Orofacial musculoskeletal pain: An evidence-based bio-psycho-social matrix model

Ettlin, Dominik A; Napimoga, Marcelo Henrique; Cruz, Miguel Meira e; Clemente‐Napimoga, Juliana Trindade

doi:10.1016/j.neubiorev.2021.06.008

Cited by 39 publications

(21 citation statements)

References 133 publications

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“…A bio-psycho-social matrix model for orofacial musculoskeletal pain have been proposed to explain the relation among the different factors that are implicated in these patents' pain experience. Psychological burdens may have a negative impact on the functioning of the autonomic nervous system, mood regulation, pain inhibitory system and emotional motor system [26].…”

Section: Dysfunctional Cofpmentioning

confidence: 99%

Assessment and Brain Training of Patients Experiencing Head and Facial Pain with a Distortion of Orofacial Somatorepresentation: A Narrative Review

Piekartz¹,

Paris‐Alemany

2021

Applied Sciences

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The management of patients experiencing chronic orofacial pain is a great challenge, due to the complexity of chronic pain itself, combined with an increased peripheral sensitization in the craniofacial itself. Therefore, patients with orofacial pain may present a clear distortion of the somatorepresentation after some time. In this review, the authors develop a neurophysiological explanation of orofacial distortion, as well as propose assessment and treatment options, based on scarcely available scientific evidence and their own clinical experience. The assessments of facial somatosensory, cognitive-affective and motor dysfunctions are crucial to establish the most accurate treatment; the assessment tools are described in the article. Two-point discrimination, laterality recognition and emotion recognition are altered in patients with orofacial pain. Other sensorimotor assessment tools, such as motor acuity and auditory acuity, are also explained. Finally, the authors review their treatment proposals, based on the integration of brain training techniques and biobehavioral interventions. Somatosensory reintegration (tactile acuity training), facial emotion recognition, movement representation techniques, orofacial motor training and therapeutic patient education are explained in detail, and this may challenge new directions in rehabilitation and research.

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Section: Dysfunctional Cofpmentioning

confidence: 99%

Assessment and Brain Training of Patients Experiencing Head and Facial Pain with a Distortion of Orofacial Somatorepresentation: A Narrative Review

Piekartz¹,

Paris‐Alemany

2021

Applied Sciences

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“…The biopsychosocial model of pain chronification emphasizes the importance of psychosocial factors in addition to biological factors in the development and maintenance of pain [ 1 ]. Among the psychological factors related to pain, anxiety and fear (emotional aspects of pain) in particular may play important roles in establishing chronic pain [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Brain Mechanisms of Exercise-Induced Hypoalgesia: To Find a Way Out from “Fear-Avoidance Belief”

Kami

Tajima

Senba

2022

IJMS

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It is well known that exercise produces analgesic effects (exercise-induced hypoalgesia (EIH)) in animal models and chronic pain patients, but the brain mechanisms underlying these EIH effects, especially concerning the emotional aspects of pain, are not yet fully understood. In this review, we describe drastic changes in the mesocorticolimbic system of the brain which permit the induction of EIH effects. The amygdala (Amyg) is a critical node for the regulation of emotions, such as fear and anxiety, which are closely associated with chronic pain. In our recent studies using neuropathic pain (NPP) model mice, we extensively examined the association between the Amyg and EIH effects. We found that voluntary exercise (VE) activated glutamate (Glu) neurons in the medial basal Amyg projecting to the nucleus accumbens (NAc) lateral shell, while it almost completely suppressed NPP-induced activation of GABA neurons in the central nucleus of the Amyg (CeA). Furthermore, VE significantly inhibited activation of pyramidal neurons in the ventral hippocampus-CA1 region, which play important roles in contextual fear conditioning and the retrieval of fear memory. This review describes novel information concerning the brain mechanisms underlying EIH effects as a result of overcoming the fear-avoidance belief of chronic pain.

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“…It has been established that pain produces changes in motor behaviour due to peripheral and central mechanisms related to the central nervous system, 4 including a distortion of somatorepresentation, 5 with evidence of structural and functional changes in the prefrontal cortex and basal ganglia 6 . TMD management is patient‐centred, multidisciplinary 7 and based on a biopsychosocial matrix model 8 . Physiotherapy also plays a part in the treatment of such patients using a combination of brain training techniques and biobehavioural interventions, as appropriate, which elicits cortical reorganisation, 5 and has been found to be effective in improving mobility and reducing pain due to TMD 9 …”

Section: Introductionmentioning

confidence: 99%

Tongue and mouth imagery questionnaire (TMIQ) for assessing motor imagery vividness of the temporomandibular region: A reliability and validity case‐control study

Alvarado

Arminjon

Damieux-Verdeaux

et al. 2022

J of Oral Rehabilitation

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Orofacial musculoskeletal pain: An evidence-based bio-psycho-social matrix model

Cited by 39 publications

References 133 publications

Assessment and Brain Training of Patients Experiencing Head and Facial Pain with a Distortion of Orofacial Somatorepresentation: A Narrative Review

Assessment and Brain Training of Patients Experiencing Head and Facial Pain with a Distortion of Orofacial Somatorepresentation: A Narrative Review

Brain Mechanisms of Exercise-Induced Hypoalgesia: To Find a Way Out from “Fear-Avoidance Belief”

Tongue and mouth imagery questionnaire (TMIQ) for assessing motor imagery vividness of the temporomandibular region: A reliability and validity case‐control study

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