颞下颌关节紊乱病中颞下颌关节紊乱指数应用的研究

Study on the use of temporomandibular joint dysfunction index in temporomandibular disorders.

作者信息

Fu Kaiyuan, Ma Xuchen, Zhang Zhenkang, Tian Yuehong, Zhou Yanheng, Zhao Yanping

机构信息

Center for TMD and Orofacial Pain, Peking University School of Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2002 Sep;37(5):330-2.

PMID:12425840

Abstract

OBJECTIVE

To study the methodological techniques in measuring the severity of temporomandibulr disorders (TMD) and in evaluating the effectiveness of therapies in clinic.

METHODS

Both Fricton's Craniomandibular Index (CMI) and Helkimo's Clinical Dysfunction Index were calculated from 60 TMD patients. Inter-rater reliability was tested to assess the consistency in use between different examiners. Fricton's CMI was used to assess the clinical improvement after accepting a treatment in 21 TMD patients diagnosed as acute disk displacement without reduction.

RESULTS

Correlation Coefficient for inter-rater reliability in two groups was 0.879 and 0.939 respectively for Fricton's CMI and 0.744 and 0.838 for Helkimo Clinical Dysfunction Index. Fricton's TMJ dysfunction index was decreased from 0.337 to 0.021 (P < 0.001) and Fricton's CMI was decreased from 0.185 to 0.011 (P < 0.001) after the treatment in 21 TMD patients with disk displacement without reduction.

CONCLUSIONS

To avoid using subjective and descriptive report in assessment of the severity of TMD and the effectiveness of therapies, Fricton's CMI is recommended as an objective criteria which is simple in clinical use, and ease in scoring.

摘要

目的

研究测量颞下颌关节紊乱病（TMD）严重程度及评估临床治疗效果的方法学技术。

方法

对60例TMD患者计算Fricton颅下颌指数（CMI）和Helkimo临床功能障碍指数。测试评分者间信度以评估不同检查者使用的一致性。对21例诊断为急性不可复性盘移位的TMD患者，采用Fricton的CMI评估治疗后的临床改善情况。

结果

Fricton的CMI两组评分者间信度的相关系数分别为0.879和0.939，Helkimo临床功能障碍指数为0.744和0.838。21例不可复性盘移位的TMD患者治疗后，Fricton的颞下颌关节功能障碍指数从0.337降至0.021（P<0.001），Fricton的CMI从0.185降至0.011（P<0.001）。