Glutamate-evoked jaw muscle pain as a model of persistent myofascial TMD pain?
Compare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with persistent myofascial temporomandibular disorder (TMD) pain. Forty-seven female HS and 10 female patients with persistent myofascial TMD pain participated. The...
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| Published in | Archives of oral biology Vol. 53; no. 7; pp. 666 - 676 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.07.2008
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0003-9969 1879-1506 |
| DOI | 10.1016/j.archoralbio.2008.01.008 |
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| Abstract | Compare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with persistent myofascial temporomandibular disorder (TMD) pain.
Forty-seven female HS and 10 female patients with persistent myofascial TMD pain participated. The HS received an injection of glutamate into the masseter muscle to model persistent myofascial TMD pain. Participants filled out a coping strategies questionnaire (CSQ), the symptom checklist 90 (SCL-90) and McGill pain questionnaire (MPQ). Pain intensity was assessed on an electronic visual analogue scale (VAS). Pain-drawing areas, numerical rating scale (NRS) scores of unpleasantness, pressure pain thresholds (PPTs) and pressure pain tolerance (PPTOL) were measured. Unpaired
t-tests and correlation tests were used for analyses.
The groups were significantly different when comparing the CSQ scores of control, decrease, diverting attention, increase of behavioural activities and somatization. The peak VAS pain, NRS of unpleasantness and MPQ scores were not significantly different between groups, but PPT and PPTOL were significantly lower in the TMD patients. Significant positive correlations were found in the TMD patients between peak VAS pain and CSQ catastrophizing score and SCL-90 somatization. The scores of PPTs and PPTOLs, in patients showed positive correlations with CSQ reinterpreting pain sensations scores and PPTs correlated with CSQ praying/hoping scores.
Glutamate-evoked pain responses in HS and persistent myofascial TMD pain have similar sensory-discriminative and affective-unpleasantness components but differ in psychosocial features. This study suggests that experimental designs based on glutamate injection into muscle can provide an appropriate model for elucidating persistent myofascial pain conditions. |
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| AbstractList | Compare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with persistent myofascial temporomandibular disorder (TMD) pain.OBJECTIVECompare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with persistent myofascial temporomandibular disorder (TMD) pain.Forty-seven female HS and 10 female patients with persistent myofascial TMD pain participated. The HS received an injection of glutamate into the masseter muscle to model persistent myofascial TMD pain. Participants filled out a coping strategies questionnaire (CSQ), the symptom checklist 90 (SCL-90) and McGill pain questionnaire (MPQ). Pain intensity was assessed on an electronic visual analogue scale (VAS). Pain-drawing areas, numerical rating scale (NRS) scores of unpleasantness, pressure pain thresholds (PPTs) and pressure pain tolerance (PPTOL) were measured. Unpaired t-tests and correlation tests were used for analyses.DESIGNForty-seven female HS and 10 female patients with persistent myofascial TMD pain participated. The HS received an injection of glutamate into the masseter muscle to model persistent myofascial TMD pain. Participants filled out a coping strategies questionnaire (CSQ), the symptom checklist 90 (SCL-90) and McGill pain questionnaire (MPQ). Pain intensity was assessed on an electronic visual analogue scale (VAS). Pain-drawing areas, numerical rating scale (NRS) scores of unpleasantness, pressure pain thresholds (PPTs) and pressure pain tolerance (PPTOL) were measured. Unpaired t-tests and correlation tests were used for analyses.The groups were significantly different when comparing the CSQ scores of control, decrease, diverting attention, increase of behavioural activities and somatization. The peak VAS pain, NRS of unpleasantness and MPQ scores were not significantly different between groups, but PPT and PPTOL were significantly lower in the TMD patients. Significant positive correlations were found in the TMD patients between peak VAS pain and CSQ catastrophizing score and SCL-90 somatization. The scores of PPTs and PPTOLs, in patients showed positive correlations with CSQ reinterpreting pain sensations scores and PPTs correlated with CSQ praying/hoping scores.RESULTSThe groups were significantly different when comparing the CSQ scores of control, decrease, diverting attention, increase of behavioural activities and somatization. The peak VAS pain, NRS of unpleasantness and MPQ scores were not significantly different between groups, but PPT and PPTOL were significantly lower in the TMD patients. Significant positive correlations were found in the TMD patients between peak VAS pain and CSQ catastrophizing score and SCL-90 somatization. The scores of PPTs and PPTOLs, in patients showed positive correlations with CSQ reinterpreting pain sensations scores and PPTs correlated with