Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal

Thermographic: a tool of aid in physical therapy diagnosis – literature review

Santos, Maikon Gleibyson Rodrigues dos; Silva, Luiz Guilherme Cardoso da; Souza Júnior, José Roberto de; Lemos, Thiago Vilela

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Introduction: Maintaining body temperature by the human body occurs through the control of the autonomic nervous system in the cutaneous microcirculation, it is necessary for there to be effective in chemical reactions and consequent maintenance of homeostasis. The human body exhibits a thermal symmetry. When any asymmetry occurs relating the contralateral area, there are some evidences of a series of cases, ranging from an inflammatory process to neurovascular changes. Thermography makes the analysis of the temperature distribution on the surface of the skin, being a tool that can be used in assessment and diagnosis of such disorders, contributing to the evolution of the treatment of patients led to physiotherapy services. Objective: To investigate the importance of thermography as an adjunct diagnostic tool in physical therapy, showing its applicability. Method: This is a literature review using various electronic databases such as PubMed, Science Direct, Scopus, Web of Science and SciELO, by crossing the term thermography diagnosis and therapy. The sample consisted of 8 items. Results: Thermography proved a useful tool in the early diagnosis allowing the evaluation of local excessive friction prostheses muscle injury, occupational disorders, ischemic areas, and joint overloads beyond the initiation of an inflammatory process, which still showed no signs and symptoms classic, providing the physiotherapist take preventative measures and perform rapid and effective intervention. Conclusion: It can be concluded from the present review that thermography can be used as an excellent diagnostic tool for physical therapy because it is a non invasive method with no side effects, with good sensitivity and reliability.


Thermography, Diagnosis and Physiotherapy.


1. Brioschi ML, Macedo JF. Macedo RdAC. Termometria cutânea: novos conceitos. J Vasc Bras. 2003; 2:151-60.

2. Brioschi M, Abramavicus S, Corrêa C. Valor da imagem infravermelha na avaliação da dor. Rev Dor. 2005; 6(1):514-24.

3. Costa AC, Dibai Filho AV, Packer AC, Rodrigues-Bigaton D. Intra and inter-rater reliability of infrared image analysis of masticatory and upper trapezius muscles in women with and without temporomandibular disorder. Braz J Phys Ther. 2013 Jan-Feb;17(1):24-31. PMid:23117649.

4. Brioschi ML, Yeng LT, Teixeira MJ. Diagnóstico avançado em dor por imagem infravermelha e outras aplicações. Prática Hospitalar. 2007; 50(1):93-8.

5. Brioschi ML, Yeng LT, Pastor EMH, Teixeira MJ. Utilização da imagem infravermelha em reumatologia. Rev Bras Reumatol. 2007; 47(1):42-51.

6. Brioschi M, Cherem A, Ruiz R, Júnior J, Silva F. O uso da termografia infravermelha na avaliação do retorno ao trabalho em programa de reabilitação ampliado (PRA). Acta Fisiatr. 2009; 16(2):87-92.

7. Wu CL, Yu KL, Chuang HY, Huang MH, Chen TW, Chen CH. The application of infrared thermography in the assessment of patients with coccygodynia before and after manual therapy combined with diathermy. J Manipulative Physiol Ther. 2009 May;32(4):287-93. PMid:19447265.

8. Brioschi ML, Silva FM, Colman D, Adratt E, Laibida C. Termografia pericial. RBFT. 2011;1(3).

9. Riley LH Jr, Richter CP. Uses of the electrical skin resistance method in the study of patients with neck and upper extremity pain. Johns Hopkins Med J. 1975 Aug;137(2):69-74. PMid:1160207.

10. Brioschi ML, Colman D. Estudo da dor por imagem infravermelha. Rev Dor. 2005; 6(3):589-99.

11. Carvalho AR, Medeiros DL, Souza FT, Paula GF, Barbosa PM, Vasconcellos PRO, et a. Variação de temperatura do músculo quadríceps femoral exposto a duas modalidades de crioterapia por meio de termografia. Rev Bras Med Esporte. 2012; 18(2):109-11.

12. Bandeira F, Moura MAM, Souza MA, Nohama P, Neves EB. Pode a termografia auxiliar no diagnóstico de lesões musculares em atletas de futebol? Rev Bras Med Esporte. 2012; 18(4):246-51. http://dx.doi. org/10.1590/S1517-86922012000400006.

13. Souza MV. Termografia como exame complementar no diagnóstico diferencial de LER/DORT em trabalhadores bancários de Criciuma. Criciúma: UNESC. 2012.

14. Magas V. Avaliação da termografia no diagnóstico de LER/DORT nas articulações do punho, carpo e metacarpo. Curitiba: PUCPR. 2012.

15. Brioschi ML, Okimoto ML, Vargas JV. The utilization of infrared imaging for occupational disease study in industrial work. Work. 2012; 41(Suppl 1):503-9. PMid:22316773.

16. Luz S, Oliveira T, Andrade M, Ávila A, De La Rosa J. Adaptação à prótese híbrida de extremidade superior: estudo termográfico de um caso. Fisioter Pesqui. 2010; 17(2):173-7.

17. Barros FBM. Autonomia profissional do fisioterapeuta ao longo da história. Rev FisioBrasil. 2003(59):20-31.

18. Darolt J, Freitas TP, Freitas LS. Diagnóstico cinesiológico- funcional de pacientes oncológicos internados no Hospital São José de Criciúma/SC. Arq. Catarin. Med. 2011;40(2):18-24.

19. Bandeira F, Neves EB, Barroso GC, Nohama P. Métodos de apoio ao diagnóstico de lesões musculares. R-BITS. 2013;3(3).

20.Willems TM, De Clercq D, Delbaere K, Vanderstraeten G, De Cock A, Witvrouw E. A prospective study of gait related risk factors for exercise-related lower leg pain. Gait Posture. 2006 Jan;23(1):91-8. PMid:16311200.

21. Bennett JE, Reinking MF, Pluemer B, Pentel A, Seaton M, Killian C. Factors contributing to the development of medial tibial stress syndrome in high school runners. J Orthop Sports Phys Ther. 2001 Sep;31(9):504-10. PMid:11570734.

22. Vieira L, Souza J, Zaro M, Moura A, Avila L, Drummond F, et al. O uso da termografia como método auxiliar no diagnóstico da síndrome de estresse tibial media. Rev Bras Med Esporte. 2003; 9:439-46.

23. McCoy M, Campbell I, Stone P, Fedorchuk C, Wijayawardana S, Easley K. Intra-examiner and inter-examiner reproducibility of paraspinal thermography. PLoS One. 2011; 6(2):e16535. PMid:21347290.

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