Mechanical detection and pain thresholds: comparability of devices using stepped and ramped stimuli
Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Obj...
Ausführliche Beschreibung
Autor*in: |
Doreen B. Pfau [verfasserIn] Omer Haroun [verfasserIn] Diana N. Lockwood [verfasserIn] Christoph Maier [verfasserIn] Marc Schmitter [verfasserIn] Jan Vollert [verfasserIn] Andrew S.C. Rice [verfasserIn] Rolf-Detlef Treede [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2020 |
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Übergeordnetes Werk: |
In: PAIN Reports - Wolters Kluwer, 2017, 5(2020), 6, p e865 |
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Übergeordnetes Werk: |
volume:5 ; year:2020 ; number:6, p e865 |
Links: |
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DOI / URN: |
10.1097/PR9.0000000000000865 |
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Katalog-ID: |
DOAJ061094528 |
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520 | |a Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. | ||
653 | 0 | |a Anesthesiology | |
700 | 0 | |a Omer Haroun |e verfasserin |4 aut | |
700 | 0 | |a Diana N. Lockwood |e verfasserin |4 aut | |
700 | 0 | |a Christoph Maier |e verfasserin |4 aut | |
700 | 0 | |a Marc Schmitter |e verfasserin |4 aut | |
700 | 0 | |a Jan Vollert |e verfasserin |4 aut | |
700 | 0 | |a Andrew S.C. Rice |e verfasserin |4 aut | |
700 | 0 | |a Rolf-Detlef Treede |e verfasserin |4 aut | |
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10.1097/PR9.0000000000000865 doi (DE-627)DOAJ061094528 (DE-599)DOAJdf57ba2a23444999a47b130f8c1499d0 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Doreen B. Pfau verfasserin aut Mechanical detection and pain thresholds: comparability of devices using stepped and ramped stimuli 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. Anesthesiology Omer Haroun verfasserin aut Diana N. Lockwood verfasserin aut Christoph Maier verfasserin aut Marc Schmitter verfasserin aut Jan Vollert verfasserin aut Andrew S.C. Rice verfasserin aut Rolf-Detlef Treede verfasserin aut In PAIN Reports Wolters Kluwer, 2017 5(2020), 6, p e865 (DE-627)891074198 (DE-600)2898347-6 24712531 nnns volume:5 year:2020 number:6, p e865 https://doi.org/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/article/df57ba2a23444999a47b130f8c1499d0 kostenfrei http://journals.lww.com/progprevmed/fulltext/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/toc/2471-2531 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2020 6, p e865 |
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10.1097/PR9.0000000000000865 doi (DE-627)DOAJ061094528 (DE-599)DOAJdf57ba2a23444999a47b130f8c1499d0 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Doreen B. Pfau verfasserin aut Mechanical detection and pain thresholds: comparability of devices using stepped and ramped stimuli 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. Anesthesiology Omer Haroun verfasserin aut Diana N. Lockwood verfasserin aut Christoph Maier verfasserin aut Marc Schmitter verfasserin aut Jan Vollert verfasserin aut Andrew S.C. Rice verfasserin aut Rolf-Detlef Treede verfasserin aut In PAIN Reports Wolters Kluwer, 2017 5(2020), 6, p e865 (DE-627)891074198 (DE-600)2898347-6 24712531 nnns volume:5 year:2020 number:6, p e865 https://doi.org/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/article/df57ba2a23444999a47b130f8c1499d0 kostenfrei http://journals.lww.com/progprevmed/fulltext/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/toc/2471-2531 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2020 6, p e865 |
allfields_unstemmed |
10.1097/PR9.0000000000000865 doi (DE-627)DOAJ061094528 (DE-599)DOAJdf57ba2a23444999a47b130f8c1499d0 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Doreen B. Pfau verfasserin aut Mechanical detection and pain thresholds: comparability of devices using stepped and ramped stimuli 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. Anesthesiology Omer Haroun verfasserin aut Diana N. Lockwood verfasserin aut Christoph Maier verfasserin aut Marc Schmitter verfasserin aut Jan Vollert verfasserin aut Andrew S.C. Rice verfasserin aut Rolf-Detlef Treede verfasserin aut In PAIN Reports Wolters Kluwer, 2017 5(2020), 6, p e865 (DE-627)891074198 (DE-600)2898347-6 24712531 nnns volume:5 year:2020 number:6, p e865 https://doi.org/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/article/df57ba2a23444999a47b130f8c1499d0 kostenfrei http://journals.lww.com/progprevmed/fulltext/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/toc/2471-2531 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2020 6, p e865 |
allfieldsGer |
