Abstract
This study investigated the thermal skin (Tsk) response of lower limbs in older adults with or without osteoarthritis before and after a concurrent exercise. For this, seventy older adults (age: 75.1 ± 6.7 years, mass: 70.5 ± 9.3 kg, height: 1.6 ± 0.1 m, BMI: 29 ± 3.4 kg m−2) were divided into four groups: men with osteoarthritis (n = 7), men control (n = 17), women with osteoarthritis (n = 13) and women control (n = 33). The Tsk was measured by infrared thermography before and after a concurrent training session. The main results indicated that men with osteoarthritis showed a higher Tsk in the anterior and posterior thigh before exercise than the control group (p < 0.05), but there was a significant decrease after exercise in both the anterior thigh (Δ − 1.1 ± 1.0 and Δ − 1.6 ± 1.5 °C right and left, respectively) and posterior thigh (Δ − 1.3 ± 1.5 and Δ − 1.6 ± 2.0 °C right and left, respectively). Similar results were observed in women (p < 0.05) in the posterior thigh (Δ − 0.6 ± 1.0 and Δ − 0.6 ± 0.9 °C right and left, respectively) and anterior leg (p < 0.05, Δ − 0.6 ± 0.9 and Δ − 0.6 ± 0.8 °C right and left, respectively). Men with osteoarthritis had a lower pre-exercise Tsk in their knees (− 0.7 ± 0.9 and 0.5 ± 1.2 °C for right and left knees, respectively) compared to the control. There was a significant increase (p < 0.05) after exercise (Δ + 1.8 ± 2.0 and Δ + 2.1 ± 2.2 °C for right and left knees, respectively). In conclusion, older adults with osteoarthritis presented a higher Tsk in the thigh before exercise than the control groups, while decreases occurred in this ROI after exercise. The osteoarthritis group presented a lower Tsk in their knees; however, the exercised knee was significantly warmer after exercise.
Similar content being viewed by others
References
Michael JW-P, Schlüter-Brust KU, Eysel P. The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int. 2010;107(9):152–62.
Sinusas K. Osteoarthritis: diagnosis and treatment. Am Fam Phys. 2012;85(1):49–56.
Murphy L, Helmick CG. The impact of osteoarthritis in the United States: a population-health perspective: a population-based review of the fourth most common cause of hospitalization in US adults. Orthop Nurs. 2012;31(2):85–91.
Oliveria SA, Felson DT, Reed JI, Cirillo PA, Walker AM. Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization. Arthritis Rheum. 1995;38(8):1134–41.
Ledingham J, Snowden N, Ide Z. Diagnosis and early management of inflammatory arthritis. BMJ. 2017;358:j3248.
Roddy E, Zhang W, Doherty M. Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Ann Rheum Dis. 2005;64(4):544–8.
Fransen M, McConnell S, Bell M. Exercise for osteoarthritis of the hip or knee. Cochrane Database Syst Rev. 2001;2(CD004376):1–31. https://doi.org/10.1002/14651858.CD004376.
Devos-Comby L, Cronan T, Roesch SC. Do exercise and self-management interventions benefit patients with osteoarthritis of the knee? A metaanalytic review. J Rheumatol. 2006;33(4):744–56.
Bennell KL, Hunt MA, Wrigley TV, Lim B-W, Hinman RS. Muscle and exercise in the prevention and management of knee osteoarthritis: an internal medicine specialist’s guide. Med Clin N Am. 2009;93(1):161–77.
Burrows NJ, Booth J, Sturnieks DL, Barry BK. Acute resistance exercise and pressure pain sensitivity in knee osteoarthritis: a randomised crossover trial. Osteoarthritis Cartil. 2014;22(3):407–14.
Moreira DG, Costello JT, Brito CJ, Adamczyk JG, Ammer K, Bach AJ, et al. Thermographic imaging in sports and exercise medicine: a Delphi study and consensus statement on the measurement of human skin temperature. J Therm Biol. 2017;69:155–62.
Ring E, Ammer K. Infrared thermal imaging in medicine. Physiol Meas. 2012;33(3):R33.
Ludwig N, Trecroci A, Gargano M, Formenti D, Bosio A, Rampinini E, et al. Thermography for skin temperature evaluation during dynamic exercise: a case study on an incremental maximal test in elite male cyclists. Appl Opt. 2016;55(34):D126–30.
Kenney WL, Munce TA. Invited review: aging and human temperature regulation. J Appl Physiol. 2003;95(6):2598–603. https://doi.org/10.1152/japplphysiol.00202.2003.
Ring EFJ. The historical development of temperature measurement in medicine. Infrared Phys Technol. 2007;49(3):297–301.
Lahiri BB, Bagavathiappan S, Jayakumar T, Philip J. Medical applications of infrared thermography: a review. Infrared Phys Technol. 2012;55(4):221–35.
Arfaoui A, Bouzid MA, Pron H, Taiar R, Polidori G. Application of infrared thermography as a diagnostic tool of knee osteoarthritis. J Therm Sci Technol. 2012;7(1):227–35.
Fernández-Cuevas I, Marins JCB, Lastras JA, Carmona PMG, Cano SP, García-Concepción MÁ, et al. Classification of factors influencing the use of infrared thermography in humans: a review. Infrared Phys Technol. 2015;71:28–55.
Cooper C, Cushnaghan J, Kirwan J, Dieppe P, Rogers J, McAlindon T, et al. Radiographic assessment of the knee joint in osteoarthritis. Ann Rheum Dis. 1992;51(1):80–2.
