Use of algometry and infrared thermography as tools for pain evaluation: a systematic review
DOI:
https://doi.org/10.11606/issn.2317-0190.v30i2a178238Keywords:
Pain, Pain Threshold, Pain Measurement, ThermographyAbstract
Infrared thermography is a technique used for complementary diagnosis of pain, through the presentation of thermal images with an infrared sensor that assesses body surface temperature. Pressure algometry is an objective method that seeks to quantify pain at specific points. Both techniques have been employed for diagnostic purposes. Objective: To review the literature on publications that addressed the use of thermography and algometry in combination as an assessment tool in studies of evaluation of pain. Method: This was a systematic review conducted on Pubmed, Bireme and Scielo databases, using the following descriptors: “thermography” AND “pain threshold”, and “thermography” AND “pain tolerance”, without limitation of publication date, in English and Portuguese, in September 2020. Eligibility criteria for the studies were: use of thermography in combination with algometry in aimed at the outcome of temperature variation in chronic painful processes in humans. Results: The search resulted in thirty-two studies, and after abstract analysis, twenty-two were excluded for not meeting inclusion criteria. The remaining ten were read in full and made up the present review. Conclusion: Although few studies have employed both techniques in the same diagnostic assessment method, the use of algometry and thermography in combination may provide objective measures of subjective symptoms, which can bring a great contribution to the diagnostic accuracy and clinical monitoring of patients affected by painful processes.
Downloads
References
Teixeira MJ, Marcon RM, Rocha RO, Figueiro JAB. Epidemiologia da dor. In: Teixeira MJ, Figueiró JAB. Dor: epidemiologia, fisiopatologia, avaliação, síndromes dolorosas e tratamento. São Paulo: Moreira JR; 2001. p.1-7.
Dellaroza MSG, Furuya RK, Cabrera MAS, Matsuo T, Tráela C, Yamada K, et al. Caracterização da dor crônica e métodos analgésicos utilizados por idosos da comunidade. Rev Assoc Med Bras. 2008; 54(1):36-41. Doi: https://doi.org/10.1590/S0104-42302008000100018
Dellaroza MSG, Pimenta CAM, Matsuo T. Prevalência e caracterização da dor crônica em idosos não institucionalizados. Cad Saúde Pública. 2007;23(5):1151-60. Doi: https://doi.org/10.1590/S0102-311X2007000500017
Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976-1982. Doi: https://doi.org/10.1097/j.pain.0000000000001939
Santos FC, Moraes NS, Pastore A, Cendoroglo MS. Dor crônica em idosos longevos: prevalência, características, mensurações e correlação com nível sérico de vitamina D. Rev Dor. 2015;16(3):171-75. Doi: https://doi.org/10.5935/1806-0013.20150034
Sobrinho ACS, Almeida ML, Rodrigues GS, Bueno Junior CR. Associação de dor crônica com força, níveis de estresse, sono e qualidade de vida em mulheres acima de 50 anos. Fisioter Pesqui. 2019; 26(2):170-7. Doi: https://doi.org/10.1590/1809-2950/18033226022019
Smith BH, Elliott AM, Chambers WA, Smith WC, Hannaford PC, Penny K. The impact of chronic pain in the community. Fam Pract. 2001;18(3):292-9. Doi: https://doi.org/10.1093/fampra/18.3.292
Silva JA, Ribeiro-Filho NP. Pain as a psychophysical problem. Rev Dor. 2011;12(2):138-51. Doi: https://doi.org/10.1590/S1806-00132011000200011
Andrade FA, Pereira LV, Sousa FAEF. Mensuração da dor no idoso: uma revisão. Rev Latino-Am. Enfermagem. 2006;14(2):271-76. Doi: https://doi.org/10.1590/S0104-11692006000200018
Chapman RS, Syrjala KL. Measurement of pain. In: Bonica JJ, Loaser JD, Chapman CR, (Eds.). The management of pain. Philadelphia: Lea & Febiger; 1990. p. 580-94.