10.1097/PR9.0000000000000865 doi (DE-627)DOAJ061094528 (DE-599)DOAJdf57ba2a23444999a47b130f8c1499d0 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Doreen B. Pfau verfasserin aut Mechanical detection and pain thresholds: comparability of devices using stepped and ramped stimuli 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. Anesthesiology Omer Haroun verfasserin aut Diana N. Lockwood verfasserin aut Christoph Maier verfasserin aut Marc Schmitter verfasserin aut Jan Vollert verfasserin aut Andrew S.C. Rice verfasserin aut Rolf-Detlef Treede verfasserin aut In PAIN Reports Wolters Kluwer, 2017 5(2020), 6, p e865 (DE-627)891074198 (DE-600)2898347-6 24712531 nnns volume:5 year:2020 number:6, p e865 https://doi.org/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/article/df57ba2a23444999a47b130f8c1499d0 kostenfrei http://journals.lww.com/progprevmed/fulltext/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/toc/2471-2531 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2020 6, p e865 |
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10.1097/PR9.0000000000000865 doi (DE-627)DOAJ061094528 (DE-599)DOAJdf57ba2a23444999a47b130f8c1499d0 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Doreen B. Pfau verfasserin aut Mechanical detection and pain thresholds: comparability of devices using stepped and ramped stimuli 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. Anesthesiology Omer Haroun verfasserin aut Diana N. Lockwood verfasserin aut Christoph Maier verfasserin aut Marc Schmitter verfasserin aut Jan Vollert verfasserin aut Andrew S.C. Rice verfasserin aut Rolf-Detlef Treede verfasserin aut In PAIN Reports Wolters Kluwer, 2017 5(2020), 6, p e865 (DE-627)891074198 (DE-600)2898347-6 24712531 nnns volume:5 year:2020 number:6, p e865 https://doi.org/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/article/df57ba2a23444999a47b130f8c1499d0 kostenfrei http://journals.lww.com/progprevmed/fulltext/10.1097/PR9.0000000000000865 kostenfrei https://doaj.org/toc/2471-2531 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2020 6, p e865 |
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Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. |
abstractGer |
Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. |
abstract_unstemmed |
Introduction:. Quantitative sensory testing is used to assess somatosensory function in humans. The protocol of the German Research Network on Neuropathic Pain (DFNS) provides comprehensive normative values using defined tools; however, some of these may not be feasible in low-resource settings. Objectives:. To compare the standard DFNS devices for assessment of mechanosensory function to a low resource tool, the Sorri-Bauru-monofilaments. Methods:. Mechanical detection thresholds (MDT), pain thresholds (MPT), and suprathreshold pinprick ratings (pain sensitivity: MPS) were measured over cheek, hand dorsum, and fingertip in 13 healthy subjects (7 female, aged 21–44 years). Mechanical detection threshold was assessed with DFNS standard glass monofilaments (0.25–512 mN, 0.5 mm tip) and nylon monofilaments (Sorri-Bauru; 0.5–3000 mN). MPT was assessed with DFNS standard cylindrical probes (8–512 mN, 0.25 mm tip), Sorri-Bauru monofilaments, and with ramped stimuli using an electronic von Frey aesthesiometer (10 mN/s or 100 mN/s, 0.20 mm tip). MPS was measured in response to stepped and ramped pinpricks (128 and 256 mN). Results:. Mechanical detection thresholds were the same for DFNS and Sorri-Bauru monofilaments. For MPT, Sorri-Bauru filaments yielded lower values than PinPricks over face but not hand. Pain thresholds were higher at all test sites for ramped than stepped pinpricks (P < 0.01). Suprathreshold ratings were lower for ramped than stepped pinpricks (P < 0.05). Conclusion:. Sorri-Bauru filaments are acceptable substitutes for DFNS standards in estimating tactile sensitivity, but are not consistent with standard probes for pinprick sensitivity because of their nonstandardized tips. Ramped stimuli overestimated MPT and underestimated MPS due to reaction time artefacts and therefore need their own normative values. |
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6, p e865 |
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Mechanical detection and pain thresholds: comparability of devices using stepped and ramped stimuli |
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https://doi.org/10.1097/PR9.0000000000000865 https://doaj.org/article/df57ba2a23444999a47b130f8c1499d0 http://journals.lww.com/progprevmed/fulltext/10.1097/PR9.0000000000000865 https://doaj.org/toc/2471-2531 |
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Omer Haroun Diana N. Lockwood Christoph Maier Marc Schmitter Jan Vollert Andrew S.C. Rice Rolf-Detlef Treede |
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