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Thermographic imaging in sports and exercise medicine: A Delphi study and consensus statement on the measurement of human skin temperature
Affiliation:1. Federal Institute for Education, Science and Technology of Minas Gerais, Campus Governador Valadares, Brasil;2. Extreme Environments Laboratory, Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, UK;3. Department of Physical Education, Federal University of Juiz de Fora, Governador Valadares, Brazil;4. Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland; Medical University of Warsaw, Warsaw, Poland;5. European Association of Thermology, Vienna, Austria; Medical Imaging Research Unit, University of South Wales, Pontypridd, United Kingdom;6. School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia;7. Aeronatutics Instruction and Adaptation Center, Minas Gerais, Brazil;8. Federal Institute for Education, Science and Technology of Minas Gerais, Campus Ipatinga, Brasil;9. School of Health and Sports Science, Cluster for Health Improvement, University of the Sunshine Coast, Australia;10. Department of Physical Therapy, Federal University of Paraíba, João Pessoa, Brazil;11. Department of Biomedical Sciences for Health, Università degli Studi di Milano, Italy;12. Thermal Sciences Laboratory, DECATHLON SportsLab, Villeneuve d''Ascq, France;13. Environmental Ergonomics Research Centre, Loughborough Design School, Loughborough University, Loughborough, United Kingdom;14. UCL Institute of Immunity and Transplantation, Royal Free Hospital, London, United Kingdom;15. Military Institute of Medicine, Warsaw, Poland;p. Human and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada;q. Autonomous University of San Luis Potosí, México;r. Department of Neurosciences, Imaging and Clinical Sciences, University of Chieti-Pescara, Chieti, Italy;s. Thermal Research Laboratory, Department of Kinesiology, Auburn University, Auburn, United States;t. Biophysics and Medical Physics Group, Department of Physiology, University of Valencia, Valencia, Spain;u. American Academy of Thermology. Piedmont Physical Medicine and Rehabilitation, PA, United States;v. Escola Superior de Saúde, Universidade Fernando Pessoa, Porto, Portugal;w. Manchester Metropolitan University, Manchester, United Kingdom;x. Rzhanov Institute of Semiconductor Physics SB RAS, Novosibirsk State University, Novosibirsk, Russia;y. Sports Department, Faculty of Sciences for Physical Activity and Sport (INEF), Technical University of Madrid, Madrid, Spain;1. Institute of Health and Biomedical Innovation and School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane 4059, Queensland, Australia;2. School of Exercise Science, Faculty of Health Sciences, Australian Catholic University, Melbourne 3065, Victoria, Australia;3. Extreme Environments Laboratory, Department of Sport and Exercise Science, University of Portsmouth, Portsmouth PO1 2ER, United Kingdom;1. Biophysics and Medical Physics Group, Department of Physiology, University of Valencia, Valencia, Spain;2. Research Group in Sports Biomechanics (GIBD), Department of Physical Education and Sports, University of Valencia, Valencia, Spain;1. Department of Biomedical Sciences for Health, Università degli Studi di Milano, Italy;2. Department of Physics, Università degli Studi di Milano, Italy;3. Metabolism Research Centre, IRCCS Policlinico San Donato Milanese, Milano, Italy;1. Department of Biomedical Sciences for Health, Università degli Studi di Milano, Italy;2. Department of Physics, Università degli Studi di Milano, Italy;3. Department of Neuroscience, Imaging and Clinical Sciences, University G. d''Annunzio of Chieti-Pescara, Italy;4. Medical Imaging Research Unit, University of South Wales, Pontypridd, UK;5. European Association of Thermology, Vienna, Austria;6. Metabolism Research Centre, IRCCS Policlinico San Donato Milanese, Italy;1. Human Performance Laboratory – LAPEH, University Federal of Viçosa, MG, Brazil;2. Facultad de Ciencias de la Actividad Física y del Deporte – INEF, Universidad Politécnica de Madrid, Spain;3. School Physical Education, University Federal de Minas Gerais, BH, MG, Brazil
Abstract:The importance of using infrared thermography (IRT) to assess skin temperature (tsk) is increasing in clinical settings. Recently, its use has been increasing in sports and exercise medicine; however, no consensus guideline exists to address the methods for collecting data in such situations. The aim of this study was to develop a checklist for the collection of tsk using IRT in sports and exercise medicine. We carried out a Delphi study to set a checklist based on consensus agreement from leading experts in the field. Panelists (n  =  24) representing the areas of sport science (n = 8; 33%), physiology (n = 7; 29%), physiotherapy (n = 3; 13%) and medicine (n = 6; 25%), from 13 different countries completed the Delphi process. An initial list of 16 points was proposed which was rated and commented on by panelists in three rounds of anonymous surveys following a standard Delphi procedure. The panel reached consensus on 15 items which encompassed the participants’ demographic information, camera/room or environment setup and recording/analysis of tsk using IRT. The results of the Delphi produced the checklist entitled “Thermographic Imaging in Sports and Exercise Medicine (TISEM)” which is a proposal to standardize the collection and analysis of tsk data using IRT. It is intended that the TISEM can also be applied to evaluate bias in thermographic studies and to guide practitioners in the use of this technique.
Keywords:Infrared thermography  Guideline  Protocol  Checklist  Thermoregulation
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