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http://dx.doi.org/10.14476/jomp.2022.47.4.189

Visual Effect on Mechanical Pain Threshold According to Anatomical Regions  

Kun-Hwa Kang (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
Ji-Rak Kim (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
Jin-Seok Byun (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
Jae-Kwang Jung (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
Publication Information
Journal of Oral Medicine and Pain / v.47, no.4, 2022 , pp. 189-197 More about this Journal
Abstract
Purpose: Pain perception is affected by a wide range of contributing factors, including biological, psychological, and social factors. Although the provision of visual information could have a modulatory effect on pain perception, it is unclear whether such a visual effect might vary depending on the anatomical site and stimulation type. This study aimed to analyze the modulatory effect of visual information on the perception of sharp and dull pain in the face and hand and to assess the influence of individual fear levels on modulatory visual information. Methods: A total of 68 healthy male and female volunteers were recruited for this study. Pressure and pricking pain with and without visual information were induced on the masseter and thenar muscles, and alterations in pain threshold were evaluated. The survey was conducted using the Geop-Pain Questionnaire (GPQ). Results: The pricking pain threshold of the hand was significantly elevated when viewing the stimulated hand. This result indicated that the provision of visual information could decrease sensitivity to sharp pain in the hand. However, when correlating the GPQ score with the alteration in thresholds induced by visual information, no significant correlation was observed between the GPQ score and the threshold difference induced by visual information. This finding showed that the visual effect was not significantly affected by the fear level. Conclusions: This study showed that the effect of visual information on the pain threshold could vary according to the anatomical site and stimulation type. A better understanding of such a modulatory effect on pain perception might be useful for clinicians during painful therapeutic procedures.
Keywords
Anticipation; Fear; Nociception; Pain perception; Visual Perception;
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1 Chapon A, Perchet C, Garcia-Larrea L, Frot M. Hyperalgesia when observing pain-related images is a genuine bias in perception and enhances autonomic responses. Sci Rep 2019;9:15266.
2 Martini M, Perez-Marcos D, Sanchez-Vives MV. What color is my arm? Changes in skin color of an embodied virtual arm modulates pain threshold. Front Hum Neurosci 2013;7:438.
3 Koyama T, McHaffie JG, Laurienti PJ, Coghill RC. The subjective experience of pain: where expectations become reality. Proc Natl Acad Sci U S A 2005;102:12950-12955.   DOI
4 Brown CA, Seymour B, Boyle Y, El-Deredy W, Jones AKP. Modulation of pain ratings by expectation and uncertainty: behavioral characteristics and anticipatory neural correlates. Pain 2008;135:240-250.   DOI
5 Ekman P, Friesen WV, Ellsworth P, Goldstein AP, Krasner L. Emotion in the human face: guidelines for research and an integration of findings. Burlington: Elsevier Science; 2013.
6 Schmidt K, Forkmann K, Elsenbruch S, Bingel U. Enhanced pain-related conditioning for face compared to hand pain. PLoS One 2020;15:e0234160.
7 Gerrits MMJG, Vogelzangs N, van Oppen P, van Marwijk HWJ, van der Horst H, Penninx BWJH. Impact of pain on the course of depressive and anxiety disorders. Pain 2012;153:429-436.   DOI
8 Renton T. Introduction to pain. Prim Dent J 2019;7:17-21.   DOI
9 Chow JC, Cioffi I. Effects of trait anxiety, somatosensory amplification, and facial pain on self-reported oral behaviors. Clin Oral Investig 2019;23:1653-1661.
10 Cioffi I, Michelotti A, Perrotta S, Chiodini P, Ohrbach R. Effect of somatosensory amplification and trait anxiety on experimentally induced orthodontic pain. Eur J Oral Sci 2016;124:127-134.   DOI
11 Kosek E, Ekholm J, Hansson P. Pressure pain thresholds in different tissues in one body region. The influence of skin sensitivity in pressure algometry. Scand J Rehabil Med 1999;31:89-93.   DOI
12 Svensson P, Baad-Hansen L, Pigg M, et al. Guidelines and recommendations for assessment of somatosensory function in oro-facial pain conditions--a taskforce report. J Oral Rehabil 2011;38:366-394.
13 Komiyama O, De Laat A. Tactile and pain thresholds in the intra- and extra-oral regions of symptom-free subjects. Pain 2005;115:308-315.   DOI
14 Svensson P, Arendt-Nielsen L, Nielsen H, Larsen JK. Effect of chronic and experimental jaw muscle pain on pain-pressure thresholds and stimulus-response curves. J Orofac Pain 1995;9:347-356.
15 Suzuki K, Baad-Hansen L, Pigg M, Svensson P. Assessment of mechanical pain thresholds in the orofacial region: a comparison between pinprick stimulators and electronic von Frey device. J Oral Facial Pain Headache 2016;30:338-345.
16 Lindgren I, Ekstrand E, Brogardh C. Measurement variability of quantitative sensory testing in persons with post-stroke shoulder pain. J Rehabil Med 2016;48:435-441.   DOI
17 Cho SH, Ko SH, Lee MS, et al. Development of the Geop-Pain questionnaire for multidisciplinary assessment of pain sensitivity. Korean J Anesthesiol 2016;69:492-505.   DOI
18 Osumi M, Imai R, Ueta K, Nakano H, Nobusako S, Morioka S. Factors associated with the modulation of pain by visual distortion of body size. Front Hum Neurosci 2014;8:137.
19 Vitor A, Ponte E, Soares P, et al. The psychophysiology of pain: a literature review. Electron J Commun Inf Innov Health 2008;2:85-94.
