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Термосемиотика кистей рук. Нейропатические нарушения в термотопографии кистей

https://doi.org/10.33667/2078-5631-2021-14-36-44

Аннотация

Центральная и периферическая неврологическая патология, влияющая на термопаттерн и термореакции кистей рук, многообразна как по этиологии и патогенезу, так и по характеру и выраженности тепловизионных признаков в зависимости от локализации, тяжести и давности заболевания, индивидуальных адаптационно‑компенсаторных особенностей и ряда иных причин. Изучаемые с помощью тепловидения варианты температурного распределения на поверхности кистей и его изменений под действием специализированных функциональных проб при травмах и заболеваниях периферических нервов верхней конечности, а также при нарушениях сегментарного и надсегментарного генеза являются предметом рассмотрения настоящей статьи.

Об авторах

М. Г. Воловик
ФГБОУ ВО «Приволжский исследовательский медицинский университет» Минздрава России; ООО «Дигносис»
Россия

Воловик Михаил Григорьевич, д.б.н., в.н.с.

Нижний Новгород; Москва



И. М. Долгов
ФГБУ «Федеральный научно-клинический центр спортивной медицины и реабилитации Федерального медикобиологического агентства России»; ООО «Дигносис»
Россия

Долгов Игорь Маратович, д.м.н., лауреат Государственной премии РФ, врач по спортивной медицине



Список литературы

1. Kolesov S.N. Thermal vision in the evaluation of adaptation and compensation mechanisms accompanying isolated and combined damage of the peripheral nerves. Journal of Optical Technology. 2013; 80 (6): 386–392. https://doi.org/10.1364/JOT.80.000386

2. Viikari Juntura E., Silverstein B. Role of physical load factors in carpal tunnel syndrome. Scandinavian Journal of Work, Environment and Health. 1999; 25(3): 163–185. DOI: 10.5271/sjweh.423.

3. Bernard B.P. Musculoskeletal Disorders and Workplace Factors: A Critical Review of Epide miologic Evidence for Work Related Musculoskeletal Disorders of the Neck, Upper Extremity, and Low Back. National Institute for Occupational Safety and Health, 1997. P. 5a1–5a27.

4. Ming Z., Zaproudina N., Siivola J. et al. Sympathetic pathology evidenced by hand thermal anomalies in carpal tunnel syndrome. Pathophysiology. 2005; 12 (2): 137–141. DOI: 10.1016/j.pathophys.2005.05.002.

5. Orlin J.R., Stranden E., Slagsvold C.E. Effects of mechanical irritation on the autonomic part of the median nerve. Eur J Neurol. 2005 Feb; 12 (2): 144–149. DOI: 10.1111/j.1468-1331.2004.00925.x.

6. Maxel X., Bodnar J.L., Marin T., Stubbe L. Detection of carpal tunnel syndrome by infrared thermography. QIRT 2014. January 2014. 7 pp. DOI: 10.21611/qirt.2014.103.

7. Pascoe D.D., Herrick R.T., Purohit R.C. Thermographic Evaluation of the Response Time of Normal and Carpal Tunnel Syndrome Subjects after a Cold Water Stress Test. Eur J Thermol. 1997; 7: 138–141.

8. Maxel X., Bodnar J.L., Stubbe L. Detection of carpal tunnel syndrome by infrared thermography. Mech Ind. 2014; 15: 363–370. DOI: 10.1051/meca/2014034.

9. Baic A., Kasprzyk T., Rzany M. et al. Can we use thermal imaging to evaluate the effects of carpal tunnel syndrome surgical decompression? Medicine (United States). 2017; 96 (39): e7982. https://doi.org/10.1097/MD.0000000000007982

10. Bargiel P., Czapla N., Prowans P. et al. Thermography in the diagnosis of carpal tunnel syndrome. Open Med (Wars). 2021 Jan 27; 16 (1): 175–182. DOI: 10.1515/med-2021-0007.

11. Ming Z., Siivola J., Pietikainen S.et al. Postoperative relieve of abnormal vasoregulation in carpal tunnel syndrome. Clin Neurol Neurosurg. 2007; 109 (5): 413–417. DOI: 10.1016/j.clineuro.2007.02.014.

12. Ammer K., Engelbert B., Melnizky P., Schartelmüller T. The Thermal Image of Patients Suffering from Carpal Tunnel Syndrome with a Distal Latency Higher than 6.0 msec. Thermology International. 1999; 9 (1): 15–19.

