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The threshold of pain or pain threshold is the point along a
curve In mathematics, a curve (also called a curved line in older texts) is an object similar to a line, but that does not have to be straight. Intuitively, a curve may be thought of as the trace left by a moving point. This is the definition that ...
of increasing
perception Perception () is the organization, identification, and interpretation of sensory information in order to represent and understand the presented information or environment. All perception involves signals that go through the nervous syste ...
of a
stimulus A stimulus is something that causes a physiological response. It may refer to: *Stimulation **Stimulus (physiology), something external that influences an activity **Stimulus (psychology), a concept in behaviorism and perception *Stimulus (economi ...
at which
pain Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, ...
begins to be felt. It is an entirely subjective phenomenon. A distinction must be maintained between the
stimulus A stimulus is something that causes a physiological response. It may refer to: *Stimulation **Stimulus (physiology), something external that influences an activity **Stimulus (psychology), a concept in behaviorism and perception *Stimulus (economi ...
(an external thing that can be directly measured, such as with a thermometer) and the person's or animal's resulting pain perception (an internal, subjective thing that can sometimes be measured indirectly, such as with a visual analog scale). Although an IASP document defines "pain threshold" as "the minimum intensity of a stimulus that is perceived as painful", it then goes on to say (contradictorily in letter although not in spirit) that:
Traditionally the threshold has often been defined, as we defined it formerly, as the least stimulus intensity at which a subject perceives pain. Properly defined, the threshold is really the experience of the patient, whereas the intensity measured is an external event. It has been common usage for most pain research workers to define the threshold in terms of the stimulus, and that should be avoided ... The stimulus is not pain (
q.v. } (right to left). , - , ''quo errat demonstrator'', , where the prover errs, , A pun on " quod erat demonstrandum" , - , ''quo fata ferunt'', , where the fates bear us to, , motto of Bermuda , - , ''quo non ascendam'' , , to what heights can I ...
) and cannot be a measure of pain.
Although the phrasing may not convey it perfectly, the distinction clearly meant is the aforementioned one between the stimulus and the perception of it. The intensity at which a stimulus (e.g., heat, pressure) begins to evoke pain is thus called by a separate term, ''threshold intensity''. So, if a hotplate on a person's skin begins to hurt at 42 °C (107 °F), that is the ''pain threshold temperature'' for that bit of skin at that time. It is not the pain threshold (which is internal/subjective) but the temperature at which the pain threshold was crossed (which is external/objective). The intensity at which a stimulus begins to evoke pain varies from individual to individual and for a given individual over time.


Heat

The temperature at which heat becomes painful for a recipient is called the ''heat pain threshold'' for that person at that time. One study showed that morning-oriented people have higher pain threshold for heat as compared to evening-oriented individuals.


Hearing

The
pressure Pressure (symbol: ''p'' or ''P'') is the force applied perpendicular to the surface of an object per unit area over which that force is distributed. Gauge pressure (also spelled ''gage'' pressure)The preferred spelling varies by country a ...
at which
sound In physics, sound is a vibration that propagates as an acoustic wave, through a transmission medium such as a gas, liquid or solid. In human physiology and psychology, sound is the ''reception'' of such waves and their ''perception'' by ...
becomes painful for a listener is the ''pain threshold pressure'' for that person at that time. The threshold pressure for sound varies with
frequency Frequency is the number of occurrences of a repeating event per unit of time. It is also occasionally referred to as ''temporal frequency'' for clarity, and is distinct from ''angular frequency''. Frequency is measured in hertz (Hz) which is eq ...
and can be age-dependent. People who have been exposed to more noise/music usually have a higher threshold pressure. ''Threshold shift'' can also cause threshold pressure to vary. Prolonged exposure to sound at levels evoking pain can cause physical damage, potentially leading to
hearing impairment Hearing loss is a partial or total inability to hear. Hearing loss may be present at birth or acquired at any time afterwards. Hearing loss may occur in one or both ears. In children, hearing problems can affect the ability to acquire spoken la ...
. The volume in
acoustics Acoustics is a branch of physics that deals with the study of mechanical waves in gases, liquids, and solids including topics such as vibration, sound, ultrasound and infrasound. A scientist who works in the field of acoustics is an acousticia ...
refers to
loudness In acoustics, loudness is the subjective perception of sound pressure. More formally, it is defined as, "That attribute of auditory sensation in terms of which sounds can be ordered on a scale extending from quiet to loud". The relation of ph ...
. It is a common term for the
amplitude The amplitude of a periodic variable is a measure of its change in a single period (such as time or spatial period). The amplitude of a non-periodic signal is its magnitude compared with a reference value. There are various definitions of am ...
of sound or the
sound pressure level Sound pressure or acoustic pressure is the local pressure deviation from the ambient (average or equilibrium) atmospheric pressure, caused by a sound wave. In air, sound pressure can be measured using a microphone, and in water with a hydropho ...
. Different values for pain threshold pressure level and pain threshold pressure are found in the literature:


See also

*
Absolute threshold of hearing The absolute threshold of hearing (ATH) is the minimum sound level of a pure tone that an average human ear with normal hearing can hear with no other sound present. The absolute threshold relates to the sound that can just be heard by the organi ...
*
Dolorimeter A dolorimeter is an instrument used to measure pain threshold and pain tolerance. Dolorimetry has been defined as "the measurement of pain sensitivity or pain intensity". Dolorimeters apply steady pressure, heat, or electrical stimulation to so ...
– an instrument used to measure pain threshold *
Exposure action value An Exposure Action Value (EAV) or Action Value (AV) is a limit set on occupational exposure to noise where, when those values are exceeded, employers must take steps to monitor the exposure levels. These levels are measured in decibels. The Ameri ...
*
Limen In physiology, psychology, or psychophysics, a limen or a liminal point is a sensory threshold of a physiological or psychological response. It is the boundary of perception. On one side of a limen (or threshold) a stimulus is perceivable, on the ...
– threshold of perception *
Phon The phon is a logarithmic unit of loudness level for tones and complex sounds. Loudness is measured in sone which is a linear unit. Human sensitivity to sound is variable across different frequencies; therefore, although two different tones may ...
*
Sone The sone () is a unit of loudness, the subjective perception of sound pressure. The study of perceived loudness is included in the topic of psychoacoustics and employs methods of psychophysics. Doubling the perceived loudness doubles the sone v ...
*
Weber–Fechner law The Weber–Fechner laws are two related hypotheses in the field of psychophysics, known as Weber's law and Fechner's law. Both laws relate to human perception, more specifically the relation between the actual change in a physical stimulus a ...
, regarding the difference between stimulus and sensation *
Weighting curve A weighting curve is a graph of a set of factors, that are used to 'weight' measured values of a variable according to their importance in relation to some outcome. An important example is frequency weighting in sound level measurement where a spec ...
and
A-weighting A-weighting is the most commonly used of a family of curves defined in the International standard IEC 61672:2003 and various national standards relating to the measurement of sound pressure level. A-weighting is applied to instrument-measured ...
regarding dB(A)


References

{{DEFAULTSORT:Threshold Of Pain Hearing Pain