Guidelines and recommendations for assessment of somatosensory function in oro‐facial pain conditions – a taskforce report
Identifieur interne : 002885 ( Istex/Curation ); précédent : 002884; suivant : 002886Guidelines and recommendations for assessment of somatosensory function in oro‐facial pain conditions – a taskforce report
Auteurs : P. Svensson [Danemark] ; L. Baad-Hansen [Danemark] ; M. Pigg ; T. List [Suède] ; E. Eliav [États-Unis] ; D. Ettlin [Suisse] ; A. Michelotti [Italie] ; Y. Tsukiyama ; Y. Matsuka [Japon] ; S. K. J Skel Inen [Finlande] ; G. Essick [États-Unis] ; J. D. Greenspan [États-Unis] ; M. Drangsholt [États-Unis]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2011-05.
Descripteurs français
- Wicri :
- topic : Protocole, Analyse quantitative.
English descriptors
- KwdEn :
- Afferent, Allodynia, Analogue, Atypical, Atypical odontalgia, Baseline, Blackwell, Blackwell publishing, Bres, Capsaicin, Choice method, Chronic pain, Clin, Clin neurophysiol, Clinical diagnostics, Cold pain, Constant stimuli, Contact heat stimulation, Contact thermodes, Contralateral side, Control subjects, Cool detection thresholds, Cruccu, Cutaneous, Detection threshold, Detection thresholds, Dfns, Diagnostic accuracy, Diagnostic value, Different types, Electrical stimuli, Essick, Experimental pain, Facial, Facial skin, Forssell, Frey, Gender, Gender differences, German research network, Greenspan, Guideline, Hard palate, Healthy subjects, Heat pain, Human skin, Hyperalgesia, Hypoesthesia, Iasp, Iasp press, Intraoral, Jaaskelainen, Jensen, Kelly, Lament, Laser, Laser stimulation, Laser stimulators, Lowest stimulus intensity, Main advantage, Masseter muscle, Maxillofac, Mechanical detection threshold, Mechanical hyperalgesia, Mechanical pain sensitivity, Mechanical pain threshold, Mechanical stimulation, Mechanical stimuli, Menthol, Metallic rods, Modality, Mouth syndrome, Muscle nerve, Ndings, Nerve injury, Neuralgia, Neurol, Neurol neurosurg psychiatr, Neuropathic, Neuropathic pain, Neuropathy, Neurophysiological, Neurosci lett, Nylon, Oral cavity, Oral maxillofac surg, Oral mucosa, Oral rehabil, Oral sensation, Oral stereognosis, Orofac, Orofac pain, Orofacial, Orofacial region, Orofacial somatosensory function, Orthognathic surgery, Pain conditions, Pain rating, Pain research, Pain sensitivity, Pain threshold, Pain thresholds, Painful range, Percept psychophys, Periodontal ligament, Perioral, Pinprick, Positive signs, Postherpetic neuralgia, Pressure algometers, Pressure algometry, Pressure pain threshold, Pressure pain thresholds, Protocol, Psychophysical, Psychophysical assessment, Psychophysical technique, Psychophysical techniques, Psychophysics, Punctate stimuli, Quantitative analysis, Quantitative assessment, Reaction time, Receptor, Reference values, Rehabil, Reliability, Response bias, Sensory, Sensory decision theory, Sensory discriminative capacity, Sensory function, Sensory testing, Sensory thresholds, Signal detection theory, Skin temperature, Somatosens, Somatosens motor, Somatosensory, Somatosensory abnormalities, Somatosensory changes, Somatosensory dysfunction, Somatosensory function, Somatosensory sensitivity, Somatosensory testing, Spatial acuity, Spatial summation, Staircase method, Standardised, Step size, Stimulators, Stimulus, Stimulus area, Stimulus duration, Stimulus intensities, Stimulus intensity, Stimulus modalities, Subject bias, Summation, Surg, Svensson, Syndrome, Tactile, Tactile stimulation, Tactile stimuli, Temperature change, Temporal summation, Temporomandibular, Temporomandibular disorders, Test site, Test subject, Thermal hypoesthesia, Thermal sensation, Thermal sensations, Thermal sensitivity, Thermal stimulation, Thermal stimuli, Thermal stimulus, Thermal thresholds, Thermode, Thermodes, Threshold, Threshold determination, Transition points, Treatment effects, Treede, Trigeminal, Trigeminal neuralgia, Various types, Vermilion border, Vibration detection threshold, Vibratory detection thresholds, Vibrotactile, Visual analogue scale, Visual analogue scales, Warm detection thresholds, Warm stimuli.
