Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals

Background The diagnosis of temporomandibular disorders (TMD) is based on patient history and physical examination, and may require medical imaging. Masticatory muscle palpation is essential to make a diagnosis of TMD. However, the response of masticatory muscles to mechanical pressure stimuli depen...

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Veröffentlicht in:Journal of oral rehabilitation 2021-01, Vol.48 (1), p.10-17
Hauptverfasser: Spano, Valerie E., Imbriglio, Tina V., Ho, Ka Chun (Jeremy), Chow, Jeffrey C. F., Cioffi, Iacopo
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container_end_page 17
container_issue 1
container_start_page 10
container_title Journal of oral rehabilitation
container_volume 48
creator Spano, Valerie E.
Imbriglio, Tina V.
Ho, Ka Chun (Jeremy)
Chow, Jeffrey C. F.
Cioffi, Iacopo
description Background The diagnosis of temporomandibular disorders (TMD) is based on patient history and physical examination, and may require medical imaging. Masticatory muscle palpation is essential to make a diagnosis of TMD. However, the response of masticatory muscles to mechanical pressure stimuli depends on many physical and psychological factors. Objective This study aimed at determining the impact of somatosensory amplification (SSA)—an estimate of somatic awareness and bodily hypervigilance—on pressure pain thresholds (PPTs) measured at both trigeminal and extra‐trigeminal locations in healthy individuals. Methods PPTs were measured at the right anterior temporalis and superficial masseter, and the thenar eminence of the right hand in one hundred healhty individuals (69F, 31M), divided in three groups based on their SSA scores: low (N = 32), intermediate (N = 34) and high (N = 34). General linear models were used to test between‐group differences in PPTs including sex as a covariate. The level of significance was set at P  .05). Conclusion Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals. SSA could be a potential confounder while diagnosing TMD and evaluating treatment outcomes.
doi_str_mv 10.1111/joor.13101
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F. ; Cioffi, Iacopo</creator><creatorcontrib>Spano, Valerie E. ; Imbriglio, Tina V. ; Ho, Ka Chun (Jeremy) ; Chow, Jeffrey C. F. ; Cioffi, Iacopo</creatorcontrib><description>Background The diagnosis of temporomandibular disorders (TMD) is based on patient history and physical examination, and may require medical imaging. Masticatory muscle palpation is essential to make a diagnosis of TMD. However, the response of masticatory muscles to mechanical pressure stimuli depends on many physical and psychological factors. Objective This study aimed at determining the impact of somatosensory amplification (SSA)—an estimate of somatic awareness and bodily hypervigilance—on pressure pain thresholds (PPTs) measured at both trigeminal and extra‐trigeminal locations in healthy individuals. Methods PPTs were measured at the right anterior temporalis and superficial masseter, and the thenar eminence of the right hand in one hundred healhty individuals (69F, 31M), divided in three groups based on their SSA scores: low (N = 32), intermediate (N = 34) and high (N = 34). General linear models were used to test between‐group differences in PPTs including sex as a covariate. The level of significance was set at P &lt; .05. Results Individuals with high SSA had lower PPTs at the anterior temporalis than individuals with low (P = .006) and intermediate (P = .001) SSA. No significant between‐group differences were found in PPTs measured at the masseter (P = .372). PPTs measured at the thenar eminence were significantly lower in the high than the low SSA group (P = .009). Females had lower PPTs at the masseter than males (P = .021) but not at other muscle locations (all P &gt; .05). Conclusion Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals. SSA could be a potential confounder while diagnosing TMD and evaluating treatment outcomes.