Analysis of the dynamics of venous blood flow in the context of lower limb temperature distribution and tissue composition in the elderly

May thermal imaging be useful in early diagnosis of lower extremities chronic venous disease?

Introduction: World statistics confirmed that about 40-50% of men and 50-55% of women suffer from chronic venous disease. Currently, the Duplex ultrasound is the leading diagnostic method for chronic venous disease (CVD), but it has some limitations. Therefore, it is important to find a new diagnostic technique that will provide additional parameters, describing not only structural but also early metabolic and functional changes.

Materials and Methods: This study aimed to demonstrate the usefulness of the thermal imaging technique in the diagnosis of chronic venous disease. Results were obtained for two groups: 61 patients suffering from the primary chronic venous disease (CVD group) and 30 healthy people (control group). The obtained results compared the thermal imaging parameters to data obtained from the ultrasound examination. Parameters such as the reflux duration and extent of the CEAP classification were correlated with the mean temperature of the limb, the mean temperature of the lesion (determined using two methods), and the thermal range. Based on data obtained during the study, correlation coefficients were calculated for individual parameters.

Results: The results obtained show that the mean limb temperature, and especially the mean temperature of a proposed isothermal area, is significantly correlated with the range of reflux. The conducted tests showed the correlation between some thermal and ultrasonic parameters determined by Spearman's coefficient is 0.4 (p < 0.05).

Conclusions: Thus, parameters such as the isothermal area and the thermal range may be used as a preliminary quantitative diagnosis, similarly to those derived from the Duplex ultrasound.

Theory and applications of InfraRed and thermal image analysis in ergonomics research

Designing products and services to fit human needs, wants and lifestyle require meaningful data. With Industry 4.0 and the internet of things, we have many ways to capture data using sensors and other means. InfraRed (IR) cameras are quite ubiquitous, especially for screening illness and wellness. They can provide a wealth of data on different objects and even people. However, their use has been limited due to processing complexities. With reducing cost and increasing accuracy of IR cameras, access to thermal data is becoming quite widespread, especially in medicine and people-related applications. These cameras have software to help process the data, with a focus on qualitative analyses and rather primitive quantitative analyses. In ergonomics, data from multiple users are essential to make reasonable predictions for a given population. In this study, using 4 simple experiments, several quantitative analysis techniques such as simple statistics, multivariate statistics, geometric modeling, and Fourier series modeling are applied to IR images and videos to extract essential user and population data. Results show that IR data can be useful to provide user and population data that are important for design. More research in modeling IR data and application software is needed for the increased application of IR information in ergonomics applications.

Does CABG with Saphenous Vein Grafting and Standard Cardiac Rehabilitation Affect Lower Limb Function? A Clinical Study

BACKGROUND

The aim of the study was to assess lower limb function in response to two cardiac rehabilitation (CR) protocols after coronary artery bypass surgery with saphenous vein grafting.

METHODS

Clinically-stable male patients aged 50-70 years were recruited 4 weeks post-surgery in which to group. Group I (n = 47) receive standard CR in a hospital setting for 3 weeks and Group II (n = 14) receive CR with a resistance training component in an outpatient setting for 8 weeks. Measures included body mass and composition, lower limb temperature distribution, lower limb hemodynamics, and dorsal and plantar flexor muscle strength.

RESULTS

Average temperature of the operated limb decreased only in Group II after cardiac rehabilitation. Venous blood flow improved in both groups as evidenced by increased blood refilling time. Isokinetic strength was greater in Group I.

CONCLUSIONS

The results suggest a 3-week intensive CR protocol to be most effective in restoring lower limb function in CABG patients after saphenectomy.