CSQ praying/hoping scores.Glutamate-evoked pain responses in HS and persistent myofascial TMD pain have similar sensory-discriminative and affective-unpleasantness components but differ in psychosocial features. This study suggests that experimental designs based on glutamate injection into muscle can provide an appropriate model for elucidating persistent myofascial pain conditions.CONCLUSIONSGlutamate-evoked pain responses in HS and persistent myofascial TMD pain have similar sensory-discriminative and affective-unpleasantness components but differ in psychosocial features. This study suggests that experimental designs based on glutamate injection into muscle can provide an appropriate model for elucidating persistent myofascial pain conditions. Compare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with persistent myofascial temporomandibular disorder (TMD) pain. Forty-seven female HS and 10 female patients with persistent myofascial TMD pain participated. The HS received an injection of glutamate into the masseter muscle to model persistent myofascial TMD pain. Participants filled out a coping strategies questionnaire (CSQ), the symptom checklist 90 (SCL-90) and McGill pain questionnaire (MPQ). Pain intensity was assessed on an electronic visual analogue scale (VAS). Pain-drawing areas, numerical rating scale (NRS) scores of unpleasantness, pressure pain thresholds (PPTs) and pressure pain tolerance (PPTOL) were measured. Unpaired t-tests and correlation tests were used for analyses. The groups were significantly different when comparing the CSQ scores of control, decrease, diverting attention, increase of behavioural activities and somatization. The peak VAS pain, NRS of unpleasantness and MPQ scores were not significantly different between groups, but PPT and PPTOL were significantly lower in the TMD patients. Significant positive correlations were found in the TMD patients between peak VAS pain and CSQ catastrophizing score and SCL-90 somatization. The scores of PPTs and PPTOLs, in patients showed positive correlations with CSQ reinterpreting pain sensations scores and PPTs correlated with CSQ praying/hoping scores. Glutamate-evoked pain responses in HS and persistent myofascial TMD pain have similar sensory-discriminative and affective-unpleasantness components but differ in psychosocial features. This study suggests that experimental designs based on glutamate injection into muscle can provide an appropriate model for elucidating persistent myofascial pain conditions. Compare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with persistent myofascial temporomandibular disorder (TMD) pain. Forty-seven female HS and 10 female patients with persistent myofascial TMD pain participated. The HS received an injection of glutamate into the masseter muscle to model persistent myofascial TMD pain. Participants filled out a coping strategies questionnaire (CSQ), the symptom checklist 90 (SCL-90) and McGill pain questionnaire (MPQ). Pain intensity was assessed on an electronic visual analogue scale (VAS). Pain-drawing areas, numerical rating scale (NRS) scores of unpleasantness, pressure pain thresholds (PPTs) and pressure pain tolerance (PPTOL) were measured. Unpaired t-tests and correlation tests were used for analyses. The groups were significantly different when comparing the CSQ scores of control, decrease, diverting attention, increase of behavioural activities and somatization. The peak VAS pain, NRS of unpleasantness and MPQ scores were not significantly different between groups, but PPT and PPTOL were significantly lower in the TMD patients. Significant positive correlations were found in the TMD patients between peak VAS pain and CSQ catastrophizing score and SCL-90 somatization. The scores of PPTs and PPTOLs, in patients showed positive correlations with CSQ reinterpreting pain sensations scores and PPTs correlated with CSQ praying/hoping scores. Glutamate-evoked pain responses in HS and persistent myofascial TMD pain have similar sensory-discriminative and affective-unpleasantness components but differ in psychosocial features. This study suggests that experimental designs based on glutamate injection into muscle can provide an appropriate model for elucidating persistent myofascial pain conditions. Abstract Objective Compare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with persistent myofascial temporomandibular disorder (TMD) pain. Design Forty-seven female HS and 10 female patients with persistent myofascial TMD pain participated. The HS received an injection of glutamate into the masseter muscle to model persistent myofascial TMD pain. Participants filled out a coping strategies questionnaire (CSQ), the symptom checklist 90 (SCL-90) and McGill pain questionnaire (MPQ). Pain intensity was assessed on an electronic visual analogue scale (VAS). Pain-drawing areas, numerical rating scale (NRS) scores of unpleasantness, pressure pain thresholds (PPTs) and pressure pain tolerance (PPTOL) were measured. Unpaired t -tests and correlation tests were used for analyses. Results The groups were significantly different when comparing the CSQ scores of control, decrease, diverting attention, increase of behavioural activities and somatization. The peak VAS pain, NRS of unpleasantness and MPQ scores were not significantly different between groups, but PPT and PPTOL were significantly lower in the TMD patients. Significant positive correlations were found in the TMD patients between peak VAS pain and CSQ catastrophizing score and SCL-90 somatization. The scores of PPTs and PPTOLs, in patients showed positive correlations with CSQ reinterpreting pain sensations scores and PPTs correlated with CSQ praying/hoping scores. Conclusions Glutamate-evoked pain responses in HS and persistent myofascial TMD pain have similar sensory-discriminative and affective-unpleasantness components but differ in psychosocial features. This study suggests that experimental designs based on glutamate injection into muscle can provide an appropriate model for elucidating persistent myofascial pain conditions. |