Denoble AE, Hall N, Pieper CF, Kraus VB. Patellar skin surface temperature by thermography reflects knee osteoarthritis severity. Clin Med Insights Arthritis Musculoskelet Disord. 2010;3:69–75.
de Andrade Fernandes A, dos Santos Amorim PR, Brito CJ, de Moura AG, Moreira DG, Costa CMA, et al. Measuring skin temperature before, during and after exercise: a comparison of thermocouples and infrared thermography. Physiol Meas. 2014;35(2):189.
Borg GAV. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377–81.
Robertson RJ, Goss FL, Rutkowski J, Lenz B, Dixon C, Timmer J, et al. Concurrent validation of the OMNI perceived exertion scale for resistance exercise. Med Sci Sports Exerc. 2003;35(2):333–41.
Halbert J, Crotty M, Weller D, Ahern M, Silagy C. Primary care-based physical activity programs: effectiveness in sedentary older patients with osteoarthritis symptoms. Arthritis Care Res. 2001;45(3):228–34.
Warashina H, Hasegawa Y, Tsuchiya H, Kitamura S, Yamauchi K, Torii Y, et al. Clinical, radiographic, and thermographic assessment of osteoarthritis in the knee joints. Ann Rheum Dis. 2002;61(9):852–4.
Goldring MB, Otero M. Inflammation in osteoarthritis. Curr Opin Rheumatol. 2011;23(5):471.
Formenti D, Ludwig N, Rossi A, Trecroci A, Alberti G, Gargano M, et al. Skin temperature evaluation by infrared thermography: comparison of two image analysis methods during the nonsteady state induced by physical exercise. Infrared Phys Technol. 2017;81:32–40.
Andersson ML, Thorstensson CA, Roos EM, Petersson IF, Heinegård D, Saxne T. Serum levels of cartilage oligomeric matrix protein (COMP) increase temporarily after physical exercise in patients with knee osteoarthritis. BMC Musculoskelet Disord. 2006;7(1):98.
Bajaj P, Bajaj P, Graven-Nielsen T, Arendt-Nielsen L. Osteoarthritis and its association with muscle hyperalgesia: an experimental controlled study. Pain. 2001;93(2):107–14.
Levinger I, Levinger P, Trenerry MK, Feller JA, Bartlett JR, Bergman N, et al. Increased inflammatory cytokine expression in the vastus lateralis of patients with knee osteoarthritis. Arthritis Rheum. 2011;63(5):1343–8.
Sisto T, Reunanen A, Laurikka J, Impivaara O, Heliövaara M, Knekt P, et al. Prevalence and risk factors of varicose veins in lower extremities: mini-Finland health survey. Eur J Surg. 1995;161(6):405–14.
de Andrade Fernandes A, dos Santos Amorim PR, Brito CJ, Sillero-Quintana M, Marins JCB. Regional skin temperature response to moderate aerobic exercise measured by infrared thermography. Asian J Sports Med. 2016;7(1):e29243.
Sari Z, Aydoğdu O, Demirbüken İ, Yurdalan SU, Polat MG. A better way to decrease knee swelling in patients with knee osteoarthritis: a single-blind randomised controlled trial. Pain Res Manag. 2019. https://doi.org/10.1155/2019/8514808.
Sorkin JD, Muller DC, Andres R. Longitudinal change in height of men and women: implications for interpretation of the body mass index: the Baltimore Longitudinal Study of Aging. Am J Epidemiol. 1999;150(9):969–77.
Grotle M, Hagen KB, Natvig B, Dahl FA, Kvien TK. Obesity and osteoarthritis in knee, hip and/or hand: an epidemiological study in the general population with 10 years follow-up. BMC Musculoskelet Disord. 2008;9(1):132.
Fink B, Egl M, Singer J, Fuerst M, Bubenheim M, Neuen-Jacob E. Morphologic changes in the vastus medialis muscle in patients with osteoarthritis of the knee. Arthritis Rheum. 2007;56(11):3626–33.
Fontaine KR, Heo M. Changes in the prevalence of US adults with arthritis who meet physical activity recommendations, 2001–2003. J Clin Rheumatol. 2005;11(1):13–6.
Penninx BW, Messier SP, Rejeski WJ, Williamson JD, DiBari M, Cavazzini C, et al. Physical exercise and the prevention of disability in activities of daily living in older persons with osteoarthritis. Arch Intern Med. 2001;161(19):2309–16.
de Weerd L, Mercer JB, Weum S. Dynamic infrared thermography. Clin Plast Surg. 2011;38(2):277–92.
Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res. 2012;64(4):465–74.
Acknowledgements
This research was supported by the National Council of Scientific and Technologic Development (CNPq www.cnpq.br) by a postdoctoral scholarship 234243/2014-7 for Ciro José Brito. Furthermore, the Santander Bank provided part-time grants to the thermographers who carried out the data collection process. The authors are grateful to the managers, practitioners, coaches and participants of the Mayores en forma program of the municipality of Leganes for their support to this research work.
Author information
Authors and Affiliations
Contributions
MSQ and TG-P contributed to the study conception and design, material preparation and data collection. The analysis was performed by CJB, BM, JCBM and DIVP. The first draft of the manuscript was written by CJB, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or nonfinancial interest in the subject matter or materials discussed in this manuscript.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Brito, C.J., Miarka, B., García-Pastor, T. et al. Osteoarthritis subjects have differentiated lower extremity thermal skin response after the concurrent acute training session. J Therm Anal Calorim 145, 2467–2475 (2021). https://doi.org/10.1007/s10973-020-09827-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10973-020-09827-0