The use of infrared thermography in evaluating returns to work in an extended rehabilitation program (PRA)
DOI:
https://doi.org/10.11606/issn.2317-0190.v16i2a103178Keywords:
Repetitive Strain Injuries, Cumulative Trauma Disorders, Rehabilitation, ThermographyAbstract
Even with proper treatment of patients with repetitive strain injuries/ work-related musculoskeletal disorders (RSI/WRULD), on certain occasions returning to work can be a difficult judgment call. There are frequent complaints of symptoms not improving or combined with co-morbid associations such as fibromyalgia syndrome. The purpose of this study was to compare the thermal patterns found by a clinical return-to-work evaluation of patients with RSI/WRULD in a double-blind clinical thermographic study. 128 patients were studied suffering from RSI/WRULD from a meat-packing plant from which 62 patients were selected for evaluation to return to work. Of these, 3.2% were cleared for immediate return to work, 77.4% were kept out for 60 days, 6.4% were kept out for 6 months, and 12.9% were retired on disability. Thermal alterations had a direct correlation with the experts' work classifications according to the number of injuries, etiology, thermal differential, and thermographic index for fibromyalgia syndrome. Cutaneous thermometry by infrared thermography has proven itself a useful and objective supplementary method to support clinical evaluations in defining one's capacity to work.
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References
Brasil. Ministério da Saúde. Diagnóstico, tratamento, reabilitaçao, prevençao e fisiopatologia das LER/DORT. Brasília: Ministério da Saúde; 2001.
Turk DC, Monarch ES. Biopsychosocial perspectives on chronic pain. In: Turk DC, Gatchel RJ. Psychological approaches to pain management. 2nd ed. New York: Guilford Press; 2002. p. 3-29.
Helfenstein Jr M. Fibromialgia, LER, entre outras confusoes diagnósticas. Rev Bras Reumatol. 2006;46(1):70-2.
Hodge Jr. SD.Thermography and personal injury litigation. New York:Wiley; 1993.
Rosenblum J, Liebeskind, M.Thermography and the legal field. In: Lee MHM, Cohen JM. Rehabilitation Medicine and Thermography.Wilsonville: Im-press; 2008.
Brioschi ML, Portela PC, Colman D. Infrared thermal imaging in patients with chronic pain in upper limbs. J Korean Med Thermol. 2002;2(1):73.
Brioschi ML,Yeng LT, Pastor EHP, Colman D, Silva FMRM,Teixeira MJ. Documentaçao da síndrome dolorosa miofascial por imagem infravermelha. Acta Fisiatr. 2007;14(1):41-8.
Brioschi ML, Yeng LT, Pastor EHP, Colman D, Teixeira MJ. Utilizaçao da imagem infravermelha em reumatologia. Rev Bras Reumatol. 2007;47(1):42-51.
Brioschi ML. Indice termográfico para síndrome fibromiálgica [tese]. Sao Paulo: Universidade de Sao Paulo; 2008.
Ammer K.Thermal imaging: a diagnostic aid for fibromyalgia? Thermol. Int. 2008;18(2):45-50..
Biasi G, Fioravanti A, Franci A, Marcolongo R.The role computerized telethermography in the diagnosis of fibromyalgia syndrome. Minerva Med. 1994;85(9):451-4.
Thomas D, Cullum D, Siahamis G, Langlois S. Infrared thermographic imaging, magnetic resonance imaging, CT scan and myelography in low back pain. Br J Rheumatol. 1990;29(4):268-73.
Statsoft: Statistics [computer program].Version 8.0.Tulsa: StatSoft; 2007.
Riberto M. Comparaçao das manifestaçoes clínicas em pacientes portadores de fibromialgia traumática e nao-traumática [dissertaçao]. Sao Paulo: Universidade de Sao Paulo; 2004.
Reilly PA. Fibromyalgia in the workplace: a 'management' problem.Ann Rheum Dis. 1993;52(4):249-51.
Gomes MJ, Brioschi ML, Hanna JM, Gomes ZSSG. Correlaçao entre os métodos de imagem infravermelho e ultra-sonografia na identificaçao topográfica das lesoes músculo-esqueléticas. Rev Bras Ultra-sonografia. 2005;9(4):21-6.
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