Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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The Effectiveness of Infrared Thermography in Patients with Whiplash Injury

  • Lee, Young Seo (Department of Neurosurgery, School of Medicine, Inje University Busan Paik Hospital) ;
  • Paeng, Sung Hwa (Department of Neurosurgery, School of Medicine, Inje University Busan Paik Hospital) ;
  • Farhadi, Hooman F. (Department of Neurosurgery, Wexner Medical Center, Ohio State University) ;
  • Lee, Won Hee (Department of Neurosurgery, School of Medicine, Inje University Busan Paik Hospital) ;
  • Kim, Sung Tae (Department of Neurosurgery, School of Medicine, Inje University Busan Paik Hospital) ;
  • Lee, Kun Su (Department of Neurosurgery, School of Medicine, Inje University Busan Paik Hospital)
  • Received : 2014.07.08
  • Accepted : 2015.02.02
  • Published : 2015.04.28
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Abstract

Objective : This study aims to visualize the subjective symptoms before and after the treatment of whiplash injury using infrared (IR) thermography. Methods : IR thermography was performed for 42 patients who were diagnosed with whiplash injury. There were 19 male and 23 female patients. The mean age was 43.12 years. Thermal differences (${\Delta}T$) in the neck and shoulder and changes in the thermal differences (${\Delta}dT$) before and after treatment were analyzed. Pain after injury was evaluated using visual analogue scale (VAS) before and after treatment (${\Delta}VAS$). The correlations between ${\Delta}dT$ and ${\Delta}VAS$ results before and after the treatment were examined. We used Digital Infrared Thermal Imaging equipment of Dorex company for IR thermography. Results : The skin temperature of the neck and shoulder immediately after injury showed $1-2^{\circ}C$ hyperthermia than normal. After two weeks, the skin temperature was normal range. ${\Delta}T$ after immediately injuy was higher than normal value, but it was gradually near the normal value after two weeks. ${\Delta}dT$ before and after treatment were statistically significant (p<0.05). VAS of the neck and shoulder significantly reduced after 2 week (p=0.001). Also, there was significant correlation between ${\Delta}dT$ and reduced ${\Delta}VAS$ (the neck; r=0.412, p<0.007) (the shoulder; r=0.648, p<0.000). Conclusion : The skin temperature of sites with whiplash injury is immediately hyperthermia and gradually decreased after two weeks, finally it got close to normal temperature. These were highly correlated with reduced VAS. IR thermography can be a reliable tool to visualize the symptoms of whiplash injury and the effectiveness of treatment in clinical settings.