Brioschi ML, Yeng LT, Pastor EMH, Colman D, Silva FMRM, Teixeira MJ. Documentação da síndrome dolorosa miofascial por imagem infravermelha. Acta Fisiatr. 2007;14(1):41-8. Doi: https://doi.org/10.11606/issn.2317-0190.v14i1a102775
Fischer AA. Pressure threshold measurements for diagnosis of myofascial pain and evaluation of treatment results. Clin J Pain. 1987;2(4):207-14.
Egloff N, Klingler N, von Känel R, Cámara RJ, Curatolo M, Wegmann B, et al. Algometry with a clothes peg compared to an electronic pressure algometer: a randomized crosssectional study in pain patients. BMC Musculoskelet Disord. 2011;12:174. Doi: https://doi.org/10.1186/1471-2474-12-174
Alfieri FM, Lima ARS, Battistella LR, Silva NCOV. Superficial temperature and pain tolerance in patients with chronic low back pain. J Bodyw Mov Ther. 2019;23(3):583-87. Doi: https://doi.org/10.1016/j.jbmt.2019.05.001
Piovesan EJ, Tatsui CE, Kowacs PA, Lange MC, Pacheco C, Werneck LC. Utilização da algometria de pressão na determinação dos limiares de percepção dolorosa trigeminal em voluntários sadios: um novo protocolo de estudos. Arq Neuro-Psiatr. 2001;59(1):92-6. Doi: https://doi.org/10.1590/S0004-282X2001000100019
Lima RP, Brioschi ML, Teixeira MJ, Neves EB. Análise termográfica de corpo inteiro: indicações para investigação de dores crônicas e diagnóstico complementar de disfunções secundárias. Pan Am J Med Thermol. 2015;2(2)70-7. Doi: https://doi.org/10.18073/2358-4696/pajmt.v2n2p70-77
Alfieri FM, Santos ACA, Battistella LR. Uso da termografia como método de avaliação na medicina física e de reabilitação. Acta Fisiatr. 2017;24(3):147-150. Doi: https://doi.org/10.5935/0104-7795.20170027
Brioschi ML, Lin TY, Teixeira MJ. Estudo da dor por imagem infravermelha. Rev Dor. 2005; 6(3):589-99.
Fischer AA. Diagnosis and management of chronic painin physical medicine and rehabilitation. In: Ruskin AP. Current therapy in physiatry. Philadelphia: WB Saunders; 1984. p. 123-45.
Girasol CE, Dibai-Filho AV, Oliveira AK, Jesus Guirro RR. Correlation between skin temperature over myofascial trigger points in the upper trapezius muscle and range of motion, electromyographic activity, and pain in chronic neck pain patients. J Manipulative Physiol Ther. 2018;41(4):350-357. Doi: https://doi.org/10.1016/j.jmpt.2017.10.009
Doménech-García V, Peirotén AR, Imaz ML, Palsson TS, Herrero P, Bellosta-López P. Not just sensitization: sympathetic mechanisms contribute to expand experimental referred pain. Korean J Pain. 2022;35(3):240-9. Doi: https://doi.org/10.3344/kjp.2022.35.3.240
Vargas e Silva NCO, Anjos RL, Santana MMC, Battistella LR, Marcon Alfieri F. Discordance between radiographic findings, pain, and superficial temperature in knee osteoarthritis. Reumatologia. 2020;58(6):375-380. Doi: https://doi.org/10.5114/reum.2020.102002
Dibai-Filho AV, Oliveira AK, Oliveira MP, Bevilaqua-Grossi D, Guirro RRJ. Relationship between pressure and thermal pain threshold, pain intensity, catastrophizing, disability, and skin temperature over myofascial trigger point in individuals with neck pain. Rev Assoc Med Bras. 2021;67(12):1798-1803. Doi: https://doi.org/10.1590/1806-9282.20210731
Rangon FB, Koga Ferreira VT, Rezende MS, Apolinário A, Ferro AP, Guirro ECO. Ischemic compression and kinesio-therapy on chronic myofascial pain in breast cancer survivors. J Bodyw Mov Ther. 2018;22(1):69-75. Doi: https://doi.org/10.1016/j.jbmt.2017.04.005
Haddad DS, Brioschi ML, Arita ES. Thermographic and clinical correlation of myofascial trigger points in the masticatory muscles. Dentomaxillofac Radiol. 2012;41(8):621-9. Doi: https://doi.org/10.1259/dmfr/98504520
