EMG vs. Thermography in Severe Carpal Tunnel Syndrome

Papež, Breda Jesenšek; Palfy, Miroslav

doi:10.5772/26120

Cited by 2 publications

(2 citation statements)

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“…Papez also observed during his study that the sensitivity of the examination was higher on the dorsal side of the hand. [25][26][27]. Similar conclusions were made by Zivcak et al [28].…”

Section: Discussionsupporting

confidence: 82%

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Thermography in the diagnosis of carpal tunnel syndrome

et al. 2021

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Introduction Carpal tunnel syndrome (CTS) is a condition caused by chronic compression of the median nerve. The diagnosis is made mainly on the basis of clinical image and confirmed with electrodiagnostic testing (electromyography and nerve conduction study); however, these methods do not always aid in reaching the diagnosis of CTS. Moreover, they are invasive examinations, unpleasant for the patient and have to be performed by a qualified physician. Aim An evaluation of the usefulness of dynamic thermography in the diagnosis of CTS. Material and methods Forty patients were included in the study group. CTS was diagnosed based on clinical examination and electromyography. Forty healthy volunteers were included in the control group. Each of the participants was examined thrice with dynamic thermography. The patient’s hands were first cooled down and then a thermal camera measured their return to normal temperature. The measurement was repeated on the dorsal and volar aspects of each hand. Results The results obtained in the study show that a relief of symptoms after carpal tunnel release does not correlate with thermal image. Moreover, the return to normal hand temperature was faster in the control group. In patients with unilateral CTS, no difference was observed in thermographic images of the affected and healthy hands. Conclusions Dynamic thermography can be useful in confirming CTS diagnosis. Dynamic thermography does not allow for objective assessment of patient’s complaints in the postoperative period. This method has currently limited clinical application. Due to complexity, it presently serves mainly scientific purposes.

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“…Papez also observed during his study that the sensitivity of the examination was higher on the dorsal side of the hand. [25][26][27]. Similar conclusions were made by Zivcak et al [28].…”

Section: Discussionsupporting

confidence: 82%

“…Few authors focused on looking upon both hands of the same patient. The majority assessed the temperature difference of two corresponding points on the volar and dorsal aspect and then compared the results to the control group [25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Thermography in the diagnosis of carpal tunnel syndrome

et al. 2021

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Potential Suitable Methods for Measuring the Effects of Animal-Assisted Activities and Therapy: a Review

Machová

Svobodová

Říha

et al. 2016

Scientia Agriculturae Bohemica

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Dogs are companions of humans since time beyond memory and their use in rehabilitation processes is increasingly frequent. Dogs can be used for animal-assisted activities (AAA) as well as animal-assisted therapy (AAT). The effects, however, have not been fully demonstrated, reasons for this including difficulties in providing evidence of positive action. According to previous studies, there is a decrease in heart and respiratory rate, blood pressure reduction, more positive mood as well as warming of muscles, which promotes relaxation of spastic areas. Regulation of hormone levels might also occur as a result of AAA/ AAT. Indeed, increases in oxytocin levels and decreases of cortisol have been found. However, a unified methodology for clear measuring the entire impact of AAA/AAT on patients is missing. This survey evaluated different methods for measuring the effects of AAA/AAT, with results showing that the most suitable ones, selected on the basis of the effect of rehabilitation, comprise thermography, spectral analysis of heart rate, electromyography (EMG), polyelectromyography (PEMG), and blood sampling. Because AAT making use of dogs has not yet been recognized as an official method of treatment, it is very important to find out objective means to evidence its beneficial effects. Highlights: -Using dogs for AAA/AAT has a positive effect on client's mental as well as physical condition -AAT promotes motor functions and helps restore appropriate movement patterns -Possible methods to measure the effect of AAA/AAT are thermography, spectral analysis of heart rate, electromyography (EMG), polyelectromyography (PEMG), and blood sampling animal-assisted therapy, dog, thermography, EMG, PEMG, spectral analysis of heart rate, oxytocin, cortisol

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EMG vs. Thermography in Severe Carpal Tunnel Syndrome

Cited by 2 publications

References 51 publications

Thermography in the diagnosis of carpal tunnel syndrome

Thermography in the diagnosis of carpal tunnel syndrome

Potential Suitable Methods for Measuring the Effects of Animal-Assisted Activities and Therapy: a Review

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