Visual analog scale evaluation at pressure pain reception in maxillofacial region Evaluation in non-symptomatic subjects

To evaluate the nature of pain at pressure pain threshold (PPT), we measured the intensity of the pain on the visual analog scale (VAS) at pressure pain reception in the maxillofacial region. Fifty volunteers (men: 13, women: 37) with no symptoms of temporomandibualr disorders were examined in the s...

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Published inJournal of the Japanese Society for the Temporomandibular Joint Vol. 7; no. 1; pp. 16 - 24
Main Authors SUGISAKI, Masashi, TANABE, Haruyasu, IKAI, Akihiro
Format Journal Article
LanguageJapanese
Published The Japanese Society for Temporomandibular Joint 20.05.1995
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ISSN0915-3004
1884-4308
DOI10.11246/gakukansetsu1989.7.16

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Abstract To evaluate the nature of pain at pressure pain threshold (PPT), we measured the intensity of the pain on the visual analog scale (VAS) at pressure pain reception in the maxillofacial region. Fifty volunteers (men: 13, women: 37) with no symptoms of temporomandibualr disorders were examined in the seven setting measurement points of the maxillofacial region. The subjects PPTs were measured using the algometer at a constant rate of 500g/cm2·s and the intensity of the pain on the VAS at that time was recorded. The distance of the mark from the left end of the scale was defined as the VAS score. The Results showed that the VAS scores in the points of the forehead, the anterior bundles of the temporal muscle, the posterior margin of the mandibular ramus and the Libman's point were significantly different from those of other measurement points. Among of the points in the inferior and mid portion of the masseter muscle and the lateral pole of the condyle, the VAS scores were not found to be significant ly different. In addition, from the significant correlations of the VAS scores in all measurement points, it is considered that a person with higher VAS score of the pain at pressure pain reception is inclined to evaluate the VAS score high in any measurement points in the maxillofacial region.
AbstractList To evaluate the nature of pain at pressure pain threshold (PPT), we measured the intensity of the pain on the visual analog scale (VAS) at pressure pain reception in the maxillofacial region. Fifty volunteers (men: 13, women: 37) with no symptoms of temporomandibualr disorders were examined in the seven setting measurement points of the maxillofacial region. The subjects PPTs were measured using the algometer at a constant rate of 500g/cm2·s and the intensity of the pain on the VAS at that time was recorded. The distance of the mark from the left end of the scale was defined as the VAS score. The Results showed that the VAS scores in the points of the forehead, the anterior bundles of the temporal muscle, the posterior margin of the mandibular ramus and the Libman's point were significantly different from those of other measurement points. Among of the points in the inferior and mid portion of the masseter muscle and the lateral pole of the condyle, the VAS scores were not found to be significant ly different. In addition, from the significant correlations of the VAS scores in all measurement points, it is considered that a person with higher VAS score of the pain at pressure pain reception is inclined to evaluate the VAS score high in any measurement points in the maxillofacial region.
Author IKAI, Akihiro
SUGISAKI, Masashi
TANABE, Haruyasu
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References 22) Seymour, R., Simpson, J. M., et al: An evaluation of length and end-phrase of visual analogue scales in dental pain. Pain 21: 177-185, 1985.
4) Ohrbach, R. and Gale, E. N.: Pressure pain thresholds in normal muscles: reliability, measurement effects, and topographic differences, Pain 37: 257-263, 1989.
1) Jensen, K., Andersen, H. O., et al: Pressure-pain threshold in human temporal region. Evaluation of a new pressure algometer. Pain 25: 313-323, 1986.
7) Ohnhaus, E. E., and Adler, R.: Methodological problems in the measurement of pain: A comparison between the verbal rating scale and the visual analogue scale. Pain 1: 379-384, 1975.
19) Atwood, M. I., Dixon, D. C., et al: Comparison of two scales in the assessment of muscles and joint palation tenderness in chronic temporomandibular disorders. J Orofacial Pain 7: 403-407, 1993.
21) Joice, C. R. B., Zutshi, D. W., et al: Compariosin of fixed interval and visual analogue scales in dental pain. Pain 21: 177-185, 1985.
6) Langemark, M., Jensen, K., et al: Pressure pain thresholds and thermal nociceptive threshold in chronic tension-type headache. Pain 38: 203-210, 1989.
