Hypersensitivity to pain in congenital blindness
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Hypersensitivity to pain in congenital blindness. / Slimani, Hocine; Danti, Sabrina; Ricciardi, Emiliano; Pietrini, Pietro; Ptito, Maurice; Kupers, Ron.
I: Pain, Bind 154, Nr. 10, 2013, s. 1973-8.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Hypersensitivity to pain in congenital blindness
AU - Slimani, Hocine
AU - Danti, Sabrina
AU - Ricciardi, Emiliano
AU - Pietrini, Pietro
AU - Ptito, Maurice
AU - Kupers, Ron
N1 - Copyright © 2013 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
PY - 2013
Y1 - 2013
N2 - Vision is important for avoiding encounters with objects in the environment that may imperil physical integrity. We tested whether, in the absence of vision, a lower pain threshold would arise from an adaptive shift to other sensory channels. We therefore measured heat and cold pain thresholds and responses to suprathreshold heat stimuli in 2 groups of congenitally blind and matched normal-sighted participants. We also assessed detection thresholds for innocuous warmth and cold, and participants' attitude toward painful encounters in daily life. Our results show that, compared to sighted subjects, congenitally blind subjects have lower heat pain thresholds, rate suprathreshold heat pain stimuli as more painful, and have increased sensitivity for cold pain stimuli. Thresholds for nonpainful thermal stimulation did not differ between groups. The results of the pain questionnaires further indicated that blind subjects are more attentive to signals of external threats. These findings indicate that the absence of vision from birth induces a hypersensitivity to painful stimuli, lending new support to a model of sensory integration of vision and pain processing.
AB - Vision is important for avoiding encounters with objects in the environment that may imperil physical integrity. We tested whether, in the absence of vision, a lower pain threshold would arise from an adaptive shift to other sensory channels. We therefore measured heat and cold pain thresholds and responses to suprathreshold heat stimuli in 2 groups of congenitally blind and matched normal-sighted participants. We also assessed detection thresholds for innocuous warmth and cold, and participants' attitude toward painful encounters in daily life. Our results show that, compared to sighted subjects, congenitally blind subjects have lower heat pain thresholds, rate suprathreshold heat pain stimuli as more painful, and have increased sensitivity for cold pain stimuli. Thresholds for nonpainful thermal stimulation did not differ between groups. The results of the pain questionnaires further indicated that blind subjects are more attentive to signals of external threats. These findings indicate that the absence of vision from birth induces a hypersensitivity to painful stimuli, lending new support to a model of sensory integration of vision and pain processing.
KW - Adult
KW - Aged
KW - Blindness
KW - Cold Temperature
KW - Female
KW - Hot Temperature
KW - Humans
KW - Male
KW - Middle Aged
KW - Pain
KW - Pain Measurement
KW - Pain Threshold
KW - Sensitivity and Specificity
KW - Young Adult
U2 - 10.1016/j.pain.2013.05.036
DO - 10.1016/j.pain.2013.05.036
M3 - Journal article
C2 - 24040972
VL - 154
SP - 1973
EP - 1978
JO - Pain
JF - Pain
SN - 0304-3959
IS - 10
ER -
ID: 119765875