• Title/Summary/Keyword: sensory threshold

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Correlation Analysis Between Scores of Adolescent/Adult Sensory Profile and Tactile Threshold From Tactile Detection Task (촉각탐지과제를 통한 촉각역치 값과 Adolescent/Adult Sensory Profile 점수의 상관관계 분석)

  • Ju, Yu-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.10 no.2
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    • pp.1-9
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    • 2012
  • Purpose : Adolescent/Adult Sensory Profile is the questionnaire to evaluate sensory processing based on daily activities. Self-questionnaire commonly tends to be biased to the characteristics of subject, so its validity is low. This study aims to analyze correlation between questions of Adolescent/Adult Sensory Profile and tactile threshold measured from cognitive behavioral experiment. Methods : The tactile threshold was calculated by tactile detection task and tactile stimuli were provided with the consistent current stimulator. The tactile threshold was compared with results of tactile processing items in Adolescent/Adult Sensory Profile and statistical correlation analysis was performed. Results : Scores in Low Registration and Sensation Seeking had positive correlation with the tactile threshold and scores in Sensory Sensitivity and Sensation Avoiding had negative correlation with the tactile threshold. Among them, only Low Registration was statistically significant. Conclusion : The questions in Low Registration(Tactile Processing)are highly correlated with physiological characteristics. As a result, it was shown that sensory inflow is less, if the tactile threshold is high.

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Comparison of Cleansing Regimes for Efficacy and Comfort of Iontophoretic Transdermal Lidocaine Delivery (세정방법에 따른 국소마취제 이온도입의 효율과 편안감 비교)

  • Jeong, Myung-A;Song, In-Yong;Lee, Jae-Hyoung
    • The Journal of Korean Physical Therapy
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    • v.18 no.4
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    • pp.41-50
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    • 2006
  • Purpose: The purpose of this study was to determined that the efficacy and comfort of iontophoretic transdermal delivery of lidocaine by comparison of local anesthetic duration, sensory threshold, pain threshold and pain tolerance levels according to four different cleansing regimes. Methods: Forty healthy volunteers were randomly assigned to four groups; oil cleansing group, lotion cleansing group, solution cleansing group and alcohol cleansing group. All subjects were received lidocaine iontophoresis on the forearm using direct current with 4 mA for 10 minutes. All subjects were measured the duration of local anesthesia after lidocaine iontophoresis, also evaluated the sensory threshold, pain threshold and pain tolerance level during iontophoresis. For comparisons of the efficacy and the sensory characteristics of iontophoresis within the groups, an one-way ANOVA was used. Results: The duration of local anesthesia were found significant difference between groups (p<0.001). The anesthetic duration in solution and alcohol cleansing groups were significantly longer than oil and lotion cleansing group by post hoc (p<0.05). Statistically significant difference were noted in respect to all sensory characteristics such as sensory threshold, pain threshold and pain tolerance between groups (p<0.001). The sensory threshold in solution and alcohol cleansing group were significantly lower than oil and lotion cleansing group by post hoc using Duncan multiple range test (p<0.05). The pain threshold and pain tolerance in solution and alcohol cleansing group were significantly higher than oil and lotion cleansing group by post hoc (p<0.05). Conclusion: These results demonstrated that cleansing regimes have affected the efficacy and discomfort of iontophoretic transdermal delivery of lidocaine. These findings indicate that cleansing agents without oil ingredient contributed to more comfort, and more successful achievement of the iontophoretic transdermal delivery.