14) 杉崎正志, 伊介昭弘, 他: 顎関節症における加圧疼痛閾値の臨床評価 第2報: 女性における個人の加圧疼痛感受性について. 日顎誌 5: 374-380, 1993.
17) Keele, K. D.: Pain-sensitivity tests with the pressure algometer. Lancet 266: 636-639, 1954.
12) Revill, S. I., Robinson. J. O., et al: The reliability of a linear analogue for evaluating pain. Anaesthesia 31: 1191-1198, 1976.
10) Huskisson, E. C.: Measurement of pain. Lancet 7889: 1127-1131, 1974.
8) Kremer, E, Atkinson, H. J., et al: Measurement of pain: Patient preference does not confound pain measurement. Pain 10: 241-248, 1981.
9) Duncan, G. H., Gregg, J. M., et al: The pain profile: A computerized system for assessment of chronic pain. Pain 5: 275-284, 1978.
5) Ohrbach, R. and Gale, E. N.: Pressure pain thresholds, clinical assessment, and differential diagnosis: Reliability and validity in patients with myogenic pain. Pain 39: 157-169, 1989.
23) Resche, L. LE., Burgess, J., et al: Reliability of visual analog and verbal descriptor scales for “Objective” measurement of temporomandibular disorder pain. J Dent Res 67: 33-36, 1988.
18) Jaeger, B. and Reeves, J. L.: Quantification of changes in myofacial trigger point sensitivity with the pressure algometer following passive stretch. Pain 27: 203-210, 1986.
26) Fisher, A. A.: Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain 30: 115-126, 1987.
15) 杉崎正志, 伊介昭弘, 他: 顎関節症における加圧疼痛閾値の臨床評価 第3報: 女性有痛者のカットオフ値の検討. 日顎誌 6: 62-69, 1994.
11) Joyce, C. R. B., Zutshi, D. W., et al: Comparison of fixed interval and visual analogue scales for rating chronic pain. Eur J Clin Pharmacol 8: 415-420, 1975.
16) Libman, E: Observations on individual sensitiveness to pain. J Am Med Assoc 102: 335-341, 1934.
27) Kleinkneckt, R. A. and Alexander, L. D.: Correspondence between subjective report of temporomandibular disorder syrnptorns and clinical findings. J Am Dent Assoc 113: 257-261, 1986.
3) Reeves, J. L., Jaegar, P., et al: Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity, Pain 24: 313-321, 1986.
13) 杉崎正志, 伊介昭弘, 他: 顎関節症における加圧疼痛閾値の臨床評価 第1報: 加圧疼痛計の試作と自覚的症状者における評価. 日顎誌 5: 37-47, 1993.
2) List, T., Helkimo, M., et al: Reliability and validity of a pressure threshold meter in recording tenderness in the masseter muscle and the anterior temporalis muscle. J Craniomand Pract 7: 223-229, 1989.
24) Aitken, R. C. B.: Measurement of feeling using visual analogue scales. Proc Roy Soc Med 62: 989-997, 1969.
20) List, T., Helkimo, M., et al: Pressure pain thresholds in patients with craniomandibular disorders before and after treatment with acupuncture and occlusal splint therapy: A controlled clinical study. J Orofacial Pain 7: 275-282, 1993.
25) Seymour, R., Charlton, J. E., et al: Phillips M. E.: An evaluation of dental pain using visual analogue scales and the McGill pain questionnaire. J Oral Maxillofac Surg 41: 643-648, 1983.
References_xml – reference: 12) Revill, S. I., Robinson. J. O., et al: The reliability of a linear analogue for evaluating pain. Anaesthesia 31: 1191-1198, 1976.
– reference: 15) 杉崎正志, 伊介昭弘, 他: 顎関節症における加圧疼痛閾値の臨床評価 第3報: 女性有痛者のカットオフ値の検討. 日顎誌 6: 62-69, 1994.
– reference: 2) List, T., Helkimo, M., et al: Reliability and validity of a pressure threshold meter in recording tenderness in the masseter muscle and the anterior temporalis muscle. J Craniomand Pract 7: 223-229, 1989.
– reference: 4) Ohrbach, R. and Gale, E. N.: Pressure pain thresholds in normal muscles: reliability, measurement effects, and topographic differences, Pain 37: 257-263, 1989.
– reference: 3) Reeves, J. L., Jaegar, P., et al: Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity, Pain 24: 313-321, 1986.