| Author | Arendt-Nielsen, Lars Ernberg, Malin Sessle, Barry Castrillon, Eduardo E. Cairns, Brian E. Svensson, Peter Wang, Kelun |
| AuthorAffiliation | Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, 8000 Aarhus C, Denmark Department of Clinical Oral Physiology, School of Dentistry, University of Aarhus, 8000 Aarhus C, Denmark Center for Sensory–Motor Interaction, Department of Health Science and Technology. Aalborg University, 9220 Aalborg, Denmark Department of Clinical Oral Physiology, Institute of Odontology, Karolinska Institutet, Box 4064, SE 141 04 Huddinge, Sweden Faculty of Dentistry, University of Toronto, M5G 1G6 Toronto, Canada Faculty of Pharmaceutical Sciences, University of British Columbia, 2146 East Mall, V6T 1Z3 Vancouver, Canada |
| AuthorAffiliation_xml | – name: Faculty of Pharmaceutical Sciences, University of British Columbia, 2146 East Mall, V6T 1Z3 Vancouver, Canada – name: Faculty of Dentistry, University of Toronto, M5G 1G6 Toronto, Canada – name: Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, 8000 Aarhus C, Denmark – name: Department of Clinical Oral Physiology, Institute of Odontology, Karolinska Institutet, Box 4064, SE 141 04 Huddinge, Sweden – name: Department of Clinical Oral Physiology, School of Dentistry, University of Aarhus, 8000 Aarhus C, Denmark – name: Center for Sensory–Motor Interaction, Department of Health Science and Technology. Aalborg University, 9220 Aalborg, Denmark |
| Author_xml | – sequence: 1 givenname: Eduardo E. surname: Castrillon fullname: Castrillon, Eduardo E. email: ecastrillon@odont.au.dk organization: Department of Clinical Oral Physiology, School of Dentistry, University of Aarhus, 8000 Aarhus C, Denmark – sequence: 2 givenname: Brian E. surname: Cairns fullname: Cairns, Brian E. organization: Faculty of Pharmaceutical Sciences, University of British Columbia, 2146 East Mall, V6T 1Z3 Vancouver, Canada – sequence: 3 givenname: Malin surname: Ernberg fullname: Ernberg, Malin organization: Department of Clinical Oral Physiology, School of Dentistry, University of Aarhus, 8000 Aarhus C, Denmark – sequence: 4 givenname: Kelun surname: Wang fullname: Wang, Kelun organization: Center for Sensory–Motor Interaction, Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark – sequence: 5 givenname: Barry surname: Sessle fullname: Sessle, Barry organization: Faculty of Dentistry, University of Toronto, M5G 1G6 Toronto, Canada – sequence: 6 givenname: Lars surname: Arendt-Nielsen fullname: Arendt-Nielsen, Lars organization: Center for Sensory–Motor Interaction, Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark – sequence: 7 givenname: Peter surname: Svensson fullname: Svensson, Peter organization: Department of Clinical Oral Physiology, School of Dentistry, University of Aarhus, 8000 Aarhus C, Denmark |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18313028$$D View this record in MEDLINE/PubMed http://kipublications.ki.se/Default.aspx?queryparsed=id:117199366$$DView record from Swedish Publication Index |
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| Keywords | Temporomandibular disorders Catastrophizing Experimental muscle pain model Coping strategies questionnaire Orofacial pain Muscle pain Glutamate Trigeminal physiology |
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| Snippet | Compare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with persistent... Abstract Objective Compare pain-related measures and psychosocial variables between glutamate-evoked jaw muscle pain in healthy subjects (HS) and patients with... |
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| SubjectTerms | Adult Advanced Basic Science Analysis of Variance Catastrophizing Coping strategies questionnaire Dentistry Drug Administration Routes Experimental muscle pain model Facial Pain - chemically induced Facial Pain - physiopathology Facial Pain - psychology Female Glutamate Humans Injections, Intramuscular Jaw - drug effects Jaw - physiopathology Masseter Muscle - drug effects Models, Biological Muscle pain Orofacial pain Pain Threshold - drug effects Pain Threshold - physiology Pressure Sodium Glutamate Surveys and Questionnaires Temporomandibular disorders Temporomandibular Joint Disorders - chemically induced Temporomandibular Joint Disorders - physiopathology Temporomandibular Joint Disorders - psychology Trigeminal physiology Young Adult |
| Title | Glutamate-evoked jaw muscle pain as a model of persistent myofascial TMD pain? |
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