13. Papež B.J., Palfy M. EMG vs. Thermography in Severe Carpal Tunnel Syndrome. In: Schwartz M., ed., EMG Methods for Evaluating Muscle and Nerve Function, ISBN978– 953–307–793–2, InTech: January 2012.

14. Peltz E., Seifert F., Maihöfner C. Internationale Gesellschaft zum Studium des Schmerzes (IASP). Leitfaden zur Diagnostik des Komplexen regionalen Schmerzsyndroms [Diagnostic guidelines for complex regional pain syndrome]. Handchir Mikrochir Plast Chir. 2012 Jun; 44 (3): 135–141. DOI: 10.1055/s-0032-1321775. [in German]

15. Kolesov S.N., Volovik M.G., Priluchnyi M.A. Method for diagnosing pathology of peripheral nerves. RU Patent 2402258 (2010). Priority 12.05.2009.

16. Ammer K., Melnizky P. Determination of Regions of Interest on Thermal Images of the Hands of Patients Suffering from Carpal Tunnel Syndrome. Thermology International. 1999; 9 (2): 56–61.

17. Robinson H., Howell G., Hardaker N. et al. Investigation of a method of thermal imaging with the potential to assist in the diagnosis of carpal tunnel syndrome. Thermology International. 2010; 20 (2): 53–59.

18. Zivčak J., Hudak R., Tkáčová M., Švehlík J. A role of thermography in the diagnostics of carpal tunnel syndrome. Acta Mechanica Slov. 2010; 14. DOI: 10.2478/v10147-011-0017-9.

19. Herrick R.T., Herrick S.K. Thermography in the detection of carpal tunnel syndrome and other compressive neuropathies. The Journal of Hand Surgery. 1987 Sep 1; 12 (5): 943–949. DOI: 10.1016/s0363-5023(87)80262-9.

20. Alpar O., Krejcar O. Detection of Raynaud’s Phenomenon by Thermographic Test ing for Finger Thermoregulation. Lecture Notes in Computer Science. 2017. DOI: 10.1007/978-3-319-54430-4_46.

21. Gaidar B.V. Military neurosurgery. Saint Petersburg: VMedA, 1998.

22. Mundt B., Kallwellis G., Röder H. Thermographic studies with fluid crystals in peripheral nerve damage. Psychiatr Neurol Med Psychol (Leipz). 1986 Jan; 38 (1): 9–15. PMID: 3008206. [in German]

23. Kolesov S.N. Improving the technique for thermal vision diagnosis of damage to the peripheral nerves of the upper extremities. J Opt Technol. 2015; 82 (7): 436–444. DOI: 10.1364/JOT.82.000436.

24. Volovik M.G. Dynamic infrared mapping of thermoregulatory processes in biological tissues. Abstract of Thesis. Dis … Doctor of Biological Sciences. Pushchino, 2016.45 p.

25. Kolesov S.N., Volovik M.G., Priluchnyi M.A. et al. Method for thermal imaging diagnostics of pathology of secondary bundles of the brachial plexus. RU Patent 2440784 (2012). Priority 12.11.2009.

26. Ruijs A.C., Niehof S.P., Selles R.W. et al. Digital rewarming patterns after median and ulnar nerve injury. J Hand Surg Am. 2009; 34 (1): 54–64. DOI: 10.1016/j.jhsa.2008.09.014.

27. Smits E.S., Nijhuis T.H., Huygen F.J. et al. Rewarming patterns in hand fracture patients with and without cold intolerance. J Hand Surg Am. 2011 Apr; 36 (4): 670–676. DOI: 10.1016/j.jhsa.2010.12.034.

28. Casal D., Pais D., Mota Silva E. et al. Reconstruction of a long defect of the ulnar artery and nerve with an arterialized neurovenous free flap in a teenager: A case report and literature review. Microsurgery. 2018 Feb; 38 (2): 209–217. DOI: 10.1002/micr.30265.

29. Golubev V.G., Eskin N.A., Krupatkin A.I. Application of new diagnostic technologies in peripheral nerve injuries. Bulletin of the Russian Academy of Medical Sciences, 2008; 8: 40–44.

30. Park E.S., Park C.I., Jung K.I., Chun S. Comparison of sympathetic skin response and digital infrared thermographic imaging in peripheral neuropathy. Yonsei Med J. 1994 Dec; 35 (4): 429–437. DOI: 10.3349/ymj.1994.35.4.429.