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Effect of Neuro-Feedback Training and Transcutaneous Electrical Nerve Stimulation (TENS) in Stress, Quantitative Sensory Threshold, Pain on Tension Type Headache

  • Lee, Young-Sin;Lee, Dong-Jin;Han, Sang-Wan;Kim, Kyeong-Tae
    • The Journal of Korean Physical Therapy
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    • v.26 no.6
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    • pp.442-448
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    • 2014
  • Purpose: The objective of this study is to evaluate the effect of neuro-feedback training and transcutaneous electrical nerve stimulation (TENS) on stress, quantitative sensory threshold and pain in patients suffering from tension type headache. Methods: 22 participants who passed the preliminary evaluation were enrolled in the study and 11 participants were randomly assigned to each group. The control group (n=11) was subject to the TENS treatment of which was composed of a 20-minute session for 5 times a week during 4 weeks, and the experimental group (n=11) was subject to both neuro feedback training and TENS treatment for 10 minutes a day and 5 days a week during 4 weeks. The Perceived Stress Scale (PSS) was used to measure a level of stress and the quantitative sensory testing (QST) was used for the measurement of cold pain threshold (CPT) and heat pain threshold (HPT); A degree of pain was evaluated through the headache impact test-6 (HIT-6). Results: In comparision of all dependent variables between the control and subject groups, there were significant differences in stress, quantitative sensory threshold and pain after the treatment (p<0.05), and the experimental group showed significant differences in stress, CPT, HPT and pain (p<0.05) and the control group showed only a significant difference in HPT (p<0.05). Conclusion: Findings of this study demonstrate that the concomitant administration of the TENS treatment and neuro feedback training is effective on alleviation of stress, quantitative sensory threshold and pain in patients with tension type headache.

A STUDY ON ORAL SENSORY FUNCTION IN THE IMPLANT-SUPPORTED PROSTHESES WEARERS (치과 임플랜트 보철 장착자의 구강 감각 기능에 관한 연구)

  • Jang, Kyoung-Soo;Kim, Yung-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.1
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    • pp.215-232
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    • 1991
  • In this study, oral sensory function in the osseointegrated root form implant-supported prostheses wearers was estimated by measuring occlusal tactile perception threshold of thickness and sensibility threshold against lateral static loading, and comparing with normal dentition subjects and complete denture wearers group. Osseointegrated root form implants seemed to be restored in the sensation to some extent, and so, dental implants restored edentulous patients in a wide meaning. Conclusions were summarized as following. 1. Occlusal tactile perception threshold of thickness was highest in complete denture wearers group, following by implant-supported prostheses wearers group, normal dentition subjects group. 2. In the implant-supported prostheses wearers group, occlusal tactile perception threshold of opposing artificial teeth case was higher than of opposing natural or opposing implantsupported teeth case. 3. Sensibility threshold against lateral loading of complete denture wearers and implantsupported prostheses wearers group was higher than that of normal dentition subject group. 4. In the implant-supported prostheses group, sensibility threshold against lateral loading was not significantly different between upper and lower jaws. 5. In occlusal tactile perception threshold of thickness and sensibility threshold against lateral loading test, there was no regularity among values of each tooth, and no significant difference between anterior and posterior teeth as well.

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Orofacial Thermal Quantitative Sensory Testing (QST): A Study of Healthy Korean Women and Sex Difference

  • Ahn, Sung-Woo;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.40 no.3
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    • pp.96-101
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    • 2015
  • Purpose: Thermal sensory test as an essential part of quantitative sensory testing (QST) has been recognized as a useful tool in the evaluation of the trigeminal nerve function. Normative data in the orofacial region have been reported but the data on differences in the test site, sex and ethnicity are still insufficient. Thus, this study aimed to investigate the normal range of orofacial thermal QST data in the healthy Korean women, and assess sex difference of thermal perception in the orofacial regions. Methods: Thermal QST was conducted on 20 healthy women participants (mean age, 26.4 years; range, 21 to 34 years). The thermal thresholds (cold detection threshold, CDT; warm detection threshold, WDT; cold pain threshold, CPT; and heat pain threshold, HPT) were measured bilaterally at the 5 trigeminal sites (the forehead, cheek, mentum, lower lip and tongue tip). The normative thermal thresholds of women in the orofacial region were evaluated using one-way ANOVA and compared with the previously reported data from age- and site-matched 30 healthy men (mean age, 26.1 years; range, 23 to 32 years) using two-way ANOVA. One experienced operator performed the tests of both sexes and all tests were done in the same condition except the time variability. Results: Women showed significant site differences for the CDT (p<0.001), WDT (p<0.001), and HPT (p=0.047) in the orofacial region. The CDT (p<0.001) and the CPT (p=0.007) presented significant sex difference unlike the WDT and the HPT. Conclusions: The thermal sensory evaluation in the orofacial region should be considered in the context of site and sex and the normative data in this study could be useful for assessment of the sensory abnormalities in the clinical setting.

