Effect of facial sensory re-training on sensory thresholds

G. K. Essick, C. Phillips, John R Zuniga

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Nearly 100% of patients experience trauma to the trigeminal nerve during orthognathic surgery, impairing sensation and sensory function on the face. In a recent randomized clinical trial, people who performed sensory re-training exercises reported less difficulty related to residual numbness and decreased lip sensitivity than those who performed standard opening exercises only. We hypothesized that re-training reduces the impaired performance on neurosensory tests of tactile function that is commonly observed post-surgically. We analyzed thresholds for contact detection, two-point discrimination, and two-point perception, obtained during the clinical trial before and at 1, 3, and 6 months after surgery, to assess tactile detection and discriminative sensitivities, and subjective interpretation of tactile stimulation, respectively. Post-surgery, the retrained persons exhibited less impairment, on average, than non-retrained persons only in two-point perception (P < 0.025), suggesting that retrained persons experienced or interpreted the tactile stimuli differently than did non-retrained persons.

Original languageEnglish (US)
Pages (from-to)571-575
Number of pages5
JournalJournal of Dental Research
Volume86
Issue number6
DOIs
StatePublished - Jun 2007

Fingerprint

Sensory Thresholds
Touch
Trigeminal Nerve Injuries
Exercise
Orthognathic Surgery
Hypesthesia
Lip
Randomized Controlled Trials
Clinical Trials

Keywords

  • Orthognathic surgery
  • Sensory impairment
  • Sensory re-training
  • Sensory thresholds
  • Trigeminal nerve injury

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Effect of facial sensory re-training on sensory thresholds. / Essick, G. K.; Phillips, C.; Zuniga, John R.

In: Journal of Dental Research, Vol. 86, No. 6, 06.2007, p. 571-575.

Research output: Contribution to journalArticle

Essick, G. K. ; Phillips, C. ; Zuniga, John R. / Effect of facial sensory re-training on sensory thresholds. In: Journal of Dental Research. 2007 ; Vol. 86, No. 6. pp. 571-575.
@article{079f9970ee744fb5bf927733702e6052,
title = "Effect of facial sensory re-training on sensory thresholds",
abstract = "Nearly 100{\%} of patients experience trauma to the trigeminal nerve during orthognathic surgery, impairing sensation and sensory function on the face. In a recent randomized clinical trial, people who performed sensory re-training exercises reported less difficulty related to residual numbness and decreased lip sensitivity than those who performed standard opening exercises only. We hypothesized that re-training reduces the impaired performance on neurosensory tests of tactile function that is commonly observed post-surgically. We analyzed thresholds for contact detection, two-point discrimination, and two-point perception, obtained during the clinical trial before and at 1, 3, and 6 months after surgery, to assess tactile detection and discriminative sensitivities, and subjective interpretation of tactile stimulation, respectively. Post-surgery, the retrained persons exhibited less impairment, on average, than non-retrained persons only in two-point perception (P < 0.025), suggesting that retrained persons experienced or interpreted the tactile stimuli differently than did non-retrained persons.",
keywords = "Orthognathic surgery, Sensory impairment, Sensory re-training, Sensory thresholds, Trigeminal nerve injury",
author = "Essick, {G. K.} and C. Phillips and Zuniga, {John R}",
year = "2007",
month = "6",
doi = "10.1177/154405910708600616",
language = "English (US)",
volume = "86",
pages = "571--575",
journal = "Journal of Dental Research",
issn = "0022-0345",
publisher = "SAGE Publications Inc.",
number = "6",

}

TY - JOUR

T1 - Effect of facial sensory re-training on sensory thresholds

AU - Essick, G. K.

AU - Phillips, C.

AU - Zuniga, John R

PY - 2007/6

Y1 - 2007/6

N2 - Nearly 100% of patients experience trauma to the trigeminal nerve during orthognathic surgery, impairing sensation and sensory function on the face. In a recent randomized clinical trial, people who performed sensory re-training exercises reported less difficulty related to residual numbness and decreased lip sensitivity than those who performed standard opening exercises only. We hypothesized that re-training reduces the impaired performance on neurosensory tests of tactile function that is commonly observed post-surgically. We analyzed thresholds for contact detection, two-point discrimination, and two-point perception, obtained during the clinical trial before and at 1, 3, and 6 months after surgery, to assess tactile detection and discriminative sensitivities, and subjective interpretation of tactile stimulation, respectively. Post-surgery, the retrained persons exhibited less impairment, on average, than non-retrained persons only in two-point perception (P < 0.025), suggesting that retrained persons experienced or interpreted the tactile stimuli differently than did non-retrained persons.

AB - Nearly 100% of patients experience trauma to the trigeminal nerve during orthognathic surgery, impairing sensation and sensory function on the face. In a recent randomized clinical trial, people who performed sensory re-training exercises reported less difficulty related to residual numbness and decreased lip sensitivity than those who performed standard opening exercises only. We hypothesized that re-training reduces the impaired performance on neurosensory tests of tactile function that is commonly observed post-surgically. We analyzed thresholds for contact detection, two-point discrimination, and two-point perception, obtained during the clinical trial before and at 1, 3, and 6 months after surgery, to assess tactile detection and discriminative sensitivities, and subjective interpretation of tactile stimulation, respectively. Post-surgery, the retrained persons exhibited less impairment, on average, than non-retrained persons only in two-point perception (P < 0.025), suggesting that retrained persons experienced or interpreted the tactile stimuli differently than did non-retrained persons.

KW - Orthognathic surgery

KW - Sensory impairment

KW - Sensory re-training

KW - Sensory thresholds

KW - Trigeminal nerve injury

UR - http://www.scopus.com/inward/record.url?scp=34347256699&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34347256699&partnerID=8YFLogxK

U2 - 10.1177/154405910708600616

DO - 10.1177/154405910708600616

M3 - Article

C2 - 17525360

AN - SCOPUS:34347256699

VL - 86

SP - 571

EP - 575

JO - Journal of Dental Research

JF - Journal of Dental Research

SN - 0022-0345

IS - 6

ER -