- Teeft :
- Afferent, Allodynia, Analogue, Atypical, Atypical odontalgia, Baseline, Blackwell, Blackwell publishing, Bres, Capsaicin, Choice method, Chronic pain, Clin, Clin neurophysiol, Clinical diagnostics, Cold pain, Constant stimuli, Contact heat stimulation, Contact thermodes, Contralateral side, Control subjects, Cool detection thresholds, Cruccu, Cutaneous, Detection threshold, Detection thresholds, Dfns, Diagnostic accuracy, Diagnostic value, Different types, Electrical stimuli, Essick, Experimental pain, Facial, Facial skin, Forssell, Frey, Gender, Gender differences, German research network, Greenspan, Guideline, Hard palate, Healthy subjects, Heat pain, Human skin, Hyperalgesia, Hypoesthesia, Iasp, Iasp press, Intraoral, Jaaskelainen, Jensen, Kelly, Lament, Laser, Laser stimulation, Laser stimulators, Lowest stimulus intensity, Main advantage, Masseter muscle, Maxillofac, Mechanical detection threshold, Mechanical hyperalgesia, Mechanical pain sensitivity, Mechanical pain threshold, Mechanical stimulation, Mechanical stimuli, Menthol, Metallic rods, Modality, Mouth syndrome, Muscle nerve, Ndings, Nerve injury, Neuralgia, Neurol, Neurol neurosurg psychiatr, Neuropathic, Neuropathic pain, Neuropathy, Neurophysiological, Neurosci lett, Nylon, Oral cavity, Oral maxillofac surg, Oral mucosa, Oral rehabil, Oral sensation, Oral stereognosis, Orofac, Orofac pain, Orofacial, Orofacial region, Orofacial somatosensory function, Orthognathic surgery, Pain conditions, Pain rating, Pain research, Pain sensitivity, Pain threshold, Pain thresholds, Painful range, Percept psychophys, Periodontal ligament, Perioral, Pinprick, Positive signs, Postherpetic neuralgia, Pressure algometers, Pressure algometry, Pressure pain threshold, Pressure pain thresholds, Protocol, Psychophysical, Psychophysical assessment, Psychophysical technique, Psychophysical techniques, Psychophysics, Punctate stimuli, Quantitative analysis, Quantitative assessment, Reaction time, Receptor, Reference values, Rehabil, Reliability, Response bias, Sensory, Sensory decision theory, Sensory discriminative capacity, Sensory function, Sensory testing, Sensory thresholds, Signal detection theory, Skin temperature, Somatosens, Somatosens motor, Somatosensory, Somatosensory abnormalities, Somatosensory changes, Somatosensory dysfunction, Somatosensory function, Somatosensory sensitivity, Somatosensory testing, Spatial acuity, Spatial summation, Staircase method, Standardised, Step size, Stimulators, Stimulus, Stimulus area, Stimulus duration, Stimulus intensities, Stimulus intensity, Stimulus modalities, Subject bias, Summation, Surg, Svensson, Syndrome, Tactile, Tactile stimulation, Tactile stimuli, Temperature change, Temporal summation, Temporomandibular, Temporomandibular disorders, Test site, Test subject, Thermal hypoesthesia, Thermal sensation, Thermal sensations, Thermal sensitivity, Thermal stimulation, Thermal stimuli, Thermal stimulus, Thermal thresholds, Thermode, Thermodes, Threshold, Threshold determination, Transition points, Treatment effects, Treede, Trigeminal, Trigeminal neuralgia, Various types, Vermilion border, Vibration detection threshold, Vibratory detection thresholds, Vibrotactile, Visual analogue scale, Visual analogue scales, Warm detection thresholds, Warm stimuli.
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.