Effects of Fixed-intensity and Varied-intensity Electroacupuncture in Pain and Sensory Threshold in Patients with Chronic Tension Headache (전침 자극 강도에 따른 만성 긴장성 두통 환자의 통증과 감각역치 변화 연구)

  • Kwon, You-Jung;Lee, Dong-Hua;Lee, Ung-In;Park, Kyung-Mo;Lee, Sang-Hoon
    • Journal of Acupuncture Research
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    • v.29 no.4
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    • pp.25-34
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    • 2012
  • Objectives : This study was conducted to investigate the effects of fixed-intensity and varied-intensity electroacupuncture in pain and sensory threshold concerning parameters visual analogue scale(VAS), brief pain inventory(BPI) and quantitative sensory testing(QST), among chronic tension headache patients. Methods : Thirty patients with chronic tension headache were randomly assigned to three groups and received different kinds of electroacupuncture at $ST_{36}$ and $ST_{37}$. Group A received fixed-intensity electroacupuncture(fixed-EA), group B received varied-intensity electroacupuncture (varied-EA), and group C received only acupuncture treatment without electrical stimulation as a control group. The intervention was given three times per week, and continued in two weeks. All the experiments were conducted blindly. Results : Fixed-EA group showed a significant decrease of VAS and BPI compared to the baseline measurement, while both varied-EA and control group did not. Of the parameters of QST, subtraction of heat pain threshold(HPT) and cold pain threshold(CPT) slightly increased in all groups, but this was not significant. Conclusions : These results suggest that fixed-EA reduce pain and improve quality of life in patients with chronic tension headache and that acupuncture may regulate patient's pain sensitivity through changing sensory threshold.

Sensory and motor axons are different: implications for neurological disease

  • Burke, David;Howells, James;Kiernan, Matthew C.
    • Annals of Clinical Neurophysiology
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    • v.19 no.1
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    • pp.3-12
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    • 2017
  • Using threshold tracking, differences have been established between large myelinated sensory and ${\alpha}$ motor axons in humans. Major differences are that sensory axons are relatively depolarised at rest such that they have a greater persistent $Na^+$ current, and have greater activity of hyperpolarisation-activated cyclic nucleotide-gated (HCN) channels. Sensory axons may thereby be protected from hyperpolarising stresses, and are less likely to develop conduction block. However, the corollary is that sensory axons are more excitable and more likely to become ectopically active.

Normal data on axonal excitability in Koreans

  • Lee, Ju Young;Yu, Jin Hyeok;Pyun, So Young;Ryu, Sanghyo;Bae, Jong Seok
    • Annals of Clinical Neurophysiology
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    • v.19 no.1
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    • pp.34-39
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    • 2017
  • Background: Automated nerve excitability testing is used to assess various peripheral neuropathies and motor neuron diseases. Comparing these excitability parameters with normal data provides information regarding the axonal excitability properties and ion biophysics in diseased axons. This study measured and compared normal values of axonal excitability parameters in both the distal motor and sensory axons of normal Koreans. Methods: The axonal excitability properties of 50 distal median motor axons and 30 distal median sensory axons were measured. An automated nerve excitability test was performed using the QTRACW threshold-tracking software (Institute of Neurology, University College London, London, UK) with the TRONDF multiple excitability recording protocol. Each parameter of stimulus-response curves, threshold electrotonus, current-voltage relationship, and recovery cycle was measured and calculated. Results: Our Korean normal data on axonal excitability showed ranges of values and characteristics similar to previous reports from other countries. We also reaffirmed that there exist characteristic differences in excitability properties between motor and sensory axons: compared to motor axons, sensory axons showed an increased strength-duration time constant, more prominent changes in threshold to hyperpolarizing threshold electrotonus (TE) and less prominent changes in threshold to depolarizing TE, and more prominent refractoriness and less prominent subexcitability and superexcitability. Conclusions: We report normal data on axonal excitability in Koreans. These data can be used to compare various pathological conditions in peripheral nerve axons such as peripheral neuropathies and motor neuron disease.

