. Measurements included rectal temperature (Tre), skin temperature at 7 sites, laser Doppler flowmeter (LDF) on the back and forearm as an index of skin blood flow, heart rate, local sweat rate (Msw) on the back and forearm, and total body weight loss (BWL). Increases of Tre at 25%O(2) and 30%O(2) tended to be lower during the immersion than in the control. Mean skin temperature (Tsk) of the control increased gradually after the onset of sweating, while the Tsks at 25%O(2) and 30%O(2) maintained a constant level during sweating. LDFs on the forearm at 25%O(2) and 30%O(2) showed lower increases compared with the control. No significant differences in Msw on the back and the forearm and BWL were seen among the conditions. These results suggested that hyperoxia could not affect sweating responses but elicit an inhibitory effect on thermoregulatory skin blood flow.