Validation of clinical tests for patients with long-lasting painful temporomandibular disorders with anterior disc displacement without reduction

Julsvoll, Elisabeth Heggem; Vøllestad, Nina Køpke; Robinson, Hilde Stendal

doi:10.1016/j.math.2015.06.005

Cited by 6 publications

(3 citation statements)

References 22 publications

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“…Standardised proformas were developed for both the telehealth and in‐person assessments. Existing literature, 13,14 along with guidance from an advanced‐practice musculoskeletal physiotherapist, supported the development of the in‐person assessment procedure. Using the in‐person proforma as a base, the telehealth proforma was conceptualised through the collaboration of the authors (MC, TR) and further revised with the support of two advanced‐practice musculoskeletal physiotherapists, both with experience in assessing TMD via telehealth.…”

Section: Methodsmentioning

confidence: 99%

Performance of key physical tests for temporomandibular disorder via telehealth: Establishing validity and reliability

Hartono,

Cottrell,

Window

et al. 2023

J of Oral Rehabilitation

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BackgroundDuring the COVID‐19 pandemic, many individuals sought healthcare virtually. Physiotherapy is integral in managing temporomandibular disorders (TMDs); therefore, establishing how key physical tests can be appropriately adapted to telehealth is paramount.ObjectivesTo establish the validity and reliability of telehealth (specifically videoconferencing) assessments against in‐person assessments on a battery of TMD physical tests.MethodA repeated‐measures study design was undertaken. Thirty‐six adult participants (19 healthy and 17 TMD) underwent concurrent temporomandibular joint (TMJ) physiological movement measurements via videoconferencing and in‐person as per standard clinical practice. Inclusion criteria included the presence of central incisors and no significant comorbidities precluding a safe telehealth examination. Participants with TMD completed seven additional pain provocation physical tests.ResultsAgreement between telehealth and in‐person physiological movement measures was excellent (ICC >0.90, 95% CI: 0.53 to >0.99). Inter‐ and intra‐rater reliability for telehealth measures indicated excellent reliability (ICC >0.97, 95% CI: 0.91 to >0.99). Exact agreement between telehealth and in‐person for provocation tests ranged between 58.8% and 94.1%. Fourteen of the twenty‐six individual measures produced substantial to near perfect agreement (PABAK = 0.65–0.88), seven produced moderate agreement (PABAK = 0.53), while five produced poor to fair agreement (PABAK = 0.18–0.29).ConclusionThere is high level of agreement between telehealth and in‐person measurements of TMJ physiological movement and pain provocation tests.

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Section: Methodsmentioning

confidence: 99%

Performance of key physical tests for temporomandibular disorder via telehealth: Establishing validity and reliability

Hartono,

Cottrell,

Window

et al. 2023

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…The clinical tests were standardized and consensus on the procedures was made before the study started. The study also included MRI scans of the participants TMJ area for validity purposes to confirm if ADDWOR was present or not [11]. The MRIs (both coronal and sagittal planes) were all taken at the same radiology center.…”

Section: Methodsmentioning

confidence: 99%

“…According to Julsvoll et al (2015) a cluster of seven tests (the dental stick test, the isometric test, the joint provocation test, the joint sound test, the deviation test, the laterotrusion test and the joint mobility test) is sensitive to reveal anterior disc displacement without reduction (ADDWOR) [11]. However, the reliability of this ADDWOR-cluster needs to be explored.…”

Section: Introductionmentioning

confidence: 99%