TY  - JOUR
U1  - Wissenschaftlicher Artikel
A1  - von Piekartz, Harry
A1  - Paris-Alemany, Alba
T1  - Assessment and Brain Training of Patients Experiencing Head and Facial Pain with a Distortion of Orofacial Somatorepresentation : A Narrative Review
JF  - Applied Sciences
N2  - 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.
Y1  - 2021
UN  - https://nbn-resolving.org/urn:nbn:de:bsz:959-opus-28508
SN  - 2076-3417
SS  - 2076-3417
U6  - https://doi.org/10.3390/app11156857
DO  - https://doi.org/10.3390/app11156857
VL  - 11
IS  - 15
SP  - 27
S1  - 27
ER  -