背景:红外热成像技术有可能帮助评估人类的头颈部肌肉,由于肌肉失衡引起的热变化测量可以有助于健康领域各种临床状况的评估和治疗随访。
目的:本研究调查,通过范围审查,红外热成像在人体头部和颈部肌肉的补充评估中的使用,以确定对该主题的研究程度,在热评估和热成像分析中使用了哪些方法,评估哪些地区,以及热成像的预期结果。
方法:LILACS,MEDLINE,SciELO,和WebofScience是搜索数据库以识别有关该主题的文章,没有语言或出版时间的限制。描述性的,分析,包括用红外热成像技术评估人体头颈部肌肉表面温度的实验观察研究。案例研究,案例系列,方法学准确性,文献综述,动物研究,评估头颈癌患者的研究,未通过热成像评估头颈部肌肉温度的研究被排除.这些文章用作者开发的协议进行了分析,关于作者的数据,Year,国家,研究类型,样品表征,肌肉评估,调查的结果,热评估方法,热成像分析方法和热成像测量。
结果:这篇综述确定并分析了27篇文章。这些研究评估了正常个体以及与功能亢进和功能减退的头颈部肌肉状况相关的病理的热分布,以进行诊断或治疗性随访。咬肌,temporal,双胃,颈前区,口轮匝肌,额骨,buccinator,舌骨上,斜方肌,对胸锁乳突肌和肩胛骨提肌进行了评估。以区域选择工具为主的定量分析,考虑绝对温度和温差。研究调查了温度及其与肌源性疼痛的关系,肌肉参数和血流速度的定量评估。平均温度范围为32.97°C(±2.21)至34.90°C,在功能亢进条件和肌肉激活后的正常受试者中观察到高辐射和/或不对称区域。
结论:热成像用于头部和颈部肌肉的补充评估,识别与肌肉紧张和激活状态相关的超辐射区域和热不对称。论文仅限于特定的临床情况和少数肌肉群,除了方法上有很大的可变性。
BACKGROUND: Infrared thermography has the potential to help assess human head and neck muscles, as thermal variation measurements due to muscle imbalance can contribute to the evaluation and therapeutic follow-up of various clinical conditions in the field of health.
OBJECTIVE: This study investigated, with a scoping
review, the use of infrared thermography in complementary assessments of human head and neck muscles to determine the extent of research on the topic, what methodologies are used in thermal assessment and thermographic analysis, what regions are assessed, and what results are expected in thermography.
METHODS: LILACS, MEDLINE, SciELO, and Web of Science were the databases searched to identify articles published on the topic, with no restriction of language or time of publication. Descriptive, analytical, and experimental observational studies on the assessment of the human head and neck muscle surface temperature with infrared thermography were included. Case studies, case series, methodological accuracy, literature
review, animal studies, studies that assessed patients with head and neck cancer, and studies that did not assess head and neck muscle temperature with thermography were excluded. The articles were analysed with a protocol developed by the authors, with data on author, year, country, type of study, sample characterisation, muscles assessed, outcomes investigated, thermal assessment methodology, thermographic analysis methodology and thermography measurements.
RESULTS: This
review identified and analysed 27 articles. The studies assessed thermal distribution in normal individuals and those with pathologies related to hyper- and hypofunctional head and neck muscle conditions for diagnosis or therapeutic follow-up. The masseter, temporal, digastric, anterior cervical region, orbicularis oris, frontalis, buccinator, suprahyoid, trapezius, sternocleidomastoid and levator scapulae muscles were assessed. Quantitative analyses with area selection tool predominated, considering absolute temperatures and temperature differences. The studies investigated temperature and its relationship with myogenic pain, quantitative assessment of muscle parameters and blood flow velocity. The mean temperature ranged from 32.97°C (±2.21) to 34.90°C, and hyper-radiant and/or asymmetric regions were observed in hyperfunctional conditions and normal subjects after muscle activation.
CONCLUSIONS: Thermography is used in complementary assessments of head and neck muscles, identifying hyper-radiant regions and thermal asymmetry related to muscle tension and activation state. Papers are limited to specific clinical conditions and few muscle groups, besides having great methodological variability.