• 1

    Boulton AJ, Betts RP, Franks CI, et al: The natural history of foot pressure abnormalities in neuropathic diabetic subjects. .Diabetes Res 5::73. ,1987. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2

    Brand PW: “Repetitive Stress in the Development of Diabetic Foot Ulcers,” in The Diabetic Foot, 4th Ed, p 83, CV Mosby, St Louis. ,1988. .

    • PubMed
    • Export Citation
  • 3

    Veves A, Murray HJ, Young MJ, et al: The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study. .Diabetologia 35::660. ,1992. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Beach RB, Thompson DE: Selected soft-tissue research: an overview from carville. .Phys Ther 59::30. ,1979. .

  • 5

    Sanders JE: Thermal response of skin to cyclic pressure and pressure with shear: a technical note. .J Rehabil Res Dev 37::511. ,2000. .

  • 6

    Benbow SJ, Chan AW, Bowsher DR, et al: The prediction of diabetic neuropathic plantar foot ulceration by liquid-crystal contact thermography. .Diabetes Care 17::835. ,1994. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Armstrong DG, Lavery LA: Monitoring healing of acute Charcot’s arthropathy with infrared dermal thermometry. .J Rehabil Res Dev 34::317. ,1997. .

  • 8

    Armstrong DG: Infrared dermal thermometry: the foot and ankle stethoscope. .J Foot Ankle Surg 37::75. ,1998. .

  • 9

    Armstrong DG, Lavery LA: Monitoring neuropathic ulcer healing with infrared dermal thermometry. .J Foot Ankle Surg 35::335. ,1996. .

  • 10

    Armstrong DG, Lavery LA, Liswood PJ, et al: Infrared dermal thermometry for the high-risk diabetic foot. .Phys Ther 77::169. ,1997. .

  • 11

    Lavery LA, Higgins KR, Lanctot DR, et al: Home monitoring of foot skin temperatures to prevent ulceration. .Diabetes Care 27::2642. ,2004. .

  • 12

    Bergtholdt HT: Temperature assessment of the insensitive foot. .Phys Ther 59::18. ,1979. .

  • 13

    Armstrong DG, Lavery LA, Wunderlich RP, et al: Skin temperatures as a one-time screening tool do not predict future diabetic foot complications. .JAPMA 93::443. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    Brand PW: Repetitive Stress on Insensitive Feet: The Pathology and Management of Plantar Ulceration in Neuropathic Feet, Social and Rehabilitation Service, US Public Health Service, Carville, LA. ,1975. .

    • PubMed
    • Export Citation
  • 15

    Murff RT, Armstrong DG, Lanctot D, et al: How effective is manual palpation in detecting subtle temperature differences?. Clin Podiatr Med Surg 15::151. ,1998. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Bergtholdt HT, Brand PW: Thermography: an aid in the management of insensitive feet and stumps. .Arch Phys Med Rehabil 56::205. ,1975. .

Essential Features of a Handheld Infrared Thermometer Used to Guide the Treatment of Neuropathic Feet

James G. Foto National Hansen’s Disease Programs, Baton Rouge, LA.

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 BSME, CPed
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Denise Brasseaux National Hansen’s Disease Programs, Baton Rouge, LA.

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James A. Birke Diabetic Foot Program, Louisiana State University Health Science Center, Baton Rouge, LA.

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 PhD, PT, CPed

Background: A study was conducted to compare the accuracy, reliability, and essential features of nine commercially available handheld infrared thermometers used to manage the neuropathic foot.

Methods: The thermometers were compared using two temperature-control sources simulating physiologic conditions found in a foot-care clinic. With each control source independently set, temperature difference ranges of 0°, 2°, 4°, and 6° C were randomly sampled and analyzed for each thermometer by two testers. The order of testing was randomly assigned for testers and instruments.

Results: There were differences in mean temperature change among thermometers (P < .001) and between testers (P = .0247). Differences in mean temperature change among instruments (<0.5°C), although small, could affect interpretation of skin temperature if temperature comparisons are made using two different instruments. The difference in temperature change between testers (0.06°C) was not large enough to affect decisions in clinical practice. Instrument response time, distance-to-spot ratio, sensor diameter, display resolution, emissivity, and cost were compared.

Conclusions: The low-cost, general-use infrared thermometers used in this study showed good accuracy, reliability, and performance and are appropriate for use in a foot-care clinic. (J Am Podiatr Med Assoc 97(5): 360–365, 2007)

Corresponding author: James G. Foto, BSME, CPed, Senior Biomedical Research Engineer, National Hansen’s Disease Programs, 1770 Physicians Park Dr, Baton Rouge, LA 70816.
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