TY - JOUR
T1 - International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders
T2 - A Delphi study
AU - von Piekartz, Harry
AU - Schwiddessen, Julius
AU - Reineke, Lukas
AU - Armijo-Olivio, Susan
AU - Bevilaqua-Grossi, Débora
AU - Biasotto Gonzalez, Daniela A.
AU - Carvalho, Gabriela
AU - Chaput, Eve
AU - Cox, Erin
AU - Fernández-de-las-Peñas, Cesar
AU - Gadotti, Inae Caroline
AU - Gil Martínez, Alfonso
AU - Gross, Anita
AU - Hall, Toby
AU - Hoffmann, Marisa
AU - Julsvoll, Elisabeth Heggem
AU - Karegeannes, Micheal
AU - La Touche, Roy
AU - Mannheimer, Jeffrey
AU - Pitance, Laurent
AU - Rocabado, Mariano
AU - Strickland, Mark
AU - Stelzenmüller, Wolfgang
AU - Speksnijder, Caroline
AU - van der Meer, Hedwig Aleida
AU - Luedke, Kerstin
AU - Ballenberger, Nicolaus
N1 - Funding Information:
Thanks to Dr Dijkstra and Mr F. Grondin for contributing to the study up to round two. The study was approved by the Research Ethics Commission of the University of Applied Science Osnabr?ck (WISO_BA_ELP_HP-SS-18-01?05).
Publisher Copyright:
© 2020 John Wiley & Sons Ltd.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Objective: To identify assessment tools used to evaluate patients with temporomandibular disorders (TMD) considered to be clinically most useful by a panel of international experts in TMD physical therapy (PT). Methods: A Delphi survey method administered to a panel of international experts in TMD PT was conducted over three rounds from October 2017 to June 2018. The initial contact was made by email. Participation was voluntary. An e-survey, according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), was posted using SurveyMonkey for each round. Percentages of responses were analysed for each question from each round of the Delphi survey administrations. Results: Twenty-three experts (completion rate: 23/25) completed all three rounds of the survey for three clinical test categories: 1) questionnaires, 2) pain screening tools and 3) physical examination tests. The following was the consensus-based decision regarding the identification of the clinically most useful assessments. (1) Four of 9 questionnaires were identified: Jaw Functional Limitation (JFL-8), Mandibular Function Impairment Questionnaire (MFIQ), Tampa Scale for Kinesiophobia for Temporomandibular disorders (TSK/TMD) and the neck disability index (NDI). (2) Three of 8 identified pain screening tests: visual analog scale (VAS), numeric pain rating scale (NRS) and pain during mandibular movements. (3) Eight of 18 identified physical examination tests: physiological temporomandibular joint (TMJ) movements, trigger point (TrP) palpation of the masticatory muscles, TrP palpation away from the masticatory system, accessory movements, articular palpation, noise detection during movement, manual screening of the cervical spine and the Neck Flexor Muscle Endurance Test. Conclusion: After three rounds in this Delphi survey, the results of the most used assessment tools by TMD PT experts were established. They proved to be founded on test construct, test psychometric properties (reliability/validity) and expert preference for test clusters. A concordance with the screening tools of the diagnostic criteria of TMD consortium was noted. Findings may be used to guide policymaking purposes and future diagnostic research.
AB - Objective: To identify assessment tools used to evaluate patients with temporomandibular disorders (TMD) considered to be clinically most useful by a panel of international experts in TMD physical therapy (PT). Methods: A Delphi survey method administered to a panel of international experts in TMD PT was conducted over three rounds from October 2017 to June 2018. The initial contact was made by email. Participation was voluntary. An e-survey, according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), was posted using SurveyMonkey for each round. Percentages of responses were analysed for each question from each round of the Delphi survey administrations. Results: Twenty-three experts (completion rate: 23/25) completed all three rounds of the survey for three clinical test categories: 1) questionnaires, 2) pain screening tools and 3) physical examination tests. The following was the consensus-based decision regarding the identification of the clinically most useful assessments. (1) Four of 9 questionnaires were identified: Jaw Functional Limitation (JFL-8), Mandibular Function Impairment Questionnaire (MFIQ), Tampa Scale for Kinesiophobia for Temporomandibular disorders (TSK/TMD) and the neck disability index (NDI). (2) Three of 8 identified pain screening tests: visual analog scale (VAS), numeric pain rating scale (NRS) and pain during mandibular movements. (3) Eight of 18 identified physical examination tests: physiological temporomandibular joint (TMJ) movements, trigger point (TrP) palpation of the masticatory muscles, TrP palpation away from the masticatory system, accessory movements, articular palpation, noise detection during movement, manual screening of the cervical spine and the Neck Flexor Muscle Endurance Test. Conclusion: After three rounds in this Delphi survey, the results of the most used assessment tools by TMD PT experts were established. They proved to be founded on test construct, test psychometric properties (reliability/validity) and expert preference for test clusters. A concordance with the screening tools of the diagnostic criteria of TMD consortium was noted. Findings may be used to guide policymaking purposes and future diagnostic research.
KW - assessments
KW - delphi study
KW - physical therapy
KW - TMD
UR - http://www.scopus.com/inward/record.url?scp=85085130866&partnerID=8YFLogxK
U2 - 10.1111/joor.12959
DO - 10.1111/joor.12959
M3 - Article
C2 - 32150764
AN - SCOPUS:85085130866
SN - 0305-182X
VL - 47
SP - 685
EP - 702
JO - Journal of Oral Rehabilitation
JF - Journal of Oral Rehabilitation
IS - 6
ER -