Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
권호 표지

The Effect of Heat Therapy on Cutaneous Blood Flow and Skin Temperature at Pre-auricular Region

온열요법이 전이부의 표층부 혈류량과 피부 온도에 미치는 영향

  • Kim, Su-Beom (Department of Oral Medicine and Diagnosis, College of Dentistry, Kangnung National University) ;
  • Kim, Young-Jun (Department of Oral Medicine and Diagnosis, College of Dentistry, Kangnung National University) ;
  • Kim, Cheul (Department of Oral Medicine and Diagnosis, College of Dentistry, Kangnung National University) ;
  • Park, Moon-Soo (Department of Oral Medicine and Diagnosis, College of Dentistry, Kangnung National University)
  • 김수범 (강릉대학교 치과대학 구강내과.진단학교실) ;
  • 김영준 (강릉대학교 치과대학 구강내과.진단학교실) ;
  • 김철 (강릉대학교 치과대학 구강내과.진단학교실) ;
  • 박문수 (강릉대학교 치과대학 구강내과.진단학교실)
  • Published : 2005.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to assess the effect of heat therapy on cutaneous blood flow and skin temperature at pre-auricular region. Moist heat therapy and ultrasound therapy were applied to 20 healthy subjects(male: 10, female: 10). Cutaneous blood flow and skin temperature before and after heat therapy were measured with laser doppler flowmetry and thermocouple. The results were as follows ; 1. Cutaneous blood flow and skin temperature were significantly increased after moist heat therapy and ultrasound therapy. 2. In application of moist heat therapy, cutaneous blood flow and skin temperature were more increased and maintained longer than in ultrasound therapy. 3. Before heat therapy, cutaneous blood flow and skin temperature were higher in male. 4. There was no significant gender difference in changes of cutaneous blood flow and skin temperature after heat therapy. In conclusion, both moist heat therapy and ultrasound therapy increased cutaneous blood flow and skin temperature significantly, and moist heat therapy was more effective to increase cutaneous blood flow and skin temperature and to maintain increased cutaneous blood flow and skin temperature. There was no significant gender difference in the effect of heat therapy on cutaneous blood flow and skin temperature.

본 연구는 온열요법이 표층부 혈류량과 피부 온도에 미치는 영향을 평가하기 위해, 건강한 성인 20명(남성: 10명, 여성: 10명)을 대상으로 습열요법과 초음파요법 적용전후의 전이부 표층부 혈류량과 피부 온도를 각각 laser doppler flowmetry와 접촉식온도계를 사용하여 측정함으로써 다음과 같은 결론을 얻었다. 1. 습열요법과 초음파요법 모두에서, 표층부 혈류량과 피부 온도는 적용전보다 적용후에 유의하게 증가하였다. 2. 습열요법을 시행한 경우, 초음파요법에 비해 적용직후 표층부 혈류량과 피부 온도의 증가량이 유의하게 더 컸으며, 증가된 상태도 더 오래 유지되었다. 3. 온열요법 적용전 표층부 혈류량과 피부 온도는 남성이 여성에 비해 더 높았다. 4. 온열요법 적용전후 표층부 혈류량과 피부 온도의 변화량은 남녀간의 유의한 차이가 없었다.