– reference: 19) Atwood, M. I., Dixon, D. C., et al: Comparison of two scales in the assessment of muscles and joint palation tenderness in chronic temporomandibular disorders. J Orofacial Pain 7: 403-407, 1993.
– reference: 20) List, T., Helkimo, M., et al: Pressure pain thresholds in patients with craniomandibular disorders before and after treatment with acupuncture and occlusal splint therapy: A controlled clinical study. J Orofacial Pain 7: 275-282, 1993.
– reference: 18) Jaeger, B. and Reeves, J. L.: Quantification of changes in myofacial trigger point sensitivity with the pressure algometer following passive stretch. Pain 27: 203-210, 1986.
– reference: 8) Kremer, E, Atkinson, H. J., et al: Measurement of pain: Patient preference does not confound pain measurement. Pain 10: 241-248, 1981.
– reference: 13) 杉崎正志, 伊介昭弘, 他: 顎関節症における加圧疼痛閾値の臨床評価 第1報: 加圧疼痛計の試作と自覚的症状者における評価. 日顎誌 5: 37-47, 1993.
– reference: 24) Aitken, R. C. B.: Measurement of feeling using visual analogue scales. Proc Roy Soc Med 62: 989-997, 1969.
– reference: 23) Resche, L. LE., Burgess, J., et al: Reliability of visual analog and verbal descriptor scales for “Objective” measurement of temporomandibular disorder pain. J Dent Res 67: 33-36, 1988.
– reference: 9) Duncan, G. H., Gregg, J. M., et al: The pain profile: A computerized system for assessment of chronic pain. Pain 5: 275-284, 1978.
– reference: 14) 杉崎正志, 伊介昭弘, 他: 顎関節症における加圧疼痛閾値の臨床評価 第2報: 女性における個人の加圧疼痛感受性について. 日顎誌 5: 374-380, 1993.
– reference: 6) Langemark, M., Jensen, K., et al: Pressure pain thresholds and thermal nociceptive threshold in chronic tension-type headache. Pain 38: 203-210, 1989.
– reference: 10) Huskisson, E. C.: Measurement of pain. Lancet 7889: 1127-1131, 1974.
– reference: 5) Ohrbach, R. and Gale, E. N.: Pressure pain thresholds, clinical assessment, and differential diagnosis: Reliability and validity in patients with myogenic pain. Pain 39: 157-169, 1989.
– reference: 25) Seymour, R., Charlton, J. E., et al: Phillips M. E.: An evaluation of dental pain using visual analogue scales and the McGill pain questionnaire. J Oral Maxillofac Surg 41: 643-648, 1983.
– reference: 27) Kleinkneckt, R. A. and Alexander, L. D.: Correspondence between subjective report of temporomandibular disorder syrnptorns and clinical findings. J Am Dent Assoc 113: 257-261, 1986.
– reference: 17) Keele, K. D.: Pain-sensitivity tests with the pressure algometer. Lancet 266: 636-639, 1954.
– reference: 22) Seymour, R., Simpson, J. M., et al: An evaluation of length and end-phrase of visual analogue scales in dental pain. Pain 21: 177-185, 1985.
– reference: 26) Fisher, A. A.: Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain 30: 115-126, 1987.
– reference: 7) Ohnhaus, E. E., and Adler, R.: Methodological problems in the measurement of pain: A comparison between the verbal rating scale and the visual analogue scale. Pain 1: 379-384, 1975.
– reference: 1) Jensen, K., Andersen, H. O., et al: Pressure-pain threshold in human temporal region. Evaluation of a new pressure algometer. Pain 25: 313-323, 1986.
– reference: 11) Joyce, C. R. B., Zutshi, D. W., et al: Comparison of fixed interval and visual analogue scales for rating chronic pain. Eur J Clin Pharmacol 8: 415-420, 1975.
– reference: 21) Joice, C. R. B., Zutshi, D. W., et al: Compariosin of fixed interval and visual analogue scales in dental pain. Pain 21: 177-185, 1985.
– reference: 16) Libman, E: Observations on individual sensitiveness to pain. J Am Med Assoc 102: 335-341, 1934.
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Snippet To evaluate the nature of pain at pressure pain threshold (PPT), we measured the intensity of the pain on the visual analog scale (VAS) at pressure pain...
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SubjectTerms algometer
pressure pain threshold
VAS
Subtitle Evaluation in non-symptomatic subjects
Title Visual analog scale evaluation at pressure pain reception in maxillofacial region
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