Martalo O, Henry F, Piérard G E
Service de Dermatopathologie, CHU du Sart Tilman, B-4000 Liège, Belgique.
Ann Dermatol Venereol. 2001 Feb;128(2):119-22.
Cutaneous sensorial perception is complex and proves to be difficult to quantify. Skin sensitivity to mechanical distension is largely unexplored. We have developed an original method aimed at quantifiying these physiological parameters.
The study was performed on 24 adult volunteers aged 20 to 50 years. A Cutometer SEM 474 equipped with 2 and 4 mm diameter probes was used to exert a progressive or a steep suction on the cheeks. The intensities of both the suction and the skin deformation observed at the earliest moment the traction was perceived by the volunteers were recorded.
The liminar sensorial detection under progressive suction force was 1.5 times lower when using the 4 mm probe than the 2 mm probe. Suction necessary for liminar sensation was 7 times lower under steep suction than in response to the progressive mode. The skin deformation corresponding to the liminar sensorial perception was almost constant (C=0.5 p. 100) for each subject. By contrast, a large inter individual heterogeneity unrelated to age was present.
Sensitivity of facial skin to stretching can be explored using a precise suction method. Perception is more related to the rate of traction than to the surface area submitted to suction. Cutaneous deformation, nearly constant for each individual, appears to be the main parameter. Steep and progressive suctions appear to stimulate distinct types of mechanoreceptors. The presently described method can be applied in cosmetology and in functional investigation of various diseases such as diabetes, acromegaly and atopic dermatitis among others.
皮肤感觉知觉复杂,难以量化。皮肤对机械扩张的敏感性在很大程度上尚未得到探索。我们开发了一种旨在量化这些生理参数的原创方法。
该研究对24名年龄在20至50岁的成年志愿者进行。使用配备直径2毫米和4毫米探头的Cutometer SEM 474对脸颊施加渐进式或陡峭式吸力。记录志愿者最早感觉到牵引力时观察到的吸力强度和皮肤变形情况。
使用4毫米探头时,渐进式吸力下的阈限感觉检测比使用2毫米探头时低1.5倍。陡峭式吸力下阈限感觉所需的吸力比渐进式模式下低7倍。每个受试者对应阈限感觉知觉的皮肤变形几乎恒定(C = 0.5%)。相比之下,存在与年龄无关的个体间较大异质性。
可以使用精确的吸力方法探索面部皮肤对拉伸的敏感性。知觉更多地与牵引速率相关,而非与受吸力作用的表面积相关。皮肤变形对每个个体而言几乎恒定,似乎是主要参数。陡峭式和渐进式吸力似乎刺激不同类型的机械感受器。目前所描述的方法可应用于美容学以及糖尿病、肢端肥大症和特应性皮炎等各种疾病的功能研究。