The Effect of Local Heat and Cold Therapy on the Intraarticular and Skin Surface Temperature of the Knee

Objective. To evaluate the effects of local application of ice chips, ligno-paraffin, short-wave diathermy, and nitrogen-cold air on skin and intraarticular temperature. \ud Methods. Forty-two healthy subjects were divided into 4 treatment groups. A temperature probe was inserted into the knee joint cavity and another placed on the overlying skin, and changes in temperature over 3 hours, by treatment group, were recorded. \ud Results. The mean skin surface temperature dropped from 27.9°C to 11.5°C after application of ice chips, and from 28.8°C to 13.8°C after application of cold air. The mean intraarticular temperature decreased from 31.9°C to 22.5°C and from 32.9°C to 28.8°C, respectively, after these 2 treatments. Short-wave diathermy increased skin temperature by 2.4°C; intraarticular temperature was increased only 1.4°C by short-wave diathermy. Treatment with ligno-paraffin increased the skin surface temperature 8.9°C; the temperature in the joint cavity was increased 3.5°C. \ud Conclusion. The use of short-wave diathermy and superficial heat packs in the treatment of patients with arthritis may potentially cause harm by increasing intraarticular temperature. This may have major implications regarding treatment policy for patients with arthritis

Thermistor holder for skin-temperature measurements

Sensing head of thermistor probe is supported in center area of plastic ring which has tabs so that it can be anchored in place by rubber bands or adhesive tapes. Device attaches probes to human subjects practically, reliably, and without affecting characteristics of skin segment being measured

Physiological Studies of Heat Stress Acclimation During a Specific Exercise Regimen

Eleven subjects were used to determine if the exercise regimen of racquetball could be used as a heat stress acclimator. Core temperature, skin temperature, sweat production, and weight loss were recorded during a racquetball match. Skin and core temperatures were determined by using thermistors. Sweat was collected with modified stress electrodes. Weight loss was recorded by comparing nude weights at the beginning and end of a match. The results indicated that an hour of strenuous racquetball play caused a significant increase in core temperature with subsequent sweating which resulted in a significant decrease in skin temperature and weight loss. The exercise regimen of racquetball can act as a good heat stress acclimator because it produces sufficiently high levels of hyperthermia

Adsorption of 3-chloroaniline on potato skin in aqueous solution

The adsorption behaviour of aromatic amine 3-chloroaniline (3-CA) from aqueous solution on fresh potato skin was investigated. A series of batch experiments were conducted under different experimental conditions of contact time, 3-chloroaniline concentration, weight of potato skin, pH, temperature, and ionic strength using RP-HPLC analysis. Adsorption equilibrium of 3-chloroaniline at concentration of 10 µg/mL on 1 g weight of chopped potato skin was achieved in 24 hours. Using different varieties of potato skin showed that the adsorption of 3-CA on Nicola variety is higher compared to Sante and Maris Peer varieties. Adsorption on potato skin was found to be generally higher compared to cortex and pith tissues. Analysis of adsorption isotherm shows that equilibrium data was fitted to Freundlich model (R² = 0.977). Maximum adsorption capacities of 3-chloroaniline were found in the pH range from 3 to 9, whereas low adsorption quantities were found in high acidic and high basic solutions (pH 2 and pH 13, resp.). Adsorption capacity increased with an increase in temperature from 4°C to 30°C but decreased with further increase of temperature to 40°C. Testing the ionic strength showed that increasing the concentration of electrolyte reduces the adsorption efficiency. This study indicated that the fresh potato skin (without any treatment) is possible to use as a new adsorbent for removal of 3-chloroaniline from industrial waste water

The relationship between local scalp skin temperature and cutaneous perfusion during scalp cooling

Cooling the scalp during administration of chemotherapy can prevent hair loss. It reduces both skin blood flow and hair follicle temperature, thus affecting drug supply and drug effect in the hair follicle. The extent to which these mechanisms contribute to the hair preservative effect of scalp cooling remains unknown. The purpose of this study was to establish a relationship between local scalp skin temperature and cutaneous blood flow during scalp cooling. We measured skin temperature and cutaneous perfusion during a cooling and re-warming experiment. Experiments on a single subject showed that the measurements were reproducible and that the response was identical for the two positions that were measured. Inter-subject variability was investigated on nine subjects. We found that for the first 10 °C of cooling, perfusion of the scalp skin decreases to below 40%. Perfusion can be further reduced to below 30% by a few degrees more cooling, but a plateau is reached after that. We found that a generally accepted relation in thermal physiology between temperature and perfusion (i.e. Q10 relation) does not describe the data well, but we found an alternative relation that describes the average behavior significantly better

Revisiting low-frequency susceptibility data in superconducting materials

Old susceptibility data, measured in superconducting materials at low-frequency, are shown to be accounted for consistently within the framework of a recently published\cite{sz1} analysis of the skin effect. Their main merit is to emphasize the significance of the skin-depth measurements, performed \textit{just beneath} the critical temperature $T_c$, in order to disprove an assumption, which thwarted any understanding of the skin-depth data, achieved so far by conventional high-frequency methods, so that those data might, from now on, give access to the temperature dependence of the concentration of superconducting electrons.Comment: 7 pages, 4 figure