</description><identifier>ISSN: 0305-182X</identifier><identifier>EISSN: 1365-2842</identifier><identifier>DOI: 10.1111/joor.13101</identifier><identifier>PMID: 32979854</identifier><language>eng</language><publisher>HOBOKEN: Wiley</publisher><subject>Dentistry ; Dentistry, Oral Surgery &amp; Medicine ; Diagnosis ; Female ; Humans ; Life Sciences &amp; Biomedicine ; Male ; masseter ; Masseter Muscle ; Mastication ; Masticatory Muscles ; Muscles ; Pain ; Pain Threshold ; Pressure ; quantitative sensory testing ; Science &amp; Technology ; somatosensory amplification ; Temporal Muscle ; temporalis ; Temporomandibular Joint Disorders</subject><ispartof>Journal of oral rehabilitation, 2021-01, Vol.48 (1), p.10-17</ispartof><rights>2020 John Wiley &amp; Sons Ltd</rights><rights>2020 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2021 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>13</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000575813800001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3571-6f1f65e35634e04ee579d492d4fa03dcbd7f8f5ada484c574bb67329341ddb813</citedby><cites>FETCH-LOGICAL-c3571-6f1f65e35634e04ee579d492d4fa03dcbd7f8f5ada484c574bb67329341ddb813</cites><orcidid>0000-0002-9708-6765</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjoor.13101$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjoor.13101$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,39263,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32979854$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spano, Valerie E.</creatorcontrib><creatorcontrib>Imbriglio, Tina V.</creatorcontrib><creatorcontrib>Ho, Ka Chun (Jeremy)</creatorcontrib><creatorcontrib>Chow, Jeffrey C. F.</creatorcontrib><creatorcontrib>Cioffi, Iacopo</creatorcontrib><title>Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals</title><title>Journal of oral rehabilitation</title><addtitle>J ORAL REHABIL</addtitle><addtitle>J Oral Rehabil</addtitle><description>Background The diagnosis of temporomandibular disorders (TMD) is based on patient history and physical examination, and may require medical imaging. Masticatory muscle palpation is essential to make a diagnosis of TMD. However, the response of masticatory muscles to mechanical pressure stimuli depends on many physical and psychological factors. Objective This study aimed at determining the impact of somatosensory amplification (SSA)—an estimate of somatic awareness and bodily hypervigilance—on pressure pain thresholds (PPTs) measured at both trigeminal and extra‐trigeminal locations in healthy individuals. Methods PPTs were measured at the right anterior temporalis and superficial masseter, and the thenar eminence of the right hand in one hundred healhty individuals (69F, 31M), divided in three groups based on their SSA scores: low (N = 32), intermediate (N = 34) and high (N = 34). General linear models were used to test between‐group differences in PPTs including sex as a covariate. The level of significance was set at P &lt; .05. Results Individuals with high SSA had lower PPTs at the anterior temporalis than individuals with low (P = .006) and intermediate (P = .001) SSA. No significant between‐group differences were found in PPTs measured at the masseter (P = .372). PPTs measured at the thenar eminence were significantly lower in the high than the low SSA group (P = .009). Females had lower PPTs at the masseter than males (P = .021) but not at other muscle locations (all P &gt; .05). Conclusion Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals. SSA could be a potential confounder while diagnosing TMD and evaluating treatment outcomes.</description><subject>Dentistry</subject><subject>Dentistry, Oral Surgery &amp; Medicine</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Male</subject><subject>masseter</subject><subject>Masseter Muscle</subject><subject>Mastication</subject><subject>Masticatory Muscles</subject><subject>Muscles</subject><subject>Pain</subject><subject>Pain Threshold</subject><subject>Pressure</subject><subject>quantitative sensory testing</subject><subject>Science &amp; Technology</subject><subject>somatosensory amplification</subject><subject>Temporal Muscle</subject><subject>temporalis</subject><subject>Temporomandibular Joint Disorders</subject><issn>0305-182X</issn><issn>1365-2842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkc-KFDEQxoMo7rh68QEk4EWUXpNO0skcl8E_KwsDouCtSSfVdobuTpukXefmI_gUPphPYmZ7dhEPYi5VCb-vUlUfQo8pOaP5vNx5H84oo4TeQSvKKlGUipd30YowIgqqyk8n6EGMO0KIYkLeRyesXMu1EnyFfl6MJoCOYHH0g04-whh92GM9TL1rndHJ-RG7iHWM3jidMnnlUoct3AinADHOAfCk3YhTl6-d722WJNz4jKbgPsPgRt1jPVoM31LQv77_-OO598tHEecKHeg-dfucWvfV2Vn38SG61-YAj47xFH18_erD5m1xuX1zsTm_LEwejBZVS9tKABMV40A4gJBry9el5a0mzJrGyla1QlvNFTdC8qapZF4G49TaRlF2ip4tdafgv8wQUz24aKDv9Qh-jnXJeVUpwiuS0ad_oTs_hzzMgZIlVURSmannC2WCjzFAW0_BDTrsa0rqg3v1wb362r0MPzmWnJsB7C16Y1cG1AJcQePbaByMBm6x7K-QIk-hckboxqXrnW78PKYsffH_0kzTI-162P-j5_rddvt-6f43_wnLdA</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Spano, Valerie E.