31. Bostok H., Campero M., Serra J., Ochoa J.L. Temperature dependent double spikes in C nociceptors of neuropathic pain patients. Brain. 2005 Sept; 128 (9): 2154–2163. https://doi.org/10.1093/brain/awh552

32. Korotkova N.L., Volovik M. G. Priluchnyi M. A. The possibilities of thermal imaging in clarifying the nature of damage to the peripheral nerves of the upper extremities in patients with pain syndrome. Second Congress of Neurosurgeons of the Russian Federation. Materials of the Congress. Saint Petersburg, 1998. P. 312.

33. Moseley G.l., Gallace A., Iannetti G.D. Spatially defined modulation of skin temperature and hand ownership of both hands in patients with unilateral complex regional pain syndrome. Brain. 2012 Dec; 135 (pr12): 3676–3686. DOI: 10.1093/brain/aws297.

34. van der Veen P.H.E. Infrared thermography for pain influenced by a Xanthine derivative: An attempt to assess chronic pain objectively. Thermology International. 2014; 24 (2): 39–48.

35. Birklein F., Künzel W., Sieweke N. Despite clinical similarities there are significant differ ences between acute limb trauma and complex regional pain syndrome I (CRPS I). Pain. August 2001; 93 (2): 165–171. DOI: 10.1016/S0304-3959(01)00309-8.

36. Bruggeman A.W., Oerlemans M.H., Frölke J.P. Warm and cold complex regional pain syndromes: differences beyond skin temperature? Neurology. 2009; 73 (20): 1711–1712. DOI: 10.1212/WNL.0b013e3181bd6b0d.

37. Kolesov S.N., Muravina N.L., Novikov A.V., Stchedrina M.A. A method for determining damage to the vegetative fibers of the peripheral nerves of the upper extremities. RU Patent 2555383 (2015). Priority 07.05.2014.

38. Krumova E.K., Frettlöh J., Klauenberg S. et al. Long term skin temperature measure ments – a practical diagnostic tool in complex regional pain syndrome. Pain. 2008; 140 (1): 8–22. DOI: 10.1016/j.pain.2008.07.003.

39. Brioschi M. L., Yeng L. T., Teixeira M. J. Indicações da termografia infravermelha no estudo da dor. DOR é coisa séria. Janeiro. 2009; 5 (1): 8–14. [in Portuguese]

40. Jeong M. Y., Yu J. S., Chung W. B. Usefulness of Thermography in Diagnosis of Complex Regional Pain Syndrome Type I After Transradial Coronary Intervention. J Invasive Cardiol. 2013 Sep; 25 (9): E183–185. PMID: 23995728.

41. Schuhfried O., Herceg M., Reichel Vacariu G., Paternostro Sluga T. Das infrarot thermograf ische Muster beim Komplexen Regionalen Schmerzsyndrom Typ I der unteren Extremität und Korrelation mit Schmerz Krankheitsdauer und Symptomen. Physikalische Medizin Rehabilita tionsmedizin Kurortmedizin 2016; 26 (06): 288–292. DOI: 10.1055/s-0042-115478. [in German]

42. Seixas A. Infrared thermographic assessment in lower limb complex regional pain syndrome type 1. Thermology International. March 2017; 27 (1): 9–10.

43. Крупаткин А.И., Голубев И.О., Меркулов М.В. и др. Эффективность десимпатизации кисти после разных вариантов симпатэктомии при комплексном регионарном болевом синдроме. Хирургия. Журнал им. Н.И. Пирогова. 2011; 7: 43–47.

44. Kocić M., Lazović M., Dimitrijević I. et al. Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic cam era. Vojnosanit Pregl. 2010; 67 (9): 755–760. DOI: http://dx.doi.org/10.2298/VSP1009755K

45. Gradl G., Steinborn M., Wizgall I. et al. Acute CRPS I (Morbus sudeck) following distal radial fractures – Methods for early diagnosis. Zentralblatt Fur Chirurgie. 2003; 128: 1020–1026. DOI: 10.1055/s-2003-44851. [in German]

46. Gradl G., Schürmann M. Sympathetic dysfunction as a temporary phenomenon in acute posttraumatic CRPS I. Clin Auton Res. 2005 Feb; 15 (1): 29–34. DOI: 10.1007/s10286-005-0237-z.

47. Gulevich S.J., Conwell T.D., Lane J. et al. Stress infrared telethermography is useful in the diagnosis of complex regional pain syndrome, type I (formerly reflex sympathetic dystrophy). Conf Proc IEEE Eng Med Biol Soc. 2004; 2: 1178. PMID: 17271895.

48. Huygen F.J., Niehof S., Klein J., Zijlstra F.J. Computer assisted skin videothermography is a highly sensitive quality tool in the diagnosis and monitoring of complex regional pain syndrome type I. Eur J Appl Physiol. 2004; 91 (5–6): 516–524. DOI: 10.1007/s00421-003-1037-6.

