[논문]측두하악장애환자에서 다양한 종류의 정량적 통각검사들의 연관성에 관한 연구

박지운; 김용우; 정진우

측두하악장애환자에서 다양한 종류의 정량적 통각검사들의 연관성에 관한 연구
Associations Among Different Types of Quantitative Pain Measures in TMD Patients 원문보기

대한구강내과학회지 = Korean journal of oral medicine, v.32 no.4 = no.69, 2007년, pp.413 - 419

박지운 (서울대학교 치과대학 구강내과진단학 교실) , 김용우 (서울대학교 치과대학 구강내과진단학 교실) , 정진우 (서울대학교 치과대학 구강내과진단학 교실)

초록
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다양한 종류의 정량적 통각검사들의 연관성을 알아보기 위하여 56 명의 측두하악장애 환자를 대상으로 측두근, 교근, 측두하악관절 부위, 그리고 경골근의 냉통각역치 (Cold Pain Threshold, CPT), 열통각역치 (Heat Pain Threshold, HPT), 열통증인내역치 (Heat Pain Tolerance Threshold, PTT), 압력통각역치 (Pressure Pain Threshold, PPT)를 측정하였으며, 각기 다른 통각 역치 간의 상관관계와 측정 부위 별 통각 역치 간의 상관 관계를 분석하였다. CPT, HPT, PTT를 포함한 온도통각역치의 성별간 차이는 나타나지 않았다. 그러나 PPT는 여성이 남성에 비하여 모든 부위에서 유의하게 낮은 역치를 나타내었다. CPT, HPT, PTT를 포함한 세 가지의 온도통각역치들은 모든 측정 부위에서 약정도에서 강정도 (mild to high)의 상관관계를 나타내었다 (r= 0.324-0.754, p<0.05). PPT 값은 각각의 온도통각역치와 통계적으로 유의한 상관관계를 나타내지 않았다. 모든 측정 부위의 통각역치값들은 서로간에 약정도에서 강정도 (mild to high)의 상관관계를 나타내었다 (r= 0.284-0.878, p<0.05). 측두하악장애 환자의 온도통각역치와 열통각인내역치 사이에는 유의한 상관관계가 존재하나 온도통각역치와 압력통각역치 간에는 상관관계가 나타나지 않는 것이 관찰되었으며, 각기 다른 부위에서 측정된 통각역치 간에는 비교적 높은 상관관계가 나타났다.

Abstract ▼ AI-Helper

The aims of this study were to investigate the relationships among several types of thermal pain thresholds, and pressure pain thresholds. This study was designed to examine whether there were associations among different types of pain thresholds, and among different recording sites for each pain threshold measurement. Pain sensitivity thresholds including cold pain threshold (CPT), heat pain threshold (HPT), heat pain tolerance threshold (PTT), and pressure pain threshold (PPT) of 56 subjects with symptoms of temporomandibular disorders were measured on temporal muscle, masseter muscle, TMJ, and tibial areas. Thermal pain thresholds including CPT, HPT, and PTT did not show any gender differences. However, women showed significantly lower PPTs than men on all recording sites. Three thermal pain thresholds including CPT, HPT, and PTT showed weak to high correlations on all the recording sites (r= 0.324 to 0.754, p<0.05). PPTs did not show any significant correlations between each thermal pain threshold. The pain threshold of each recording site showed weak to high correlations in all pain threshold measures (r= 0.284 to 0.878, p<0.05). Our study demonstrated that thermal pain thresholds, and pain tolerance thresholds were significantly correlated, but did not show any correlation between thermal pain thresholds and pressure pain thresholds. There were relatively high correlations among the pain thresholds of different recording sites.

주제어

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문제 정의

The aims of this study were to investigate the relationships among several types of thermal pain thresholds, and pressure pain thresholds commonly used in orofacial pain research. This study was designed to examine whether there were associations among different types of pain thresholds, and among different recording sites for a pain threshold measure.

제안 방법

However, weak to moderate correlations in some pain measures implies the need of careful and various measurements for the study of pain. The researcher should consider the difference in an individual's sensitivity to pain by using various modalities of sensory measurements.
The aims of this study were to investigate the relationships among several types of thermal pain thresholds, and pressure pain thresholds commonly used in orofacial pain research. This study was designed to examine whether there were associations among different types of pain thresholds, and among different recording sites for a pain threshold measure.

대상 데이터

Fifty-six subjects were recruited among the patients who visited at the Department of Oral Medicine, Seoul National University Dental Hospital complaining of symptoms of temporomandibular disorders. The subjects consist of age-matched 41 women (31.
Fifty-six subjects were recruited among the patients who visited at the Department of Oral Medicine, Seoul National University Dental Hospital complaining of symptoms of temporomandibular disorders. The subjects consist of age-matched 41 women (31.3±12.8 years) and 15 men (30.7±15.3 years). The study was approved by an Institutional Review Board and informed consent was obtained from each subject.

데이터처리

Student t-test was used to investigate the gender differences in each pain sensitivity threshold. Pearson's correlation analyses were performed to investigate relationships among different types of pain thresholds, and among different recording sites for a pain threshold measure.

성능/효과

These results suggest that pain perception could be involved by both peripheral and central pathways. Interesting results were that the correlations between each recording site were relatively higher in pain tolerance thresholds than the others. The pain perception could be influenced by central neurons rather than peripheral receptors during persistent noxious thermal stimulation.
Correlations among four recording sites by each pain threshold are shown in Table 3. The pain thresholds of three recording sites in the orofacial region including temporal muscle, master muscle, and TMJ area showed significant moderate to high correlations in all pain threshold measures (r= 0.530 to 0.878, p<0.05). The pain thresholds of tibial area showed weak to high correlations with the pain thresholds of three orofacial recording sites in all pain threshold measures (r= 0.
Correlations among the various thermal pain thresholds and pressure pain thresholds by each recording site are shown in Table 2. Three thermal pain thresholds including CPT, HPT, and PTT showed weak to high correlations on temporal muscle, masseter muscle, and TMJ area (r= 0.370 to 0.754, p<0.05). These thermal pain thresholds showed weak to moderate correlations on tibial area (r= 0.

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저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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