</creator><creator>Imbriglio, Tina V.</creator><creator>Ho, Ka Chun (Jeremy)</creator><creator>Chow, Jeffrey C. F.</creator><creator>Cioffi, Iacopo</creator><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9708-6765</orcidid></search><sort><creationdate>202101</creationdate><title>Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals</title><author>Spano, Valerie E. ; Imbriglio, Tina V. ; Ho, Ka Chun (Jeremy) ; Chow, Jeffrey C. F. ; Cioffi, Iacopo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3571-6f1f65e35634e04ee579d492d4fa03dcbd7f8f5ada484c574bb67329341ddb813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Dentistry</topic><topic>Dentistry, Oral Surgery &amp; Medicine</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Life Sciences &amp; Biomedicine</topic><topic>Male</topic><topic>masseter</topic><topic>Masseter Muscle</topic><topic>Mastication</topic><topic>Masticatory Muscles</topic><topic>Muscles</topic><topic>Pain</topic><topic>Pain Threshold</topic><topic>Pressure</topic><topic>quantitative sensory testing</topic><topic>Science &amp; Technology</topic><topic>somatosensory amplification</topic><topic>Temporal Muscle</topic><topic>temporalis</topic><topic>Temporomandibular Joint Disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spano, Valerie E.</creatorcontrib><creatorcontrib>Imbriglio, Tina V.</creatorcontrib><creatorcontrib>Ho, Ka Chun (Jeremy)</creatorcontrib><creatorcontrib>Chow, Jeffrey C. F.</creatorcontrib><creatorcontrib>Cioffi, Iacopo</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spano, Valerie E.</au><au>Imbriglio, Tina V.</au><au>Ho, Ka Chun (Jeremy)</au><au>Chow, Jeffrey C. F.</au><au>Cioffi, Iacopo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals</atitle><jtitle>Journal of oral rehabilitation</jtitle><stitle>J ORAL REHABIL</stitle><addtitle>J Oral Rehabil</addtitle><date>2021-01</date><risdate>2021</risdate><volume>48</volume><issue>1</issue><spage>10</spage><epage>17</epage><pages>10-17</pages><issn>0305-182X</issn><eissn>1365-2842</eissn><abstract>Background The diagnosis of temporomandibular disorders (TMD) is based on patient history and physical examination, and may require medical imaging. Masticatory muscle palpation is essential to make a diagnosis of TMD. However, the response of masticatory muscles to mechanical pressure stimuli depends on many physical and psychological factors. Objective This study aimed at determining the impact of somatosensory amplification (SSA)—an estimate of somatic awareness and bodily hypervigilance—on pressure pain thresholds (PPTs) measured at both trigeminal and extra‐trigeminal locations in healthy individuals. Methods PPTs were measured at the right anterior temporalis and superficial masseter, and the thenar eminence of the right hand in one hundred healhty individuals (69F, 31M), divided in three groups based on their SSA scores: low (N = 32), intermediate (N = 34) and high (N = 34). General linear models were used to test between‐group differences in PPTs including sex as a covariate. The level of significance was set at P &lt; .05. Results Individuals with high SSA had lower PPTs at the anterior temporalis than individuals with low (P = .006) and intermediate (P = .001) SSA. No significant between‐group differences were found in PPTs measured at the masseter (P = .372). PPTs measured at the thenar eminence were significantly lower in the high than the low SSA group (P = .009). Females had lower PPTs at the masseter than males (P = .021) but not at other muscle locations (all P &gt; .05). Conclusion Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals. SSA could be a potential confounder while diagnosing TMD and evaluating treatment outcomes.</abstract><cop>HOBOKEN</cop><pub>Wiley</pub><pmid>32979854</pmid><doi>10.1111/joor.13101</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9708-6765</orcidid></addata></record>
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subjects Dentistry
Dentistry, Oral Surgery & Medicine
Diagnosis
Female
Humans
Life Sciences & Biomedicine
Male
masseter
Masseter Muscle
Mastication
Masticatory Muscles
Muscles
Pain
Pain Threshold
Pressure
quantitative sensory testing
Science & Technology
somatosensory amplification
Temporal Muscle
temporalis
Temporomandibular Joint Disorders
title Increased somatosensory amplification is associated with decreased pressure pain thresholds at both trigeminal and extra‐trigeminal locations in healthy individuals
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