J Oral Med Pain.  2022 Dec;47(4):189-197. 10.14476/jomp.2022.47.4.189.

Visual Effect on Mechanical Pain Threshold According to Anatomical Regions

• Kang KH
• Kim JR
• Byun JS
• Jung JK

• KMID: 2552157
• DOI: http://doi.org/10.14476/jomp.2022.47.4.189

Abstract

Purpose
Pain perception is affected by a wide range of contributing factors, including biological, psychological, and social factors. Although the provision of visual information could have a modulatory effect on pain perception, it is unclear whether such a visual effect might vary depending on the anatomical site and stimulation type. This study aimed to analyze the modulatory effect of visual information on the perception of sharp and dull pain in the face and hand and to assess the influence of individual fear levels on modulatory visual information.
Methods
A total of 68 healthy male and female volunteers were recruited for this study. Pressure and pricking pain with and without visual information were induced on the masseter and thenar muscles, and alterations in pain threshold were evaluated. The survey was conducted using the Geop-Pain Questionnaire (GPQ).
Results
The pricking pain threshold of the hand was significantly elevated when viewing the stimulated hand. This result indicated that the provision of visual information could decrease sensitivity to sharp pain in the hand. However, when correlating the GPQ score with the alteration in thresholds induced by visual information, no significant correlation was observed between the GPQ score and the threshold difference induced by visual information. This finding showed that the visual effect was not significantly affected by the fear level.
Conclusions
This study showed that the effect of visual information on the pain threshold could vary according to the anatomical site and stimulation type. A better understanding of such a modulatory effect on pain perception might be useful for clinicians during painful therapeutic procedures.

Keyword

Anticipation; Fear; Nociception; Pain perception; Visual Perception