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Guidelines and recommendations for assessment of somatosensory function in oro‐facial pain conditions – a taskforce report

Identifieur interne : 002885 ( Istex/Corpus ); précédent : 002884; suivant : 002886

Guidelines and recommendations for assessment of somatosensory function in oro‐facial pain conditions – a taskforce report

Auteurs : P. Svensson ; L. Baad-Hansen ; M. Pigg ; T. List ; E. Eliav ; D. Ettlin ; A. Michelotti ; Y. Tsukiyama ; Y. Matsuka ; S. K. J Skel Inen ; G. Essick ; J. D. Greenspan ; M. Drangsholt

Source :

RBID : ISTEX:B888F0571B2B7262819ADCFD4F096F8A4A3E5B0E

English descriptors

Abstract

Summary  The goals of an international taskforce on somatosensory testing established by the Special Interest Group of Oro‐facial Pain (SIG‐OFP) under the International Association for the Study of Pain (IASP) were to (i) review the literature concerning assessment of somatosensory function in the oro‐facial region in terms of techniques and test performance, (ii) provide guidelines for comprehensive and screening examination procedures, and (iii) give recommendations for future development of somatosensory testing specifically in the oro‐facial region. Numerous qualitative and quantitative psychophysical techniques have been proposed and used in the description of oro‐facial somatosensory function. The selection of technique includes time considerations because the most reliable and accurate methods require multiple repetitions of stimuli. Multiple‐stimulus modalities (mechanical, thermal, electrical, chemical) have been applied to study oro‐facial somatosensory function. A battery of different test stimuli is needed to obtain comprehensive information about the functional integrity of the various types of afferent nerve fibres. Based on the available literature, the German Neuropathic Pain Network test battery appears suitable for the study of somatosensory function within the oro‐facial area as it is based on a wide variety of both qualitative and quantitative assessments of all cutaneous somatosensory modalities. Furthermore, these protocols have been thoroughly described and tested on multiple sites including the facial skin and intra‐oral mucosa. Standardisation of both comprehensive and screening examination techniques is likely to improve the diagnostic accuracy and facilitate the understanding of neural mechanisms and somatosensory changes in different oro‐facial pain conditions and may help to guide management.

