IADR Abstract Archives

Extraoral Array Quantitative Sensory Testing: Normative Values and Normative Ratios

Objective: Quantitative Sensory Testing (QST) is a neurosensory testing method that delivers precise, standardized stimuli to body surfaces and assesses subject responses via quantitative scales. This ongoing pilot study aimed to 1)create normative values for QST done extraorally on the face compared to intraoral on gingiva; 2)develop normative ratios for QST parameters comparing side to side and extraoral to intraoral values.  

Method: German QST protocol of 13 tests was used to measure three divisions of the trigeminal nerve bilaterally in healthy controls. Testing employed controlled thermal, tactile and painful stimuli applied to the gingiva (intraoral), face (extraoral) and hand (control site).

Result: To date, QST has been conducted on the hand, 6 extraoral and 4 intraoral sites in three trigeminal divisions in 11 controls (6 Female, aged 42-62), (5 Male, aged 21-73). Mean values for each parameter, averaging right/left for extraoral(EO) V1, V2, V3, then intraoral(IO) V2, V3, were: Cold Detection Threshold (CDT):EO -1.9,-2.0,-2.1 C; IO –13.3, -12.6 C;Warm Detection Threshold (WDT): EO 2.4, 25, 2.7 C; IO 12.9,12.8; Cold Pain Threshold (CPT):EO 17.6, 18.1, 13.6 C, IO 7.3,8.0; Heat Pain Threshold (HPT): EO 43.5, 41.7, 44.5, IO 46.8,46.5; Mechanical Detection Threshold (MDT): EO 1.6, 1.2, 2.3 mN, IO 28,2, 21.5; Mechanical Pain Threshold (MPT): EO 37.8, 28.6, 30.7, IO 136, 92mN; Windup Ratio (WUR): EO 2.3, 2.3, 2.4; IO 3.4, 2.6; Vibration Detection threshold (VDT): EO 5.8, 5.2, 5.8, IO 6.9, 6.8; Pressure pain threshold (PPT): EO 240,164,191, IO 75.1, 81.7 kPs. Sample normative ratio of extraoral/intraoral MDT was for V2: 0.04; V3, 0.11; for MPT: V2, 0.21; V3 0.34, all showing intraoral less sensitive than extraoral. 

Conclusion: Normative values and ratios for all 13 tests were generated. Differences between extraoral trigeminal divisions for most parameters were minimal, although the midface (V2), was most sensitive for 5 of 11 parameters.

Division: IADR/AADR/CADR General Session
Meeting: 2013 IADR/AADR/CADR General Session (Seattle, Washington)
Location: Seattle, Washington
Year: 2013
Final Presentation ID: 1711
Abstract Category|Abstract Category(s): Neuroscience
Authors
  • Drangsholt, Mark Thomas  ( University of Washington, Seattle, WA, USA )
  • Benca, Laura  ( University of Washington, Seattle, WA, USA )
  • Naud, Jason  ( University of Washington, Seattle, WA, USA )
  • SESSION INFORMATION
    Oral Session
    Somatosensory Testing and Pain Estimation
    03/22/2013