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颞下颌关节紊乱病和头痛的患者报告结局测量:测量属性与适用性总结

Patient-Reported Outcome Measurements in Temporomandibular Disorders and Headaches: Summary of Measurement Properties and Applicability.

作者信息

Aguiar Aroldo Dos Santos, Nogueira Carrer Helen Cristina, de Lira Mariana Romano, Martins Silva Gabriela Zuelli, Chaves Thais Cristina

机构信息

Postgraduate Program on Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, Brazil.

Department of Physical Therapy, University Federal of São Carlos, UFSCar, Rodovia Washington Luiz, Km 235-Caixa Postal 676, São Carlos 13565-905, Brazil.

出版信息

J Clin Med. 2021 Aug 26;10(17):3823. doi: 10.3390/jcm10173823.

DOI:10.3390/jcm10173823
PMID:34501273
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8432093/
Abstract

INTRODUCTION

Several patient-reported outcome measurements (PROMs) are available in the literature to support the evaluation and diagnosis of temporomandibular disorders and headaches. However, clinicians and researchers usually complain that they had no education on PROMs and low overall knowledge about PROMs.

OBJECTIVE

This study aimed to summarize, describing the measurement properties and clinical applicability of the main condition-specific PROMs available in the literature to the assessment of patients with Temporomandibular Disorders and Headaches.

METHODS

The current manuscript reviewed 10 PROMs commonly used in the field. Four instruments about functioning and disability: 1. Mandibular Function Impairment Questionnaire (MFIQ), 2. Craniofacial Pain and Disability Inventory (CF-PDI), 3. 8-item and 20-item Jaw Functional Limitation Scale (JFLS), and 4. Manchester Orofacial Pain Disability Scale (MOPDS). Two instruments about headache-related disability: 5. Headache-Related Disability Index (HDI) and 6. Headache Impact Test-6 (HIT-6). Three instruments focused on TMD and headache screening: 7. 3Q/TMD, 8. Short-Form Anamnestic Fonseca Index (SFAI), 9. Headache Screening Questionnaire. In addition, one instrument about maladaptive beliefs regarding pain and injury: 10. Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD).

CONCLUSIONS

The knowledge about the limitations and applicability of the PROMs commonly used to assess TMDs and Headaches can help clinicians and researchers to obtain reliable and valid outcomes to support the decision-making process. The current review recognizes the importance of using patient-reported outcome measures in research and clinical practice. However, our findings call the attention that further studies on the measurement properties of such instruments are imperative.

摘要

引言

文献中有几种患者报告结局测量工具(PROMs)可用于支持颞下颌关节紊乱病和头痛的评估与诊断。然而,临床医生和研究人员通常抱怨他们没有接受过关于PROMs的培训,并且对PROMs的总体了解程度较低。

目的

本研究旨在总结文献中可用的主要特定疾病PROMs在评估颞下颌关节紊乱病和头痛患者时的测量特性和临床适用性。

方法

本手稿回顾了该领域常用的10种PROMs。四种关于功能和残疾的工具:1. 下颌功能损害问卷(MFIQ),2. 颅面疼痛和残疾量表(CF-PDI),3. 8项和20项下颌功能受限量表(JFLS),以及4. 曼彻斯特口腔面部疼痛残疾量表(MOPDS)。两种关于头痛相关残疾的工具:5. 头痛相关残疾指数(HDI)和6. 头痛影响测试-6(HIT-6)。三种专注于颞下颌关节紊乱病和头痛筛查的工具:7. 3Q/TMD,8. 简明记忆性丰塞卡指数(SFAI),9. 头痛筛查问卷。此外,一种关于对疼痛和损伤的适应不良信念的工具:10. 颞下颌关节紊乱病运动恐惧坦帕量表(TSK-TMD)。

结论

了解常用于评估颞下颌关节紊乱病和头痛的PROMs的局限性和适用性,有助于临床医生和研究人员获得可靠有效的结果,以支持决策过程。本综述认识到在研究和临床实践中使用患者报告结局测量的重要性。然而,我们的研究结果提醒注意,对此类工具的测量特性进行进一步研究势在必行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f05a/8432093/ae6fd952d106/jcm-10-03823-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f05a/8432093/127ebf961428/jcm-10-03823-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f05a/8432093/ae6fd952d106/jcm-10-03823-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f05a/8432093/127ebf961428/jcm-10-03823-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f05a/8432093/ae6fd952d106/jcm-10-03823-g002.jpg

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Measurement properties of the Headache Impact Test (HIT-6™ Brazil) in primary and secondary headaches.原发性头痛和继发性头痛中头痛影响测试(HIT-6™ Brazil)的测量特性。
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