Department of Clinical Oral Physiology, Aarhus University, Aarhus, Denmark.
J Oral Rehabil. 2011 May;38(5):366-94. doi: 10.1111/j.1365-2842.2010.02196.x. Epub 2011 Jan 17.
The goals of an international taskforce on somatosensory testing established by the Special Interest Group of Oro-facial Pain (SIG-OFP) under the International Association for the Study of Pain (IASP) were to (i) review the literature concerning assessment of somatosensory function in the oro-facial region in terms of techniques and test performance, (ii) provide guidelines for comprehensive and screening examination procedures, and (iii) give recommendations for future development of somatosensory testing specifically in the oro-facial region. Numerous qualitative and quantitative psychophysical techniques have been proposed and used in the description of oro-facial somatosensory function. The selection of technique includes time considerations because the most reliable and accurate methods require multiple repetitions of stimuli. Multiple-stimulus modalities (mechanical, thermal, electrical, chemical) have been applied to study oro-facial somatosensory function. A battery of different test stimuli is needed to obtain comprehensive information about the functional integrity of the various types of afferent nerve fibres. Based on the available literature, the German Neuropathic Pain Network test battery appears suitable for the study of somatosensory function within the oro-facial area as it is based on a wide variety of both qualitative and quantitative assessments of all cutaneous somatosensory modalities. Furthermore, these protocols have been thoroughly described and tested on multiple sites including the facial skin and intra-oral mucosa. Standardisation of both comprehensive and screening examination techniques is likely to improve the diagnostic accuracy and facilitate the understanding of neural mechanisms and somatosensory changes in different oro-facial pain conditions and may help to guide management.
国际疼痛研究协会（IASP）口腔颌面痛特别兴趣小组（SIG-OFP）下设的躯体感觉测试国际工作组的目标是：（i）根据技术和测试性能，回顾口腔颌面部躯体感觉功能评估的文献；（ii）为全面和筛选检查程序提供指南；（iii）为口腔颌面躯体感觉测试的未来发展提供建议。已经提出并使用了许多定性和定量的心理物理技术来描述口腔颌面躯体感觉功能。技术的选择包括时间因素，因为最可靠和准确的方法需要多次重复刺激。多刺激方式（机械、热、电、化学）已被应用于研究口腔颌面躯体感觉功能。需要一系列不同的测试刺激来获得有关各种传入神经纤维功能完整性的综合信息。基于现有文献，德国神经性疼痛网络测试组合似乎适合研究口腔颌面部的躯体感觉功能，因为它基于对所有皮肤躯体感觉模式的广泛定性和定量评估。此外，这些方案已在包括面部皮肤和口腔内粘膜在内的多个部位进行了详细描述和测试。全面和筛选检查技术的标准化可能会提高诊断准确性，并有助于理解不同口腔颌面疼痛情况下的神经机制和躯体感觉变化，并可能有助于指导治疗。