Benito-de-Pedro M, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Rodríguez-Sanz D, López-López D, Cosín-Matamoros J, et al. Effectiveness between dry needling and ischemic compression in the triceps surae latent myofascial trigger points of triathletes on pressure pain threshold and thermography: a single blinded randomized clinical trial. J Clin Med. 2019;8(10):1632. Doi: https://doi.org/10.3390/jcm8101632
Dibai-Filho AV, Barros MA, Oliveira AK, Jesus Guirro RR. Electrical impedance of the torso is associated with the pressure pain threshold on myofascial trigger points in patients with chronic neck pain: a cross-sectional study. J Back Musculoskelet Rehabil. 2018;31(2):275-284. Doi: https://doi.org/10.3233/BMR-169671
Zhang Y, Ge HY, Yue SW, Kimura Y, Arendt-Nielsen L. Attenuated skin blood flow response to nociceptive stimulation of latent myofascial trigger points. Arch Phys Med Rehabil. 2009;90(2):325-32. Doi: https://doi.org/10.1016/j.apmr.2008.06.037
Kimura Y, Ge HY, Zhang Y, Kimura M, Sumikura H, Arendt-Nielsen L. Evaluation of sympathetic vasoconstrictor response following nociceptive stimulation of latent myofascial trigger points in humans. Acta Physiol (Oxf). 2009;196(4):411-7. Doi: https://doi.org/10.1111/j.1748-1716.2009.01960.x
Lei J, You HJ, Andersen OK, Graven-Nielsen T, Arendt-Nielsen L. Homotopic and heterotopic variation in skin blood flow and temperature following experimental muscle pain in humans. Brain Res. 2008;1232:85-93. Doi: https://doi.org/10.1016/j.brainres.2008.07.056
Heberle ABS, Ichisato SMT, Nohama P. Avaliação da mama na lactação por termografia e presença de dor. Acta Paul Enferm. 2015;28(3):256-63. Doi: https://doi.org/10.1590/1982-0194201500043
Simons DG. Myofascial pain syndromes: where are we? Where are we going? Arch Phys Med Rehabil. 1988;69(3 Pt 1):207-12.
Rodríguez-Sanz D, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Martínez-Jiménez EM, Muñoz-García D, Pérez-Boal E, et al. Effects of compressive stockings and standard stockings in skin temperature and pressure pain threshold in runners with functional ankle equinus condi-tion. J Clin Med. 2018;7(11):454. Doi: https://doi.org/10.3390/jcm7110454
Santos FC, Souza PMR, Castro LAHM, Thé KB. Síndrome de amplificação dolorosa no idoso: relato de caso e revisão de literatura. Rev Dor. 2012;13(2):175-82. Doi: https://doi.org/10.1590/S1806-00132012000200015
Fujita T, Fujii Y, Okada SF, Miyauchi A, Takagi Y. Fall of skin impedance and bone and joint pain. J Bone Miner Metab. 2001;19(3):175-9. Doi: https://doi.org/10.1007/s007740170038
Yamamoto N, Itoi E, Minagawa H, Seki N, Abe H, Shimada Y, Okada K. Objective evaluation of shoulder pain by measuring skin impedance. Orthopedics. 2006;29(12):1121-3. Doi: https://doi.org/10.3928/01477447-20061201-14
Barros MA, Dibai-Filho AV, de Oliveira AK, Jesus Guirro RR. Reliability of skin impedance in subjects with chronic neck pain. J Back Musculoskelet Rehabil. 2018;31(2):331-336. Doi: https://doi.org/10.3233/BMR-169753
Bandeira F, Neves EB, Moura MAM, Nohama P. A termografia no apoio ao diagnóstico de lesão muscular no esporte. Rev Bras Med Esporte. 2014;20(1):59-64. Doi: https://doi.org/10.1590/S1517-86922014000100012
Côrte ACR, Hernandez AJ. Termografia médica infravermelha aplicada à medicina do esporte. Rev Bras Med Esporte 2016;22(4):315-19. Doi: https://doi.org/10.1590/1517-869220162204160783
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
