Determining peripheral skin temperature: subjective versus objective measurements

Tse, Jennifer; Rand, Casey M.; Carroll, Michael S.; Charnay, Aaron; Gordon, Samantha; Morales, Briseyda; Vitez, Sally F.; Le, Michele; Weese‐Mayer, Debra E.

doi:10.1111/apa.13283

Cited by 19 publications

(12 citation statements)

References 23 publications

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“…These have in common a temperaturedependent physical property that translates to a measurable change in an electric circuit to which the sensor is connected (Jones, 2009). Temperature can also be measured remotely by an infrared sensor pointed at the skin or tympanic membrane surface (Tse et al, 2015).…”

Section: Noninvasive Techniquesmentioning

confidence: 99%

Thermoregulatory disorders and illness related to heat and cold stress

Cheshire

2016

Autonomic Neuroscience

271

184

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Thermoregulation is a vital function of the autonomic nervous system in response to cold and heat stress. Thermoregulatory physiology sustains health by keeping body core temperature within a degree or two of 37°C, which enables normal cellular function. Heat production and dissipation are dependent on a coordinated set of autonomic responses. The clinical detection of thermoregulatory impairment provides important diagnostic and localizing information in the evaluation of disorders that impair thermoregulatory pathways, including autonomic neuropathies and ganglionopathies. Failure of neural thermoregulatory mechanisms or exposure to extreme or sustained temperatures that overwhelm the body's thermoregulatory capacity can also result in potentially life-threatening departures from normothermia. Hypothermia, defined as a core temperature of <35.0°C, may present with shivering, respiratory depression, cardiac dysrhythmias, impaired mental function, mydriasis, hypotension, and muscle dysfunction, which can progress to cardiac arrest or coma. Management includes warming measures, hydration, and cardiovascular support. Deaths from hypothermia are twice as frequent as deaths from hyperthermia. Hyperthermia, defined as a core temperature of >40.5°C, may present with sweating, flushing, tachycardia, fatigue, lightheadedness, headache, and paresthesia, progressing to weakness, muscle cramps, oliguria, nausea, agitation, hypotension, syncope, confusion, delirium, seizures, and coma. Mental status changes and core temperature distinguish potentially fatal heat stroke from heat exhaustion. Management requires the immediate reduction of core temperature. Ice water immersion has been shown to be superior to alternative cooling measures. Avoidance of thermal risk and early recognition of cold or heat stress are the cornerstones of preventive therapy.

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Section: Noninvasive Techniquesmentioning

confidence: 99%

Thermoregulatory disorders and illness related to heat and cold stress

Cheshire

2016

Autonomic Neuroscience

271

184

View full text Add to dashboard Cite

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“…Quantitative and topographical changes in skin surface temperature were assessed using a thermal imaging camera (VarioCAM ® HR INSPECT 700 SERIES; InfraTec GmbH Infrarotsensorik und Messtechnik, Dresden, Germany; 1.280 × 960 pixels) . Images were analysed with IRBIS ® remote version three (InfraTec GmbH Infrarotsensorik und Messtechnik, Dresden, Germany), exported and postprocessed using project‐specific generated masks of areas of interest (about 10 cm below the popliteal line on both legs corresponding to the site of the Mexameter ® measurements; 10 cm proximal of the malleoli and 10 cm above the popliteal line) written in MATLAB (The MathWorks Inc., Natick, MA, USA).…”

Section: Methodsmentioning

confidence: 99%

Good vibrations: Itch induction by whole body vibration exercise without the need of a pruritogen

Müller

Fischer

Herger

et al. 2018

Experimental Dermatology

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Mechanically induced itch is an important cofactor in many patients with chronic itch. However, studying mechanical itch in a controlled environment is challenging because it is difficult to evoke. We investigated the use of whole body vibration (WBV) exercise, a training method used for musculoskeletal rehabilitation, to experimentally evoke mechanical itch. Mild to severe itch ascending from the soles to the groins was evoked in 16 of 20 healthy participants. We observed a characteristic on/off itch crescendo pattern reflecting the alternating intervals of vibration and no vibration. Wheals or an angioedema was absent, and serum mast cell tryptase was not increased by the exercise. Participants described the evoked sensation primarily as "itching" with some nociceptive components. Itch intensity correlated with the intensity of a concomitant erythema (R = 0.45, P = 0.043) and with the rise in skin temperature (R = 0.54, P = 0.017). Hence, WBV can be used as an easily applicable, noninvasive, investigator- and user-friendly framework for studying mechanical itch. Moreover, WBV allows to "switch itch on and off" rapidly and to simultaneously study interactions between itch, skin blood flow and skin temperature.

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“…Skin temperature varies based on the body's health conditions and time of day, as well as factors such as pain, illness, and nervous tension. Tse et al (2016) studied the accuracy of a hand-held infrared device for estimating peripheral skin temperature and the detection of temperature disparities, and infrared devices were useful tools for this purpose.…”

Section: Physiological Signalsmentioning

confidence: 99%

Experimental Exploration of Objective Human Pain Assessment Using Multimodal Sensing Signals

et al. 2022

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Optimization of pain assessment and treatment is an active area of research in healthcare. The purpose of this research is to create an objective pain intensity estimation system based on multimodal sensing signals through experimental studies. Twenty eight healthy subjects were recruited at Northeastern University. Nine physiological modalities were utilized in this research, namely facial expressions (FE), electroencephalography (EEG), eye movement (EM), skin conductance (SC), and blood volume pulse (BVP), electromyography (EMG), respiration rate (RR), skin temperature (ST), blood pressure (BP). Statistical analysis and machine learning algorithms were deployed to analyze the physiological data. FE, EEG, SC, BVP, and BP proved to be able to detect different pain states from healthy subjects. Multi-modalities proved to be promising in detecting different levels of painful states. A decision-level multi-modal fusion also proved to be efficient and accurate in classifying painful states.

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Determining peripheral skin temperature: subjective versus objective measurements

Abstract: Although different from reference temperatures, the hand-held infrared device provided a more accurate and objective method than traditional physical exam in identifying peripheral skin temperature asymmetries that may be related to chronic paediatric illness.

Cited by 19 publications

References 23 publications

Thermoregulatory disorders and illness related to heat and cold stress

Thermoregulatory disorders and illness related to heat and cold stress

Good vibrations: Itch induction by whole body vibration exercise without the need of a pruritogen

Experimental Exploration of Objective Human Pain Assessment Using Multimodal Sensing Signals

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