49. Niehof S.P., Huygen F.J., Stronks D.L. et al. Reliability of observer assessment of thermographic images in complex regional pain syndrome type 1. Acta Orthop Belg. 2007; 2 (73) 1: 31–37. PMID: 17441655.

50. Cho C.W., Nahm F.S., Choi E. et al. Multicenter study on the asymmetry of skin temperature in complex regional pain syndrome: An examination of temperature distribution and symptom duration. Medicine (United States) 2016; 95 (52): e5548. DOI: 10.1097/MD.0000000000005548.

51. Eberle T., Doganci B., Krämer H.H. et al. Warm and cold complex regional pain syn dromes: differences beyond skin temperature? Neurology. 2009; 72 (6): 505–512. DOI: 10.1212/01.wnl.0000341930.35494.66.

52. Laino L. Idiopathic dysesthesia, complex regional pain syndrome and video thermog raphy: a new tool for diagnosis? Eur J Dermatol. 2012 Sep Oct; 22 (5): 700–701. DOI: 10.1684/ejd.2012.1814.

53. Uematsu S. Thermographic imaging of cutaneous sesnory segment in patient with peripheral nerve injury. Skin temperature stability between sides of the body. J Neurosurg. 1985; 62: 716–720. DOI: 10.3171/jns.1985.62.5.0716.

54. Choi E., Lee P.B., Nahm F.S. Interexaminer reliability of infrared thermography for the diagnosis of complex regional pain syndrome. Skin Res Technol. 2013; 19: 189–193. DOI: 10.1111/srt.12032.

55. Cohen S.P., Raja S.N. Does prolonged skin temperature measurement improve the diagnosis of complex regional pain syndrome?. Nat Clin Pract Neurol. 2009; 5 (1): 14–15. DOI: 10.1038/ncpneuro0987.

56. Conwell T.D., Lind K.E. Comparison of the Diagnostic Accuracy of Three Infrared Imaging Methods in Evaluating Patients with Presumptive Complex Regional Pain Syndrome, Type 1. Thermology International. 2015; 25 (2): 54–63.

57. Jung A., Mróz J., Żuber J., Kalicki B. Application of thermography in the diagnosis and treatment monitoring of the Complex Regional Pain Syndrome type I (CRPS I) (extended abstract). Thermology International. 2015; 25 (1): 26.

58. Kim H.J., Yang H.E., Kim D.H., Park Y.G. Predictive value of sympathetic skin response in diagnosing complex regional pain syndrome: A case control study. Ann Rehabil Med. 2015; 39. DOI: 10.5535/arm.2015.39.1.116.

59. Mróz J., Kalicki B., Lipinska Opalka A. et al. Application of thermography in the diagnosis and treatment monitoring of the Complex Regional Pain Syndrome type I (extended abstract). Thermology International 2014; 24 (2): 62.

60. Lange K.H.W., Jansen T., Asghar S. et al. Skin temperature measured by infrared thermography after specific ultrasound guided blocking of the musculocutaneous, radial, ulnar, and median nerves in the upper extremity. Br J Anaesth. 2011; 106: 887–895. DOI: 10.1093/bja/aer085.

61. Asghar S., Bjerregaard L.S., Lundstrøm L.H. et al. Distal infrared thermography and skin temperature after ultrasound guided interscalene brachial plexus block: A prospective observational study. European Journal of Anaesthesiology 2014; 31 (11): 626–634. DOI: 10.1097/EJA.0000000000000152.

62. Asghar S., Lange K.H., Lundstrom L.H. Blinded observer evaluation of distal skin tem perature for predicting lateral infraclavicular block success. Anesthesia & Analgesia. 2015; 120 (1): 246–251. DOI: 10.1213/ane.0000000000000475.

63. Stevens M.F., Stotz K., Kao T.C. et al. The relative increase in skin temperature after stellate ganglion block is predictive of a complete sympathectomy of the hand. Reg Anesth Pain Med. 1998 May Jun; 23 (3): 266–270. DOI: 10.1016/s1098-7339(98)90053-0.

64. Su H. H., Lui P. W., Yu C. L. et al. The effects of continuous axillary brachial plexus block with ropivacaine infusion on skin temperature and survival of crushed fingers after microsurgical replantation. Chang Gung Med. J. 2005; 28 (8): 567–574. PMID: 16265847.

65. Minville V., Gendre A., Hirsch J. et al. The efficacy of skin temperature for block assess ment after infraclavicular brachial plexus block. Anesth Analg. 2009; 108 (3): 1034–1036. DOI: 10.1213/ane.0b013e318195bf94.

