Alonso-Royo Roger, Sánchez-Torrelo Carmen María, Ibáñez-Vera Alfonso Javier, Zagalaz-Anula Noelia, Castellote-Caballero Yolanda, Obrero-Gaitán Esteban, Rodríguez-Almagro Daniel, Lomas-Vega Rafael
FisioMedic Clinic, Dos Hermanas, 41701 Sevilla, Spain.
Department of Health Sciences, Campus las Lagunillas, University of Jaen, 23071 Jaén, Spain.
Diagnostics (Basel). 2021 Mar 8;11(3):472. doi: 10.3390/diagnostics11030472.
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.
The sample consisted of 107 subjects, 60 TMD patients and 47 healthy controls. The study evaluated concurrent validity, inter-rater concordance and predictive values.
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.
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.
赫尔基莫临床功能障碍指数（HCDI）是一种用于评估颞下颌关节紊乱病（TMD）患者的简单快速测试，其心理测量特性尚未经过测试。该测试评估运动、关节功能、疼痛和肌肉组织，能提供一个快速的总体概况，在不同护理层面可能非常有用。因此，本研究的目的是验证HCDI在TMD患者样本中的应用。
样本包括107名受试者，60名TMD患者和47名健康对照。该研究评估了同时效度、评分者间一致性和预测值。
HCDI在各项目间显示出中度至高度的评分者间一致性，总分一致性极佳。与其他TMD评估测试的相关性较高，与头晕的相关性为中度，与颈部疼痛、头痛和总体生活质量的相关性较差。TMD的预测显示敏感性为86.67%，特异性为68.09%，曲线下面积（AUC）为0.841。
HCDI是一种有效且可靠的评估工具；其临床测量特性足够，并且在区分TMD患者和非TMD患者方面具有良好能力。
