Pressure pain threshold of masticatory muscles in children and adolescents with and without intellectual disability: a pilot study

Vitor, C. A. de Araújo; Ortega, Adriana; Ferreira, Ana Cristina Fernandes Maria; Silva, C. A.-A. L. da; Gallottini, Marina; Santos, Maria Teresa Botti Rodrigues

doi:10.1007/s40368-020-00593-z

Cited by 9 publications

(9 citation statements)

References 35 publications

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“…All children correctly understood and pursued the procedure and no participant expressed distress during its execution. The reliability of this procedure for assessing pressure pain sensitivity [23] and the reliability of the capacity to express pain by children with cognitive deficits has been shown in previous studies [24,25].…”

Section: Procedures and Measuresmentioning

confidence: 70%

“…express pain by children with cognitive deficits has been shown in previous studies [24,25]. The same researcher examined pressure pain thresholds during three experimental conditions: (1) participants were seated alone, (2) participants were seated with their mother and (3) participants were seated with an unknown adult person (stranger).…”

Section: Procedures and Measuresmentioning

confidence: 87%

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Effect of Social Support in Pain Sensitivity in Children with Cerebral Palsy and Typically Developing Children

Riquelme

Escobio-Prieto

Oliva-Pascual-Vaca

et al. 2021

IJERPH

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Pain and abnormal somatosensory processing are important associated conditions in children and adolescents with cerebral palsy (CP). Perceived social support is highly relevant for pain perception and coping. Aim: The aim of the present study was to assess the influence of social support on pain sensitivity in children and adolescents with cerebral palsy and healthy peers. Design: Cross-sectional study. Methods: Pressure pain thresholds were assessed in 42 children and adolescents with CP and 190 healthy peers during three different conditions: alone, with their mother and with a stranger. Results: Children with CP reported lower pain sensitivity when they were with their mother than being alone or with a stranger, whereas healthy peers did not experience different pain sensitivity related to the social condition. Sex or clinical characteristics did not affect the relationship between pain perception and social support. Conclusion: The present study shows how children with CP are highly affected by social and contextual influences for regulating pain sensitivity. Solicitous parental support may enhance pain perception in children with CP. Further research on the topic is warranted in order to attain well-founded conclusions for clinical practice.

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Section: Procedures and Measuresmentioning

confidence: 70%

Section: Procedures and Measuresmentioning

confidence: 87%

Effect of Social Support in Pain Sensitivity in Children with Cerebral Palsy and Typically Developing Children

Riquelme

Escobio-Prieto

Oliva-Pascual-Vaca

et al. 2021

IJERPH

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“…Nevertheless, several studies have reported decreased pain thresholds among individuals with IDD in the laboratory setting, which suggests increased sensitivity to noxious stimuli [3,4,39,40], possibly explaining the increased behavioral responses. Others have reported similar pain thresholds among individuals with IDD and controls [41,42], suggesting that further study is needed in order to resolve this issue. Yet, increased cortical responses to noxious stimuli in IDD that were evident in imaging studies and evoked potential studies [28,43] support the aforementioned notion that individuals with IDD may be more sensitive and/or vulnerable to pain than typically developing individuals.…”

Section: Discussionmentioning

confidence: 91%

Pain Behavior of People with Intellectual and Developmental Disabilities Coded with the New PAIC-15 and Validation of Its Arabic Translation

et al. 2021

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Pain management necessitates assessment of pain; the gold standard being self-report. Among individuals with intellectual and developmental disabilities (IDD), self-report may be limited and therefore indirect methods for pain assessment are required. A new, internationally agreed upon and user-friendly observational tool was recently published—the Pain Assessment in Impaired Cognition (PAIC-15). The current study’s aims were: to test the use of the PAIC-15 in assessing pain among people with IDD and to translate the PAIC-15 into Arabic for dissemination among Arabic-speaking professionals. Pain behavior following experimental pressure stimuli was analyzed among 30 individuals with IDD and 15 typically developing controls (TDCs). Translation of the PAIC followed the forward–backward approach; and reliability between the two versions and between raters was calculated. Observational scores with the PAIC-15 exhibited a stimulus–response relationship with pressure stimulation. Those of the IDD group were greater than those of the TDC group. The overall agreement between the English and Arabic versions was high (ICC = 0.89); single items exhibited moderate to high agreement levels. Inter-rater reliability was high (ICC = 0.92). Both versions of the PAIC-15 are feasible and reliable tools to record pain behavior in individuals with IDD. Future studies using these tools in clinical settings are warranted.

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“…the most common answer given by “yes” was: he points to the pain. Scientific evidence on orofacial pain in patients with intellectual disability is almost non‐existent, in the study by Vitor et al 20 . no differences were found—using an algometer—in pain of these individuals compared to neurotypical children when the masseter and temporal muscles were subjected to pressure.…”

Section: Discussionmentioning

confidence: 98%

Development and application of a questionnaire to evaluate signs of temporomandibular disorder observed by caregivers of children with autism spectrum disorder

Sarmento

Valadas

Sousa³

et al. 2022

Special Care in Dentistry

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Objective This study aimed to develop and validate a questionnaire to detect signs of temporomandibular disorders (TMD), verifying whether the perception of signs observed by caregivers of non‐verbal autistic children are the same as those observed by caregivers of verbal ones. Methods This is a cross‐sectional, exploratory and analytical study. The sample consisted of forty individuals with Autism Spectrum Disorders (ASD), thirty non‐verbal and ten verbal, besides their respective caregivers. For this, an experimental questionnaire was applied and compared to the European Academy of Orofacial Pain (EAOP) questionnaire, which is already validated and widely used throughout the world. All responses were compared using the chi‐square test and the questionnaires were compared with the McNemar test, considering p < .05. Results When comparing the number of coincident responses to the questionnaire between caregivers and children, the mean was 8.2 ± 1.61 responses. After performing the binomial test, no statistically significant discrepancy was found between the results of the two tests adopted when the questionnaires were compared (Mc Nemar test, p > .05) Conclusion The development of this questionnaire and its validation serve as a support for health professionals in the TMD area, for the detection of TMD in non‐verbal autistic children, providing them and their caregivers, who are faced with several difficulties in their day‐by‐day, a facilitating instrument.

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Pressure pain threshold of masticatory muscles in children and adolescents with and without intellectual disability: a pilot study

Cited by 9 publications

References 35 publications

Effect of Social Support in Pain Sensitivity in Children with Cerebral Palsy and Typically Developing Children

Effect of Social Support in Pain Sensitivity in Children with Cerebral Palsy and Typically Developing Children

Pain Behavior of People with Intellectual and Developmental Disabilities Coded with the New PAIC-15 and Validation of Its Arabic Translation

Development and application of a questionnaire to evaluate signs of temporomandibular disorder observed by caregivers of children with autism spectrum disorder

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