20 Traxler J, Madden VJ, Moseley GL, Vlaeyen JWS. Modulating pain thresholds through classical conditioning. PeerJ 2019;7:e6486.
21 Beaton L, Freeman R, Humphris G. Why are people afraid of the dentist? Observations and explanations. Med Princ Pract 2014;23:295-301.   DOI
22 Kumar A. Dental fear and anxiety (DFA): an overview. Authorea 2022;2:1-7.
23 Hill KB, Chadwick B, Freeman R, O'Sullivan I, Murray JJ. Adult Dental Health Survey 2009: relationships between dental attendance patterns, oral health behaviour and the current barriers to dental care. Br Dent J 2013;214:25-32.   DOI
24 Lindsay SJ, Humphris G, Barnby GJ. Expectations and preferences for routine dentistry in anxious adult patients. Br Dent J 1987;163:120-124.   DOI
25 Mellor AC. Dental anxiety and attendance in the north-west of England. J Dent 1992;20:207-210.   DOI
26 Todd JE. Adult dental health 1988, United Kingdom: a survey conducted by the Social Survey Division of OPCS in collaboration with the Community Dental Health Unit, University of Birmingham Dental School and the Department of Child Dental Health, University of Newcastle-upon-Tyne Dental School on behalf of the United Kingdom Health Departments. London: H.M.S.O.; 1991.
27 Ju OJ, Park CS. The influence of pain experience upon dental fear. J Korean Soc Dent Hyg 2013;13:987-993.   DOI
28 Weisenberg M, Wolf Y, Mittwoch T, Mikulincer M, Aviram O. Subject versus experimenter control in the reaction to pain. Pain 1985;23:187-200.   DOI
29 Wittkopf PG, Lloyd DM, Johnson MI. The effect of visual feedback of body parts on pain perception: a systematic review of clinical and experimental studies. Eur J Pain 2018;22:647-662.   DOI
30 Porro CA, Baraldi P, Pagnoni G, et al. Does anticipation of pain affect cortical nociceptive systems? J Neurosci 2002;22:3206-3214.   DOI
31 Carlsson K, Andersson J, Petrovic P, Petersson KM, Ohman A, Ingvar M. Predictability modulates the affective and sensory-discriminative neural processing of pain. Neuroimage 2006;32:1804-1814.   DOI
32 Keltner JR, Furst A, Fan C, Redfern R, Inglis B, Fields HL. Isolating the modulatory effect of expectation on pain transmission: a functional magnetic resonance imaging study. J Neurosci 2006;26:4437-4443.
33 Roy M, Piche M, Chen JI, Peretz I, Rainville P. Cerebral and spinal modulation of pain by emotions. Proc Natl Acad Sci U S A 2009;106:20900-20905.   DOI
34 Henderson LA, Gandevia SC, Macefield VG. Gender differences in brain activity evoked by muscle and cutaneous pain: a retrospective study of single-trial fMRI data. Neuroimage 2008;39:1867-1876.   DOI
35 Procacci P, Zoppi M, Maresca M. Experimental pain in man. Pain 1979;6:123-140.   DOI
36 Price DD. Psychological and neural mechanisms of the affective dimension of pain. Science 2000;288:1769-1772.   DOI
37 Uematsu H, Shibata M, Miyauchi S, Mashimo T. Brain imaging of mechanically induced muscle versus cutaneous pain. Neurosci Res 2011;70:78-84.
38 Ruau D, Liu LY, Clark JD, Angst MS, Butte AJ. Sex differences in reported pain across 11,000 patients captured in electronic medical records. J Pain 2012;13:228-234.   DOI
39 Etherton J, Lawson M, Graham R. Individual and gender differences in subjective and objective indices of pain: gender, fear of pain, pain catastrophizing and cardiovascular reactivity. Appl Psychophysiol Biofeedback 2014;39:89-97.   DOI
40 Gray K, Wegner DM. The sting of intentional pain. Psychol Sci 2008;19:1260-1262.
41 Fenton BW, Shih E, Zolton J. The neurobiology of pain perception in normal and persistent pain. Pain Manag 2015;5:297-317.   DOI
42 Wiech K, Ploner M, Tracey I. Neurocognitive aspects of pain perception. Trends Cogn Sci 2008;12:306-313.   DOI
43 Inui K, Tsuji T, Kakigi R. Temporal analysis of cortical mechanisms for pain relief by tactile stimuli in humans. Cereb Cortex 2006;16:355-365.   DOI
44 Lopez C. Making sense of the body: the role of vestibular signals. Multisens Res 2015;28:525-557.   DOI
45 Mancini F, Longo MR, Canzoneri E, Vallar G, Haggard P. Changes in cortical oscillations linked to multisensory modulation of nociception. Eur J Neurosci 2013;37:768-776.   DOI
46 Beck B, Ladavas E, Haggard P. Viewing the body modulates both pain sensations and pain responses. Exp Brain Res 2016;234:1795-1805.   DOI
47 Hofle M, Hauck M, Engel AK, Senkowski D. Viewing a needle pricking a hand that you perceive as yours enhances unpleasantness of pain. Pain 2012;153:1074-1081.   DOI
48 Longo MR, Betti V, Aglioti SM, Haggard P. Visually induced analgesia: seeing the body reduces pain. J Neurosci 2009;29:12125-12130.   DOI
49 Miron D, Duncan GH, Bushnell CM. Effects of attention on the intensity and unpleasantness of thermal pain. Pain 1989;39:345-352.   DOI
50 Cordier L, Ullrich EM, Herpertz S, Zieglgansberger W, Trojan J, Diers M. Differential effects of visually induced analgesia and attention depending on the pain stimulation site. Eur J Pain 2021;25:375-384.