The influence of ambient temperature on foot temperature in patients with diabetic foot ulceration

• Autorzy: Foltyński P. , Mrozikiewicz-Rakowska B. , Ładyżyński P. , Wójcicki J. M. , Karnafel W.

Identyfikatory

DOI

10.1016/j.bbe.2014.04.002

• Języki publikacji: EN

Abstrakty

EN

Background: Patients with diabetic neuropathy exhibit a higher foot temperature than those without neuropathy and they are at risk for foot ulceration. Ambient temperature and foot ulceration additionally influence foot temperature in such patients. The aim of the study was to assess the influence of ambient temperature on foot temperature in patients with an ulcer on one of the feet. Methods: Miniature temperature data loggers were used for the monitoring of foot skin and ambient temperature. Twenty patients with diabetic neuropathy and ten healthy subjects were monitored for about 24 h each. Results: The temperature of the foot with an ulcer correlates significantly with ambient temperature, with the slope of the regression line of 0.09. The temperature of the non-ulcerated foot also correlates significantly with ambient temperature, with the slope of 0.31, however the correlation coefficient and the slope are significantly higher than in the case of the foot with an ulcer. The difference of temperature of the foot with an ulcer and temperature of the foot without an ulcer correlates well with ambient temperature with the slope of _0.219. The temperatures of left and right feet were studied as a function of ambient temperature in healthy individuals and there were no statistically significant differences between correlation coefficients and slopes. Conclusions: It is apparent that ambient temperature influences foot temperature even during foot ulceration. Thus ambient temperature should be taken into consideration in any application when foot temperatures are important, especially in the prediction of diabetic foot ulceration.

Słowa kluczowe

EN

foot temperature; diabetic foot ulceration; ambient temperature; wound healing; data logger

PL

temperatura stopy; owrzodzenie stopy cukrzycowej; temperatura otoczenia; gojenie ran; rejestrator danych

• Wydawca: Nałęcz Institute of Biocybernetics and Biomedical Engineering of the Polish Academy of Sciences ; Elsevier
• Czasopismo: Biocybernetics and Biomedical Engineering
• Rocznik: 2014
• Tom: Vol. 34, no. 3
• Strony: 178--183
• Opis fizyczny: Bibliogr. 17 poz., rys., wykr.

Twórcy

autor

Foltyński P.

• Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, ul. Księcia Trojdena 4, 02-109 Warsaw, Poland

autor

Mrozikiewicz-Rakowska B.

• Department and Clinic of Gastroenterology and Metabolic Diseases Medical University of Warsaw, Warsaw, Poland

autor

Ładyżyński P.

• Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Warsaw, Poland

autor

Wójcicki J. M.

• Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Warsaw, Poland

autor

Karnafel W.

• Department and Clinic of Gastroenterology and Metabolic Diseases Medical University of Warsaw, Warsaw, Poland

Bibliografia

• [1] Malik RA, Newrick PG, Sharma AK, Jennings A, Ah-See AK, Mayhew TM, et al. Microangiopathy in human diabetic neuropathy: relationship between capillary abnormalities and the severity of neuropathy. Diabetologia 1989;32(2):92–102.
• [2] Ziegler D, Siekierka-Kleiser E, Meyer B, Schweers M. Validation of a novel screening device (NeuroQuick) for quantitative assessment of small nerve fiber dysfunction as an early feature of diabetic polyneuropathy. Diabetes Care 2005;28(May (5)):1169–74.
• [3] Papanas N, Papatheodorou K, Christakidis D, Papazoglou D, Giassakis G, Piperidou H, et al. Evaluation of a new indicator test for sudomotor function (Neuropad) in the diagnosis of peripheral neuropathy in type 2 diabetic patients. Exp Clin Endocrinol Diabetes 2005;113(4):195–8.
• [4] Papanas N, Papatheodorou K, Papazoglou D, Monastiriotis C, Maltezos E. Foot temperature in type 2 diabetic patients with or without peripheral neuropathy. Exp Clin Endocrinol Diabetes 2009;117(1):44–7.
• [5] Bagavathiappan S, Philip J, Jayakumar T, Raj B, Rao PN, Varalakshmi M, et al. Correlation between plantar foot temperature and diabetic neuropathy: a case study by using an infrared thermal imaging technique. J Diabetes Sci Technol 2010;4(6):1386–92.
• [6] Kang PB, Hoffman SN, Krismitsos E, Rutkove SB. Ambulatory foot temperature measurement: a new technique in polyneuropathy evaluation. Muscle Nerve 2003;27:737–42.
• [7] Rutkove SB, Veves A, Mitsa T, Nie R, Fogerson PM, Garmirian LP, et al. Impaired distal thermoregulation in diabetes and diabetic polyneuropathy. Diabetes Care 2009;32(4):671–6.
• [8] Roback K. An overview of temperature monitoring devices for early detection of diabetic foot disorders. Expert Rev Med Dev 2010;7(5):711–8.
• [9] Rutkove SB, Nie R, Mitsa T, Nardin RA. A methodology for the real-time measurement of distal extremity temperature. Physiol Meas 2007;28(11):1421–8.
• [10] Foltynski P, Ladyzynski P, Wojcicki JM, Brandl M, Grabner J, Migalska-Musiał K, et al. Continuous monitoring of feet temperature using a data logger with wireless communication. Biocybern Biomed Eng 2012;32:59–64.
• [11] Foltynski P, Tarwacka J, Ladyzynski P, Wojcicki JM, Brandl M, Grabner J, et al. Continuous monitoring of the feet temperature in patients with the diabetic foot syndrome. Proceedings of ESAO Congress, Porto, Portugal, Int J Artif Organ, vol. 34(8); 2011. p. 695.
• [12] Brandl M, Grabner J, Kellner K, Seifert F, Nicolics J, Grabner S, et al. A low-cost wireless sensor system and its application in dental retainers. Sens J IEEE 2009;9:255–62.
• [13] Kleinbaum DG, Kupper LL, Muller KE. Applied regression analysis and other multivariable methods. Boston: Duxbury; 1978.
• [14] Nardin RA, Fogerson PM, Nie R, Rutkove SB. Foot temperature in healthy individuals: effects of ambient temperature and age. J Am Podiatr Med Assoc 2010;100 (4):258–64.
• [15] Lavery LA, Higgins KR, Lanctot D, Constaninides GP, Zamorano RG, Athanasiou KA, et al. Preventing diabetic foot ulcer recurrence in high-risk patients: the use of temperature monitoring as a self-assessment tool. Diabetes Care 2007;30:14–20.
• [16] Armstrong DG, Holtz-Neiderer K, Wendel CS, Mohler MJ, Kimbriel HR, Lavery LA. Skin temperature monitoring reduces the risk for diabetic foot ulceration in high-risk patients. Am J Med 2007;120:1042–6.
• [17] Kaabouch N, Hu WC, Chen Y, Anderson JW, Ames F, Paulson R. Predicting neuropathic ulceration: analysis of static temperature distributions in thermal images. J Biomed Opt 2010;15(November–December (6)).