66. Колесов С.Н. Остеохондроз позвоночника: неврологические и тепловизионные синдромы. Нижний Новгород: ООО Типография «Приволжье», 2006.

67. Виноградов В. И., Митбрейт И. М., Веретенов И. С., Слезко В. Н. Компьютерная термография при медицинской реабилитации больных остеохондрозом позвоночника. Медицинский Вестник. 2007; 14 (321).

68. Ben Eliyahu DJ. Thermographic imaging of pathoneurophysiology due to cervical disc herniation. J Manipulative Physiol Ther. 1989 Dec; 12 (6): 482–490. PMID: 2697738.

69. Thurston N.M., Kent B., Jewell M.J., Blood H. Thermographic evaluation of the painful shoulder in the hemiplegic patient. Phys Ther. 1986; 66: 1376–1381. DOI: 10.1093/ptj/66.9.1376.

70. Zhang H.Y., Kim Y.S., Cho Y.E. Thermatomal changes in cervical disc herniations. Yonsei Med J. 1999; 40: 401–412. DOI: 10.3349/ymj.1999.40.5.401.

71. Ring F. Thermal imaging today and its relevance to diabetes. J Diabetes Sci Technol. 2010; 4: 857–862.

72. Park T.Y., Son S., Lim T.G., Jeong T. Hyperthermia associated with spinal radiculopathy as determined by digital infrared thermographic imaging. Medicine (Baltimore). 2020; 99 (11): e19483. DOI: 10.1097/MD.0000000000019483.

73. Rossignoli I., Fernandez Cuevas I., Benito P. J., Herrero A. J. Relationship between shoulder pain and skin temperature measured by infrared thermography in a wheel chair propulsion test. Infrared Physics and Technology. 2016; 76: 251–258. https://doi.org/10.1016/j.infrared.2016.02.007

74. Lee Y.S., Paeng S.H., Farhadi H.F. et al. The Effectiveness of Infrared Thermography in Patients with Whiplash Injury. Journal of Korean Neurosurgical Society. 2015; 57 (4): 283–288. DOI: 10.3340/jkns.2015.57.4.283.

75. Колесов С. Н., Воловик М. Г., Млявых С. Г., Легурова С. В. Обоснование методологии тепловизионных исследований при позвоночно спинномозговой травме. VIII Междунар. конф. «Прикладная оптика – 2008». Сб. трудов. СПб, 2008. С. 208–212.

76. Воловик М.Г., Шейко Г.Е., Кузнецов А.Н. Тепловизионные признаки спастических форм ДЦП у детей 4–7 лет: протокол и анализ данных. Медицинский алфавит. 2019; 3 (24): 28–38. https://doi.org/10.33667/2078-5631-2019-3-24(399)-28-38

77. Воловик М. Г., Шейко Г. Е., Кузнецов А. Н. Эффективность реабилитации детей 5–8 лет со спастическими формами ДЦП, по данным клинической оценки и тепловидения. Медицинский алфавит. 2019; 4 (39): 14–22. https://doi.org/10.33667/2078-5631-2019-4-39(414)-14-22

78. Wanklyn P., Forster A., Young J., Mulley G.P. Prevalence and Associated Features of the Cold Hemiplegic Arm. Stroke, October 1995; 26 (10): 1867–1870. DOI: 10.1161/01.STR.26.10.1867.

79. Ishii K., Ohkoshi N., Tamaoka A. et al. [Pseudoradicular sensory impairment caused by parietal lesions: report of two cases]. Rinsho Shinkeigaku. 1996 Aug; 36 (8): 951–956. [in Japanese]. PMID: 8958747.

80. Purup M.M., Knudsen K., Karlsson P.K. et al. Skin Temperature in Parkinson’s Disease Mea sured by Infrared Thermography. Parkinson’s Disease. Volume 2020, Article ID2349469, 7 pp. https://doi.org/10.1155/2020/2349469


Рецензия

Для цитирования:


Воловик М.Г., Долгов И.М. Термосемиотика кистей рук. Нейропатические нарушения в термотопографии кистей. Медицинский алфавит. 2021;(14):36-44. https://doi.org/10.33667/2078-5631-2021-14-36-44

For citation:


Volovik M.G., Dolgov I.M. Thermosemiotics of hands. Neuropathic disorders in thermotopography of hands. Medical alphabet. 2021;(14):36-44. (In Russ.) https://doi.org/10.33667/2078-5631-2021-14-36-44

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