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DOI: 10.1111/j.1365-2842.2010.02196.x
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M. Pigg<affiliation><mods:affiliation>Department of Endodontics, Faculty of Odontology, Malmö University, Malmö</mods:affiliation><wicri:noCountry code="subField">Malmö</wicri:noCountry></affiliation><affiliation><mods:affiliation>Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka</mods:affiliation><wicri:noCountry code="subField">Fukuoka</wicri:noCountry></affiliation>Le document en format XML
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Svensson</name><affiliation wicri:level="1"><mods:affiliation>Department of Clinical Oral Physiology, Aarhus University, Aarhus, Denmark</mods:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Clinical Oral Physiology, Aarhus University, Aarhus</wicri:regionArea></affiliation></author><author><name sortKey="Baad Ansen, L" sort="Baad Ansen, L" uniqKey="Baad Ansen L" first="L." last="Baad-Hansen">L. Baad-Hansen</name><affiliation wicri:level="1"><mods:affiliation>Department of Clinical Oral Physiology, Aarhus University, Aarhus, Denmark</mods:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Clinical Oral Physiology, Aarhus University, Aarhus</wicri:regionArea></affiliation></author><author><name sortKey="Pigg, M" sort="Pigg, M" uniqKey="Pigg M" first="M." last="Pigg">M. Pigg</name><affiliation><mods:affiliation>Department of Endodontics, Faculty of Odontology, Malmö University, Malmö</mods:affiliation><wicri:noCountry code="subField">Malmö</wicri:noCountry></affiliation></author><author><name sortKey="List, T" sort="List, T" uniqKey="List T" first="T." last="List">T. List</name><affiliation wicri:level="1"><mods:affiliation>Department of Stomatognathic Physiology, Faculty of Odontology, Malmö University, Malmö, Sweden</mods:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Stomatognathic Physiology, Faculty of Odontology, Malmö University, Malmö</wicri:regionArea></affiliation></author><author><name sortKey="Eliav, E" sort="Eliav, E" uniqKey="Eliav E" first="E." last="Eliav">E. Eliav</name><affiliation wicri:level="1"><mods:affiliation>Division of Oro‐facial Pain, University of Medicine and Dentistry of New Jersey Dental School, Newark, NJ, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Oro‐facial Pain, University of Medicine and Dentistry of New Jersey Dental School, Newark, NJ</wicri:regionArea></affiliation></author><author><name sortKey="Ettlin, D" sort="Ettlin, D" uniqKey="Ettlin D" first="D." last="Ettlin">D. Ettlin</name><affiliation wicri:level="1"><mods:affiliation>Department of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry, Center for Dental and Oral Medicine and Maxillofacial Surgery, University of Zurich, Zurich, Switzerland</mods:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry, Center for Dental and Oral Medicine and Maxillofacial Surgery, University of Zurich, Zurich</wicri:regionArea></affiliation></author><author><name sortKey="Michelotti, A" sort="Michelotti, A" uniqKey="Michelotti A" first="A." last="Michelotti">A. Michelotti</name><affiliation wicri:level="1"><mods:affiliation>Department of Dental and Maxillo‐Facial Sciences, Section of Orthodontics and Gnathology, University of Naples “Federico II”, Naples, Italy</mods:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental and Maxillo‐Facial Sciences, Section of Orthodontics and Gnathology, University of Naples “Federico II”, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Tsukiyama, Y" sort="Tsukiyama, Y" uniqKey="Tsukiyama Y" first="Y." last="Tsukiyama">Y. Tsukiyama</name><affiliation><mods:affiliation>Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka</mods:affiliation><wicri:noCountry code="subField">Fukuoka</wicri:noCountry></affiliation></author><author><name sortKey="Matsuka, Y" sort="Matsuka, Y" uniqKey="Matsuka Y" first="Y." last="Matsuka">Y. Matsuka</name><affiliation wicri:level="1"><mods:affiliation>Oral Rehabilitation Regenerative Medicine, Okayama Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Oral Rehabilitation Regenerative Medicine, Okayama Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama</wicri:regionArea></affiliation></author><author><name sortKey="J Skel Inen, S K" sort="J Skel Inen, S K" uniqKey="J Skel Inen S" first="S. K." last="J Skel Inen">S. K. J Skel Inen</name><affiliation wicri:level="1"><mods:affiliation>Department of Clinical Neurophysiology, Turku University, Turku, Finland</mods:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Clinical Neurophysiology, Turku University, Turku</wicri:regionArea></affiliation></author><author><name sortKey="Essick, G" sort="Essick, G" uniqKey="Essick G" first="G." last="Essick">G. Essick</name><affiliation wicri:level="2"><mods:affiliation>Department of Prosthodontics and Center for Neurosensory Disorders, School of Dentistry, University of North Carolina, Chapel Hill, NC</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Prosthodontics and Center for Neurosensory Disorders, School of Dentistry, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Greenspan, J D" sort="Greenspan, J D" uniqKey="Greenspan J" first="J. D." last="Greenspan">J. D. Greenspan</name><affiliation wicri:level="2"><mods:affiliation>Department of Neural and Pain Sciences, University of Maryland Dental School, Baltimore, MD</mods:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Neural and Pain Sciences, University of Maryland Dental School, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Drangsholt, M" sort="Drangsholt, M" uniqKey="Drangsholt M" first="M." last="Drangsholt">M. Drangsholt</name><affiliation wicri:level="1"><mods:affiliation>Departments of Oral Medicine and Dental Public Health Sciences, University of Washington, Seattle, WA, USA</mods:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Oral Medicine and Dental Public Health Sciences, University of Washington, Seattle, WA</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="ISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><imprint><biblScope unit="vol">38</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="366">366</biblScope><biblScope unit="page" to="394">394</biblScope><biblScope unit="page-count">29</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-05">2011-05</date></imprint><idno type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" 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><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><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="Wicri" type="topic" xml:lang="fr"><term>Protocole</term><term>Analyse quantitative</term></keywords></textClass></profileDesc></teiHeader><front><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></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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