A Pilot Study for Thermal Threshold Test of Trigeminal Nerve Injuries (삼차신경손상의 온도역치검사에 대한 예비연구)

  • Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.37 no.4
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    • pp.243-250
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    • 2012
  • Trigeminal nerve injuries due to invasive dental procedures such as implant surgery and extraction is one of the most serious issues in dentistry and may provoke medico-legal problems. Thus, for objective and reliable assessment of nerve injury, a need of QST (quantitative sensory testing) is emphasized and thermal threshold test is an essential part of QST, reported to have acceptable reliability in the orofacial region. This pilot study aimed to evaluate thermal thresholds for limited cases of trigeminal nerve injures. The study investigated 18 clinical cases with trigeminal nerve injuries who visited Department of Oral Medicine, Dankook Univeristy Dental Hospital during the period from May 2011 to Oct 2012. Thermal thresholds was measured by Thermal Sensory Analyzer, TSA-II (Medoc, Israel). Their CDT(cold detection threshold) was significantly decreased in the affected sides compared to the unaffected sides. Other parameters such as WDT(warm detection threshold), CPT(cold pain threshold) and HPT(heat pain threshold) did not show statistical difference between the affected and unaffected sides. Further researches are required to compare thermal thresholds relative to types of nerve deficits such as thermal hyper- or hypoesthesia and hyper- or hypoalgesia for larger sample.

The Difference of Subjective Sense Recognition According to the Characteristics of Sensory Processing (처리특성에 따른 주관적 감각인식의 차이)

  • Park, Mi-Hee;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.5 no.1
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    • pp.21-30
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    • 2007
  • Objective: This study was to provide a standard for the evaluation of The Korean version of Adolescent/Adult Sensory Profile(K-ASP) for University students and to investigate the difference of the subjective sense recognition regarding the characteristics of sensory processing. Method: The subjects consisted of 84 University students. A researcher examined subjective sense recognition and K-ASP for subjects. Visual Analog Scale used to evaluate subjective sense recognition and K-ASP was utilized to evaluate the characteristics of sensory processing. Results: 1. The average scores and standard deviation of K-ASP were $32.93{\pm}7.88$ for low registration group, $39.39{\pm}6.55$ for sensory seeking group, $38.94{\pm}9.13$ for sensory sensitivity group, and $34.24{\pm}7.85$ for sensory avoiding group. 2. The correlation between the total score on an each quadrant and the subjective sense recognition are -.27 for low registration group, .11 for sensory seeking group, .09 for sensory sensitivity group and .12 for sensory avoiding group. It showed the statistically significant correlation between the total score of low registration and the subjective sense recognition group(p<.05). 3. The average scores and standard deviation of the subjective sense recognition were $5.22{\pm}1.56$ for high threshold and $7.28{\pm}1.70$ for low threshold. The subjective sense recognition according to the characteristics of sensory processing showed the statistically significant difference. Conclusions: This study supports the theory that there is the difference of sensory recognition according to each individual and we found that people with difficulties of sensory processing acknowledge their characteristics of sensory processing well. Evaluation of sensory processing ability through interview or questionnaire supports the fact which it is reliable.

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