Keywords

References

  1. Okeson JP. Management of temporomandibular disorders and occlusion. 4th ed., St. Louis, 1988, CV Mosby Co., pp. 355-389
  2. Barret NV, Martin JW, Jacob RF, King GE. Physical therapy techniques in the treatment of the head and neck patient. J Prosthet Dent 1988;59:343-346 https://doi.org/10.1016/0022-3913(88)90188-6
  3. Vural K, Deniz E. Physiotherapy in rheumatoid arthritis. Medscape General Medicine 2004;6:3-10
  4. Kottke FJ, Stillwell GK, Lehmann JF. Krusen's handbook of physical medicine and rehabilitation. 3rd ed., Philadelphia, 1982, W.B. Saunders Co., pp. 359- 365
  5. Schwan HD, Carstensen EL. Advantages and limitations of ultrasonics in medicine. JAMA 1952; 149:121-125 https://doi.org/10.1001/jama.1952.02930190023006
  6. Friedman MH, Weisberh J. Temporomandibular Joint Disorders Diagnosis and Treatment. 1st ed., Chicago, 1985, Quintessence Co., pp. 124-140
  7. Robert HP, Edward FW, David FM. Comparison of moist and dry heat penetration through orofacial tissues. J Craniomandib Pract 2002;20:28-33
  8. Nelson SJ, Ash MM. An evaluation of a moist heating pad for the treatment of TMJ/muscle pain dysfunction. J Craniomandib Pract 1988;6:355-359
  9. Robertson VJ, Baker KG. A review of therapeutic ultrasound : Effectiveness studies. Phys Ther 2001;81:1339-1350
  10. Lemann JF, Stonebridge JB, Delateur BJ, Warren CG, Halar E. Temperatures in human thighs after hot pack treatment followed by ultrasound. Arch Phys Med Rehabil 1978;59:472-475
  11. Borrell RM, Parker R, Henley EJ, Masley D, Repinecz M. Comparison of in vivo temperatures produced by hydrotherapy, paraffin wax treatment and Fluidotherapy. Phys Ther 1980;60:1273-1276 https://doi.org/10.1093/ptj/60.10.1273
  12. Kim KH, Ahn YW, Park JS, Ko MY. Clinical effect of a combination of physical therapy modalities on TMD patients. Korean J Oral Med 2003;28:379-391
  13. 서동원, 편성범, 김세주. 표면열 적용에 따른 피부온도 및 동통의 변화. 대한재활의학회지 1994;18:227-233
  14. Lentell G, Hetherington T, Eagan J et al. The use of thermal agent to influence the effectiveness of a low load prolonged stretch. J Ortho Sports Phys Ther 1992;16:202-206
  15. Carlson CR, Okeson JP, Falace DA, Nitz AJ, Anderson D. Stretch-based relaxation and the reduction of EMG activity among masticatory muscle pain patients. J Craniomand Disord Facial Pral Pain 1991;5:205-212
  16. 김선호, 홍정표, 황의환. 악안면부에 대한 수종 온냉요법시의 체열변화에 관한 비교연구. 대한구강내과학회지 1995;20:307-315
  17. 정성창, 김영구, 신금백 등. 구강안면동통과 측두하악장애. 첫째판, 서울, 1996, 신흥인터내셔날, pp. 222-225
  18. Weiberger A, Falilah R, Pinkhas J. Intra-articular temperature measurements after superficial heating. Scand J Rehabil Med 1989;21:55-57
  19. Anders J, Sigvard K, Torgny H. Reproducibility and variation of skin surface temperature over the temporomandibular joint and masseter muscle in normal individuals. Acta Odontol Scand 1985;43: 309-313 https://doi.org/10.3109/00016358509046513
  20. Holloway GA, Watkins DW. Laser doppler measurement of cutaneous blood flow. J Invest Derma 1991;69:306-309
  21. Gush RJ, King TA. Investigation and improved performance of optical fibre probes in laser doppler blood flow measurement. Med Biol Eng Comput 1987;25:391-396 https://doi.org/10.1007/BF02443359
  22. Fischer JC, Parker PM, Shaw WW. Comparison of two laser doppler flowmeters for the monitoring of dermal blood flow. Microsurgery 1983;4:164-167 https://doi.org/10.1002/micr.1920040304
  23. Obeid AN, Boggett DM, Barnett NJ, Dougherty G. Depth discrimination in laser doppler skin flow measurement using different lasers. Med Biol Eng Comput 1988;26:415-419 https://doi.org/10.1007/BF02442302
  24. 황정욱, 박대환. Laser doppler flowmetry를 이용한 각 신체부위별 피부혈류량 측정. 대한성형외과학회지 1996;23:394-404
  25. Newson TP, Obeid A, Wolton RS, Boggett D, Rolfe P. Laser doppler velocimetry: The problem of fibre movement artefact. J Biomed Eng 1987;9:169-172 https://doi.org/10.1016/0141-5425(87)90030-6
  26. Obeid AN, Barnett NJ, Dougherty G, Ward G. A critical review of laser doppler flowmetry. J Biomed Eng Techn 1990;14:178-181
  27. Wadsworth H, Changmugam APP. Electrophysical agents in physiotherapy, 2nd ed., Marrickville, 1983, Science press, pp. 1-49
  28. Dyson M. Mechanisms involved in therapeutic ultrasound. Physiotherapy 1987;73:116-120
  29. Dyson M. Non-thermal cellular effects of ultrasound. British Journal of Cancer 1982;45:165-171
  30. Morimoto T, Slabochova Z, Naman R, Sargent F. Sex differences in physiological reactions to thermal stress. J Appl Physiol 1967;22:526-523
  31. Fox RH, Lofstedt BE, Woodward PM, Eriksson E, Werkstorm B. Comparison of thermoregulatory function in men and women. J Appl Physiol 1969;26:444-453 https://doi.org/10.1152/jappl.1969.26.4.444
  32. Haslag WM, Hertzman AB. Temperature regulation in young women. J Appl Physiol 1965;20:1283-1288 https://doi.org/10.1152/jappl.1965.20.6.1283
  33. Bittel J, Henane R. Comparison of thermal exchanges in men and women under neutral and hot conditions. J Physiol 1975;250:475-489 https://doi.org/10.1113/jphysiol.1975.sp011066
  34. Nunneley SA. Physiological response of women to thermal stress: A review. Med Sci Sports 1978;10: 250-255
  35. 박원균, 강영숙, 권오영 등. 한냉자극에 의한 남녀 대학생의 혈관계 반응. 계명의대논문집 1984;3:175-186