Url:
DOI: 10.1111/j.1365-2842.2010.02196.x

Links to Exploration step

ISTEX:B888F0571B2B7262819ADCFD4F096F8A4A3E5B0E

Le document en format XML

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<term>Afferent</term>
<term>Allodynia</term>
<term>Analogue</term>
<term>Atypical</term>
<term>Atypical odontalgia</term>
<term>Baseline</term>
<term>Blackwell</term>
<term>Blackwell publishing</term>
<term>Bres</term>
<term>Capsaicin</term>
<term>Choice method</term>
<term>Chronic pain</term>
<term>Clin</term>
<term>Clin neurophysiol</term>
<term>Clinical diagnostics</term>
<term>Cold pain</term>
<term>Constant stimuli</term>
<term>Contact heat stimulation</term>
<term>Contact thermodes</term>
<term>Contralateral side</term>
<term>Control subjects</term>
<term>Cool detection thresholds</term>
<term>Cruccu</term>
<term>Cutaneous</term>
<term>Detection threshold</term>
<term>Detection thresholds</term>
<term>Dfns</term>
<term>Diagnostic accuracy</term>
<term>Diagnostic value</term>
<term>Different types</term>
<term>Electrical stimuli</term>
<term>Essick</term>
<term>Experimental pain</term>
<term>Facial</term>
<term>Facial skin</term>
<term>Forssell</term>
<term>Frey</term>
<term>Gender</term>
<term>Gender differences</term>
<term>German research network</term>
<term>Greenspan</term>
<term>Guideline</term>
<term>Hard palate</term>
<term>Healthy subjects</term>
<term>Heat pain</term>
<term>Human skin</term>
<term>Hyperalgesia</term>
<term>Hypoesthesia</term>
<term>Iasp</term>
<term>Iasp press</term>
<term>Intraoral</term>
<term>Jaaskelainen</term>
<term>Jensen</term>
<term>Kelly</term>
<term>Lament</term>
<term>Laser</term>
<term>Laser stimulation</term>
<term>Laser stimulators</term>
<term>Lowest stimulus intensity</term>
<term>Main advantage</term>
<term>Masseter muscle</term>
<term>Maxillofac</term>
<term>Mechanical detection threshold</term>
<term>Mechanical hyperalgesia</term>
<term>Mechanical pain sensitivity</term>
<term>Mechanical pain threshold</term>
<term>Mechanical stimulation</term>
<term>Mechanical stimuli</term>
<term>Menthol</term>
<term>Metallic rods</term>
<term>Modality</term>
<term>Mouth syndrome</term>
<term>Muscle nerve</term>
<term>Ndings</term>
<term>Nerve injury</term>
<term>Neuralgia</term>
<term>Neurol</term>
<term>Neurol neurosurg psychiatr</term>
<term>Neuropathic</term>
<term>Neuropathic pain</term>
<term>Neuropathy</term>
<term>Neurophysiological</term>
<term>Neurosci lett</term>
<term>Nylon</term>
<term>Oral cavity</term>
<term>Oral maxillofac surg</term>
<term>Oral mucosa</term>
<term>Oral rehabil</term>
<term>Oral sensation</term>
<term>Oral stereognosis</term>
<term>Orofac</term>
<term>Orofac pain</term>
<term>Orofacial</term>
<term>Orofacial region</term>
<term>Orofacial somatosensory function</term>
<term>Orthognathic surgery</term>
<term>Pain conditions</term>
<term>Pain rating</term>
<term>Pain research</term>
<term>Pain sensitivity</term>
<term>Pain threshold</term>
<term>Pain thresholds</term>
<term>Painful range</term>
<term>Percept psychophys</term>
<term>Periodontal ligament</term>
<term>Perioral</term>
<term>Pinprick</term>
<term>Positive signs</term>
<term>Postherpetic neuralgia</term>
<term>Pressure algometers</term>
<term>Pressure algometry</term>
<term>Pressure pain threshold</term>
<term>Pressure pain thresholds</term>
<term>Protocol</term>
<term>Psychophysical</term>
<term>Psychophysical assessment</term>
<term>Psychophysical technique</term>
<term>Psychophysical techniques</term>
<term>Psychophysics</term>
<term>Punctate stimuli</term>
<term>Quantitative analysis</term>
<term>Quantitative assessment</term>
<term>Reaction time</term>
<term>Receptor</term>
<term>Reference values</term>
<term>Rehabil</term>
<term>Reliability</term>
<term>Response bias</term>
<term>Sensory</term>
<term>Sensory decision theory</term>
<term>Sensory discriminative capacity</term>
<term>Sensory function</term>
<term>Sensory testing</term>
<term>Sensory thresholds</term>
<term>Signal detection theory</term>
<term>Skin temperature</term>
<term>Somatosens</term>
<term>Somatosens motor</term>
<term>Somatosensory</term>
<term>Somatosensory abnormalities</term>
<term>Somatosensory changes</term>
<term>Somatosensory dysfunction</term>
<term>Somatosensory function</term>
<term>Somatosensory sensitivity</term>
<term>Somatosensory testing</term>
<term>Spatial acuity</term>
<term>Spatial summation</term>
<term>Staircase method</term>
<term>Standardised</term>
<term>Step size</term>
<term>Stimulators</term>
<term>Stimulus</term>
<term>Stimulus area</term>
<term>Stimulus duration</term>
<term>Stimulus intensities</term>
<term>Stimulus intensity</term>
<term>Stimulus modalities</term>
<term>Subject bias</term>
<term>Summation</term>
<term>Surg</term>
<term>Svensson</term>
<term>Syndrome</term>
<term>Tactile</term>