An investigation into the effect on skin surface temperature of three cryotherapy modalities

OBJECTIVE: To investigate the comparative cooling effect at the knee, of Crushed Ice and two commonly used commercial cryotherapy modalities, following a clinically relevant application of 20 minutes. DESIGN: Within subjects, randomised cross over design. SETTING: University Laboratory PARTICIPANTS: Eleven healthy male participants MAIN OUTCOME Measures: Skin temperature over the anterior knee measured by thermal imaging camera. RESULTS: Mean absolute baseline skin surface temperature (Tsk) was 28.4ºC (±1.2 ºC). The greatest reduction in Tsk was produced by Crushed Ice D14.6 ºC (±3.7 ºC) resulting in an absolute Tsk of 13.8 ºC; followed by Ice Man D12.3 ºC (±2.4 ºC) resulting in an absolute Tsk of 16.1ºC and then Arctic Flow D4.9 ºC (±1.3 ºC) resulting in an absolute Tsk of 23.5ºC. One-way ANOVA revealed significant differences (p<.05) between modalities for change in Tsk. CONCLUSIONS: Crushed Ice and Ice Man produced very similar results following a 20 minute application to healthy adult male knees, however only Crushed Ice resulted in a skin temperature in the desired 10-15°C therapeutic range, results for Ice Man were just above this range. The resultant skin temperature following a similar application of Arctic Flow was well above the therapeutic range

An investigation of the relationship between thermal imaging and digital thermometer

BACKGROUND: A number of research papers and theoretical clinical models summarising how temperature of the skin over the knee may be altered according to different pathological processes have been published. Thermal imaging (TI) is generally regarded as the ‘Gold’ or ‘reference’ standard for measuring skin temperature, however this technology is not widely accessible to most musculoskeletal physiotherapists working in clinical environments. This is largely due to the time required for analysis of the thermal images and high cost of the equipment. A digital thermometer (DT) is portable with a convenient display of results which could offer an inexpensive substitute. AIM: This study determined interchangeability between thermal imaging and a digital thermometer, using Bland-Altman limits of agreement, to determine skin temperature differences between right and left knees. METHOD: 71 healthy participants in the age group of 8 to 40 participated in the study. Data were collected in two phases. The first phase was as part of a public engagement event at the Lancashire Science Festival where school children were invited to learn about science. The second phase of data collection took place as part of a PhD study where staff and students at the university were recruited via electronic advert and posters displayed around the campus. All subjects were free from lower back or lower limb problems and had not had any previous lower limb surgery. RESULTS: Matched paired t tests showed no significant difference between temperature difference between right and left using DT and TI (t= 1.41, df= 69, P= 0.08). The DT and TI were interchangeable to measure knee skin temperature difference with a limit of agreement of -0.64 and 0.75; this limit of agreement is acceptable based on previous literature where skin temperature differences between affected and non-affected knees are equal to or greater than 1°C. CONCLUSION: This study concludes that an inexpensive handheld digital thermometer shows acceptable agreement with a thermal imaging camera. Clinically a handheld digital thermometer has the potential to play an important role in the localized assessment of skin temperature in physiotherapy and can offer an inexpensive substitute to thermal imaging; due to the massive difference in cost it is worth considering the adoption of digital thermometry in routine musculoskeletal physiotherapy practice

Improved temperature control of liquid cooling garments

Skin and auditory meatus temperature readings supply control signal for temperature control valve in fluid temperature control system which provides increased subject comfort and responds to directly measured physiological cooling needs. System applications include medical care and thermal protection garment manufacturing

Variation of inflammatory dynamics and mediators in primiparous cows after intramammary challenge with Escherichia coli

The objective of the current study was to investigate (i) the outcome of experimentally induced Escherichia coli mastitis in primiparous cows during early lactation in relation with production of eicosanoids and inflammatory indicators, and (ii) the validity of thermography to evaluate temperature changes on udder skin surface after experimentally induced E. coli mastitis. Nine primiparous Holstein Friesian cows were inoculated 24 +/- 6 days (d) after parturition in both left quarters with E. coli P4 serotype O32:H37. Blood and milk samples were collected before and after challenge with E. coli. The infrared images were taken from the caudal view of the udder following challenge with E. coli. No relationship was detected between severity of mastitis and changes of thromboxane B2 (TXB2), leukotriene B4 (LTB4) and lipoxin A4 (LXA4). However, prostaglandin E2 (PGE2) was related to systemic disease severity during E. coli mastitis. Moreover, reduced somatic cell count (SCC), fewer circulating basophils, increased concentration of tumor necrosis factor-alpha (TNF-alpha) and higher milk sodium and lower milk potassium concentrations were related to systemic disease severity. The thermal camera was capable of detecting 2-3 degrees C temperature changes on udder skin surface of cows inoculated with E. coli. Peak of udder skin temperature occurred after peak of rectal temperature and appearance of local signs of induced E. coli mastitis. Although infrared thermography was a successful method for detecting the changes in udder skin surface temperature following intramammary challenge with E. coli, it did not show to be a promising tool for early detection of mastitis