Validity and Reliability of the Helkimo Clinical Dysfunction Index for the Diagnosis of Temporomandibular Disorders
The Helkimo Clinical Dysfunction Index (HCDI) is a simple and quick test used to evaluate subjects affected by temporomandibular disorders (TMDs), and its psychometric properties have not been tested. The test evaluates movement, joint function, pain and musculature, providing a quick general overvi...
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MDPI AG
2021-03-01
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| Online Access: | https://www.mdpi.com/2075-4418/11/3/472 |
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| author | Roger Alonso-Royo Carmen María Sánchez-Torrelo Alfonso Javier Ibáñez-Vera Noelia Zagalaz-Anula Yolanda Castellote-Caballero Esteban Obrero-Gaitán Daniel Rodríguez-Almagro Rafael Lomas-Vega |
| author_facet | Roger Alonso-Royo Carmen María Sánchez-Torrelo Alfonso Javier Ibáñez-Vera Noelia Zagalaz-Anula Yolanda Castellote-Caballero Esteban Obrero-Gaitán Daniel Rodríguez-Almagro Rafael Lomas-Vega |
| author_sort | Roger Alonso-Royo |
| collection | DOAJ |
| description | The Helkimo Clinical Dysfunction Index (HCDI) is a simple and quick test used to evaluate subjects affected by temporomandibular disorders (TMDs), and its psychometric properties have not been tested. The test evaluates movement, joint function, pain and musculature, providing a quick general overview that could be very useful at different levels of care. For this reason, the aim of this study was to validate the use of the HCDI in a sample of patients with TMD. Methods: The sample consisted of 107 subjects, 60 TMD patients and 47 healthy controls. The study evaluated concurrent validity, inter-rater concordance and predictive values. Results: The HCDI showed moderate to substantial inter-rater concordance among the items and excellent concordance for the total scores. The correlation with other TMD assessment tests was high, the correlation with dizziness was moderate and the correlation with neck pain, headache and overall quality of life was poor. The prediction of TMD showed a sensitivity of 86.67%, a specificity of 68.09% and an area under the curve (AUC) of 0.841. Conclusions: The HCDI is a valid and reliable assessment instrument; its clinimetric properties are adequate, and it has a good ability to discriminate between TMD-affected and TMD-unaffected subjects. |
| first_indexed | 2024-03-09T05:02:56Z |
| format | Article |
| id | doaj.art-6faa2270a5574c5096165262c35cb4ea |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T05:02:56Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-6faa2270a5574c5096165262c35cb4ea2023-12-03T12:58:23ZengMDPI AGDiagnostics2075-44182021-03-0111347210.3390/diagnostics11030472Validity and Reliability of the Helkimo Clinical Dysfunction Index for the Diagnosis of Temporomandibular DisordersRoger Alonso-Royo0Carmen María Sánchez-Torrelo1Alfonso Javier Ibáñez-Vera2Noelia Zagalaz-Anula3Yolanda Castellote-Caballero4Esteban Obrero-Gaitán5Daniel Rodríguez-Almagro6Rafael Lomas-Vega7FisioMedic Clinic, Dos Hermanas, 41701 Sevilla, SpainFisioMedic Clinic, Dos Hermanas, 41701 Sevilla, SpainDepartment of Health Sciences, Campus las Lagunillas, University of Jaen, 23071 Jaén, SpainDepartment of Health Sciences, Campus las Lagunillas, University of Jaen, 23071 Jaén, SpainDepartment of Health Sciences, Campus las Lagunillas, University of Jaen, 23071 Jaén, SpainDepartment of Health Sciences, Campus las Lagunillas, University of Jaen, 23071 Jaén, SpainDepartment of Health Sciences, Campus las Lagunillas, University of Jaen, 23071 Jaén, SpainDepartment of Health Sciences, Campus las Lagunillas, University of Jaen, 23071 Jaén, SpainThe Helkimo Clinical Dysfunction Index (HCDI) is a simple and quick test used to evaluate subjects affected by temporomandibular disorders (TMDs), and its psychometric properties have not been tested. The test evaluates movement, joint function, pain and musculature, providing a quick general overview that could be very useful at different levels of care. For this reason, the aim of this study was to validate the use of the HCDI in a sample of patients with TMD. Methods: The sample consisted of 107 subjects, 60 TMD patients and 47 healthy controls. The study evaluated concurrent validity, inter-rater concordance and predictive values. Results: The HCDI showed moderate to substantial inter-rater concordance among the items and excellent concordance for the total scores. The correlation with other TMD assessment tests was high, the correlation with dizziness was moderate and the correlation with neck pain, headache and overall quality of life was poor. The prediction of TMD showed a sensitivity of 86.67%, a specificity of 68.09% and an area under the curve (AUC) of 0.841. Conclusions: The HCDI is a valid and reliable assessment instrument; its clinimetric properties are adequate, and it has a good ability to discriminate between TMD-affected and TMD-unaffected subjects.https://www.mdpi.com/2075-4418/11/3/472temporomandibular disordervalidity and reliabilityquestionnaires and survey validity study |
| spellingShingle | Roger Alonso-Royo Carmen María Sánchez-Torrelo Alfonso Javier Ibáñez-Vera Noelia Zagalaz-Anula Yolanda Castellote-Caballero Esteban Obrero-Gaitán Daniel Rodríguez-Almagro Rafael Lomas-Vega Validity and Reliability of the Helkimo Clinical Dysfunction Index for the Diagnosis of Temporomandibular Disorders Diagnostics temporomandibular disorder validity and reliability questionnaires and survey validity study |
| title | Validity and Reliability of the Helkimo Clinical Dysfunction Index for the Diagnosis of Temporomandibular Disorders |
| title_full | Validity and Reliability of the Helkimo Clinical Dysfunction Index for the Diagnosis of Temporomandibular Disorders |
| title_fullStr | Validity and Reliability of the Helkimo Clinical Dysfunction Index for the Diagnosis of Temporomandibular Disorders |
| title_full_unstemmed | Validity and Reliability of the Helkimo Clinical Dysfunction Index for the Diagnosis of Temporomandibular Disorders |
| title_short | Validity and Reliability of the Helkimo Clinical Dysfunction Index for the Diagnosis of Temporomandibular Disorders |
| title_sort | validity and reliability of the helkimo clinical dysfunction index for the diagnosis of temporomandibular disorders |
| topic | temporomandibular disorder validity and reliability questionnaires and survey validity study |
| url | https://www.mdpi.com/2075-4418/11/3/472 |
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