<term>Tactile stimulation</term>
<term>Tactile stimuli</term>
<term>Temperature change</term>
<term>Temporal summation</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Test site</term>
<term>Test subject</term>
<term>Thermal hypoesthesia</term>
<term>Thermal sensation</term>
<term>Thermal sensations</term>
<term>Thermal sensitivity</term>
<term>Thermal stimulation</term>
<term>Thermal stimuli</term>
<term>Thermal stimulus</term>
<term>Thermal thresholds</term>
<term>Thermode</term>
<term>Thermodes</term>
<term>Threshold</term>
<term>Threshold determination</term>
<term>Transition points</term>
<term>Treatment effects</term>
<term>Treede</term>
<term>Trigeminal</term>
<term>Trigeminal neuralgia</term>
<term>Various types</term>
<term>Vermilion border</term>
<term>Vibration detection threshold</term>
<term>Vibratory detection thresholds</term>
<term>Vibrotactile</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
<term>Warm detection thresholds</term>
<term>Warm stimuli</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Afferent</term>
<term>Allodynia</term>
<term>Analogue</term>
<term>Atypical</term>
<term>Atypical odontalgia</term>
<term>Baseline</term>
<term>Blackwell</term>
<term>Blackwell publishing</term>
<term>Bres</term>
<term>Capsaicin</term>
<term>Choice method</term>
<term>Chronic pain</term>
<term>Clin</term>
<term>Clin neurophysiol</term>
<term>Clinical diagnostics</term>
<term>Cold pain</term>
<term>Constant stimuli</term>
<term>Contact heat stimulation</term>
<term>Contact thermodes</term>
<term>Contralateral side</term>
<term>Control subjects</term>
<term>Cool detection thresholds</term>
<term>Cruccu</term>
<term>Cutaneous</term>
<term>Detection threshold</term>
<term>Detection thresholds</term>
<term>Dfns</term>
<term>Diagnostic accuracy</term>
<term>Diagnostic value</term>
<term>Different types</term>
<term>Electrical stimuli</term>
<term>Essick</term>
<term>Experimental pain</term>
<term>Facial</term>
<term>Facial skin</term>
<term>Forssell</term>
<term>Frey</term>
<term>Gender</term>
<term>Gender differences</term>
<term>German research network</term>
<term>Greenspan</term>
<term>Guideline</term>
<term>Hard palate</term>
<term>Healthy subjects</term>
<term>Heat pain</term>
<term>Human skin</term>
<term>Hyperalgesia</term>
<term>Hypoesthesia</term>
<term>Iasp</term>
<term>Iasp press</term>
<term>Intraoral</term>
<term>Jaaskelainen</term>
<term>Jensen</term>
<term>Kelly</term>
<term>Lament</term>
<term>Laser</term>
<term>Laser stimulation</term>
<term>Laser stimulators</term>
<term>Lowest stimulus intensity</term>
<term>Main advantage</term>
<term>Masseter muscle</term>
<term>Maxillofac</term>
<term>Mechanical detection threshold</term>
<term>Mechanical hyperalgesia</term>
<term>Mechanical pain sensitivity</term>
<term>Mechanical pain threshold</term>
<term>Mechanical stimulation</term>
<term>Mechanical stimuli</term>
<term>Menthol</term>
<term>Metallic rods</term>
<term>Modality</term>
<term>Mouth syndrome</term>
<term>Muscle nerve</term>
<term>Ndings</term>
<term>Nerve injury</term>
<term>Neuralgia</term>
<term>Neurol</term>
<term>Neurol neurosurg psychiatr</term>
<term>Neuropathic</term>
<term>Neuropathic pain</term>
<term>Neuropathy</term>
<term>Neurophysiological</term>
<term>Neurosci lett</term>
<term>Nylon</term>
<term>Oral cavity</term>
<term>Oral maxillofac surg</term>
<term>Oral mucosa</term>
<term>Oral rehabil</term>
<term>Oral sensation</term>
<term>Oral stereognosis</term>
<term>Orofac</term>
<term>Orofac pain</term>
<term>Orofacial</term>
<term>Orofacial region</term>
<term>Orofacial somatosensory function</term>
<term>Orthognathic surgery</term>
<term>Pain conditions</term>
<term>Pain rating</term>
<term>Pain research</term>
<term>Pain sensitivity</term>
<term>Pain threshold</term>
<term>Pain thresholds</term>
<term>Painful range</term>
<term>Percept psychophys</term>
<term>Periodontal ligament</term>
<term>Perioral</term>
<term>Pinprick</term>
<term>Positive signs</term>
<term>Postherpetic neuralgia</term>
<term>Pressure algometers</term>
<term>Pressure algometry</term>
<term>Pressure pain threshold</term>
<term>Pressure pain thresholds</term>
<term>Protocol</term>
<term>Psychophysical</term>
<term>Psychophysical assessment</term>
<term>Psychophysical technique</term>
<term>Psychophysical techniques</term>
<term>Psychophysics</term>
<term>Punctate stimuli</term>
<term>Quantitative analysis</term>
<term>Quantitative assessment</term>
<term>Reaction time</term>
<term>Receptor</term>
<term>Reference values</term>
<term>Rehabil</term>
<term>Reliability</term>
<term>Response bias</term>
<term>Sensory</term>
<term>Sensory decision theory</term>
<term>Sensory discriminative capacity</term>
<term>Sensory function</term>
<term>Sensory testing</term>
<term>Sensory thresholds</term>
<term>Signal detection theory</term>