Keywords

References

  1. Ammer K, Schartelmueller T, Melnizky P : Thermal imaging in acute herpes zoster or post-zoster neuralgia. Skin Res Technol 7 : 219-222, 2001 https://doi.org/10.1034/j.1600-0846.2001.70403.x
  2. Anbar M : Quantitative Dynamic Telethermometry in Medical Diagnosis and Management. Florida : CRC press, 1994, pp13-35
  3. Anbar M, Gratt BM, Hong D : Thermology and facial telethermography. Part I : history and technical review. Dentomaxillofac Radiol 27 : 61-67, 1998 https://doi.org/10.1038/sj.dmfr.4600314
  4. Barnsley L, Lord S, Bogduk N : The pathophysiology of whiplash in Malanga GA (ed) : Spine : State of the Art Reviews. Philadelphia : Hanley & Belfus, 1998, pp209-242
  5. Bogduk N : The anatomy and pathophysiology of whiplash. Clin Biomech (Bristol, Avon) 1 : 92-101, 1986 https://doi.org/10.1016/0268-0033(86)90084-7
  6. Bogduk N : Treatment of whiplash injuries in Malanga GA (ed) : Spine : State of the Art Reviews. Philadelphia : Hanley & Belfus, 1998, Vol 12, pp469-483
  7. Breasted JH : The Edwin Smith Surgical Papyrus. Published in facsimile and hieroglyphic transliteration with translation and commentary in two volumes. Chicago : The University of Chicago Press, 1930
  8. Cassidy JD, Carroll LJ, COte P, Lemstra M, Berglund A, Nygren A : Effect of eliminating compensation for pain and suffering on the outcome of insurance claims for whiplash injury. N Engl J Med 342 : 1179-1186, 2000 https://doi.org/10.1056/NEJM200004203421606
  9. Chen HB, Yang KH, Wang ZG : Biomechanics of whiplash injury. Chin J Traumatol 12 : 305-314, 2009
  10. Crowe HD : Whiplash injuries of the cervical spine in proceedings of the section of insurance negligence and compensation law. Chicago : American Bar Association, 1928, pp76-84
  11. Fischer AA : Documentation of myofascial trigger points. Arch Phys Med Rehabil 69 : 286-291, 1988
  12. Grauer JN, Panjabi MM, Cholewicki J, Nibu K, Dvorak J : Whiplash produces an S-shaped curvature of the neck with hyperextension at lower levels. Spine (Phila Pa 1976) 22 : 2489-2494, 1997 https://doi.org/10.1097/00007632-199711010-00005
  13. Gunzberg R, Spalski M : Whiplash injuries : current concepts in prevention, diagnosis and treatment at the cervical whiplash syndrome. Philadelphia : Lippincott-Raven, 1998, pp283-291
  14. Kwon OJ, Yu KS, Lee YG : Trigger points : clinical implications of digital infrared thermographic imaging. J Korean Acad Rehabil Med 15 : 527-533, 1991
  15. Lawson R : Implications of surface temperatures in the diagnosis of breast cancer. Can Med Assoc J 75 : 309-311, 1956
  16. Lim KJ : Pain and Thermography. J Korean Pain Soc 17 (Suppl) : S29-S35, 2004 https://doi.org/10.3344/kjp.2004.17.S.S29
  17. Lord SM, Barnsley L, Wallis BJ, Bogduk N : Chronic cervical zygapophysial joint pain after whiplash. A placebo-controlled prevalence study. Spine (Phila Pa 1976) 21 : 1737-1744; discussion 1744-1745, 1996 https://doi.org/10.1097/00007632-199608010-00005
  18. Lord SM, Barnsley L, Wallis BJ, McDonald GJ, Bogduk N : Percutaneous radio-frequency neurotomy for chronic cervical zygapophyseal-joint pain. N Engl J Med 335 : 1721-1726, 1996 https://doi.org/10.1056/NEJM199612053352302
  19. Paeng SH, Jung YT, Pyo SY, Kim MS, Jeong YG : Is the use of digital infrared thermal imaging useful in whiplash injury? Korean J Spine 6 : 274-279, 2009
  20. Panjabi MM, Cholewicki J, Nibu K, Grauer JN, Babat LB, Dvorak J : Mechanism of whiplash injury. Clin Biomech (Bristol, Avon) 13 : 239-249, 1998 https://doi.org/10.1016/S0268-0033(98)00033-3
  21. Pettersson K, Toolanen G : High-dose methylprednisolone prevents extensive sick leave after whiplash injury. A prospective, randomized, double-blind study. Spine (Phila Pa 1976) 23 : 984-989, 1998 https://doi.org/10.1097/00007632-199805010-00004
  22. Pochaczevsky R, Wexler CE, Meyers PH, Epstein JA, Marc JA : Liquid crystal thermography of the spine and extremities. Its value in the diagnosis of spinal root syndromes. J Neurosurg 56 : 386-395, 1982 https://doi.org/10.3171/jns.1982.56.3.0386
  23. Smith J, Everett CR : Prognosis after whiplash-related injury in Malanga GA (ed) : Spine state of the Art Review. Philadelphia : Hanley & Belfus, 1998, pp287-300
  24. Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, et al. : Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders : redefining "whiplash" and its management. Spine (Phila Pa 1976) 20 (8 Suppl) : 1S-73S, 1995 https://doi.org/10.1097/00007632-199504151-00001
  25. Uematsu S : Symmetry of skin temperature comparing one side of the body to the other. Thermol 1 : 4-7, 1985
  26. Uematsu S, Edwin DH, Jankel WR, Kozikowski J, Trattner M : Quantification of thermal asymmetry. Part 1 : Normal values and reproducibility. J Neurosurg 69 : 552-555, 1988 https://doi.org/10.3171/jns.1988.69.4.0552
  27. Wexler CE : Thermographic evaluation of trauma (spine). Acta Thermographica 5 : 3-10, 1980
  28. Zhang HY, Cho BY, Kim HS, Cho YE : Thermo-graphic diagnosis of whiplash injury with/without radiculopathy. Key Eng Mater 321-323 : 845-848, 2006 https://doi.org/10.4028/www.scientific.net/KEM.321-323.845
  29. Zhang HY, Kim YS, Cho YE : Thermatomal changes in cervical disc herniations. Yonsei Med J 40 : 401-412, 1999 https://doi.org/10.3349/ymj.1999.40.5.401

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