<term>Skin temperature</term>
<term>Somatosens</term>
<term>Somatosens motor</term>
<term>Somatosensory</term>
<term>Somatosensory abnormalities</term>
<term>Somatosensory changes</term>
<term>Somatosensory dysfunction</term>
<term>Somatosensory function</term>
<term>Somatosensory sensitivity</term>
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<term>Stimulus duration</term>
<term>Stimulus intensities</term>
<term>Stimulus intensity</term>
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<term>Subject bias</term>
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<term>Svensson</term>
<term>Syndrome</term>
<term>Tactile</term>
<term>Tactile stimulation</term>
<term>Tactile stimuli</term>
<term>Temperature change</term>
<term>Temporal summation</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Test site</term>
<term>Test subject</term>
<term>Thermal hypoesthesia</term>
<term>Thermal sensation</term>
<term>Thermal sensations</term>
<term>Thermal sensitivity</term>
<term>Thermal stimulation</term>
<term>Thermal stimuli</term>
<term>Thermal stimulus</term>
<term>Thermal thresholds</term>
<term>Thermode</term>
<term>Thermodes</term>
<term>Threshold</term>
<term>Threshold determination</term>
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<term>Treatment effects</term>
<term>Treede</term>
<term>Trigeminal</term>
<term>Trigeminal neuralgia</term>
<term>Various types</term>
<term>Vermilion border</term>
<term>Vibration detection threshold</term>
<term>Vibratory detection thresholds</term>
<term>Vibrotactile</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
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<div type="abstract">Summary  The goals of an international taskforce on somatosensory testing established by the Special Interest Group of Oro‐facial Pain (SIG‐OFP) under the International Association for the Study of Pain (IASP) were to (i) review the literature concerning assessment of somatosensory function in the oro‐facial region in terms of techniques and test performance, (ii) provide guidelines for comprehensive and screening examination procedures, and (iii) give recommendations for future development of somatosensory testing specifically in the oro‐facial region. Numerous qualitative and quantitative psychophysical techniques have been proposed and used in the description of oro‐facial somatosensory function. The selection of technique includes time considerations because the most reliable and accurate methods require multiple repetitions of stimuli. Multiple‐stimulus modalities (mechanical, thermal, electrical, chemical) have been applied to study oro‐facial somatosensory function. A battery of different test stimuli is needed to obtain comprehensive information about the functional integrity of the various types of afferent nerve fibres. Based on the available literature, the German Neuropathic Pain Network test battery appears suitable for the study of somatosensory function within the oro‐facial area as it is based on a wide variety of both qualitative and quantitative assessments of all cutaneous somatosensory modalities. Furthermore, these protocols have been thoroughly described and tested on multiple sites including the facial skin and intra‐oral mucosa. Standardisation of both comprehensive and screening examination techniques is likely to improve the diagnostic accuracy and facilitate the understanding of neural mechanisms and somatosensory changes in different oro‐facial pain conditions and may help to guide management.</div>
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<abstract>Summary  The goals of an international taskforce on somatosensory testing established by the Special Interest Group of Oro‐facial Pain (SIG‐OFP) under the International Association for the Study of Pain (IASP) were to (i) review the literature concerning assessment of somatosensory function in the oro‐facial region in terms of techniques and test performance, (ii) provide guidelines for comprehensive and screening examination procedures, and (iii) give recommendations for future development of somatosensory testing specifically in the oro‐facial region. Numerous qualitative and quantitative psychophysical techniques have been proposed and used in the description of oro‐facial somatosensory function. The selection of technique includes time considerations because the most reliable and accurate methods require multiple repetitions of stimuli. Multiple‐stimulus modalities (mechanical, thermal, electrical, chemical) have been applied to study oro‐facial somatosensory function. A battery of different test stimuli is needed to obtain comprehensive information about the functional integrity of the various types of afferent nerve fibres. Based on the available literature, the German Neuropathic Pain Network test battery appears suitable for the study of somatosensory function within the oro‐facial area as it is based on a wide variety of both qualitative and quantitative assessments of all cutaneous somatosensory modalities. Furthermore, these protocols have been thoroughly described and tested on multiple sites including the facial skin and intra‐oral mucosa. Standardisation of both comprehensive and screening examination techniques is likely to improve the diagnostic accuracy and facilitate the understanding of neural mechanisms and somatosensory changes in different oro‐facial pain conditions and may help to guide management.</abstract>
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<affiliation>Oral Rehabilitation Regenerative Medicine, Okayama Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan</affiliation>
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<name type="personal">
<namePart type="given">S. K.</namePart>
<namePart type="family">JÄÄSKELÄINEN</namePart>
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<affiliation>Department of Prosthodontics and Center for Neurosensory Disorders, School of Dentistry, University of North Carolina, Chapel Hill, NC</affiliation>
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<namePart type="given">J. D.</namePart>
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<affiliation>Department of Neural and Pain Sciences, University of Maryland Dental School, Baltimore, MD</affiliation>
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<dateIssued encoding="w3cdtf">2011-05</dateIssued>
<edition>Accepted for publication 6 December 2010</edition>
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<abstract>Summary  The goals of an international taskforce on somatosensory testing established by the Special Interest Group of Oro‐facial Pain (SIG‐OFP) under the International Association for the Study of Pain (IASP) were to (i) review the literature concerning assessment of somatosensory function in the oro‐facial region in terms of techniques and test performance, (ii) provide guidelines for comprehensive and screening examination procedures, and (iii) give recommendations for future development of somatosensory testing specifically in the oro‐facial region. Numerous qualitative and quantitative psychophysical techniques have been proposed and used in the description of oro‐facial somatosensory function. The selection of technique includes time considerations because the most reliable and accurate methods require multiple repetitions of stimuli. Multiple‐stimulus modalities (mechanical, thermal, electrical, chemical) have been applied to study oro‐facial somatosensory function. A battery of different test stimuli is needed to obtain comprehensive information about the functional integrity of the various types of afferent nerve fibres. Based on the available literature, the German Neuropathic Pain Network test battery appears suitable for the study of somatosensory function within the oro‐facial area as it is based on a wide variety of both qualitative and quantitative assessments of all cutaneous somatosensory modalities. Furthermore, these protocols have been thoroughly described and tested on multiple sites including the facial skin and intra‐oral mucosa. Standardisation of both comprehensive and screening examination techniques is likely to improve the diagnostic accuracy and facilitate the understanding of neural mechanisms and somatosensory changes in different oro‐facial pain conditions and may help to guide management.</abstract>
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<genre>keywords</genre>
<topic>orofacial pain</topic>
<topic>quantitative sensory testing</topic>
<topic>neuropathic pain</topic>
<topic>psychophysics</topic>
<topic>intraoral quantitative sensory testing</topic>
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<identifier type="ISSN">0305-182X</identifier>
<identifier type="eISSN">1365-2842</identifier>
<identifier type="DOI">10.1111/(ISSN)1365-2842</identifier>
<identifier type="PublisherID">JOOR</identifier>
<part>
<date>2011</date>
<detail type="volume">
<caption>vol.</caption>
<number>38</number>
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<detail type="issue">
<caption>no.</caption>
<number>5</number>
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<extent unit="pages">
<start>366</start>
<end>394</end>
<total>29</total>
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<identifier type="ark">ark:/67375/WNG-HTNVNC5P-L</identifier>
<identifier type="DOI">10.1111/j.1365-2842.2010.02196.x</identifier>
<identifier type="ArticleID">JOOR2196</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2011 Blackwell Publishing Ltd</accessCondition>
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