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Clinical Validity of the Protocol for Multi-Professional Centers for the Determination of Signs and Symptoms of Temporomandibular Disorders. Part II

2009; Taylor & Francis; Volume: 27; Issue: 1 Linguagem: Inglês

10.1179/crn.2009.010

2151-0903

Cláudia Maria de Felício, Melissa de Oliveira Melchior, Marco Antonio M. Rodrigues Da Silva,

Orthodontics and Dentofacial Orthopedics

AbstractThe aims of this study were to analyze the criterion and construct validity of Part II of the protocol for multi-professional centers for the determination of signs and symptoms of temporomandibular disorders (ProTMDMulti) as a measure of TMD severity. The study was conducted on eight asymptomatic subjects (CG) and 30 subjects with articular TMD (TMDG), according to the Research Diagnostic Criteria for TMD (RDC/TMD). The ProTMDMulti-Part II was validated using the Helkimo Clinical Dysfunction Index (Di). The construct validity was tested using the analysis of the ability of ProTMDMulti-part II to differentiate the CG from the TMDG and to measure the changes that occurred in the TMDG between the period before and after TMD treatment. Correlations between the Di and the ProTMDMulti-Part II scores were calculated using the Spearman test. Inter- and intragroup comparisons were made (p<0.05). There was a statistically significant correlation between the Helkimo Clinical Dysfunction Index (Di) and the severity scores of the ProTMDMulti-Part II. There was a significant difference between TMDG and CG regarding the severity of signs and symptoms. The present study provides statistical evidence of the clinical validity of the ProTMDmulti-Part II as a measure of the severity of TMD symptoms. Additional informationNotes on contributorsCláudia Maria de FelicioDr. Cláudia Maria de Felício received an undergraduate degree in speech and language pathology and audiology from the Campinas Catholic University, Brazil in 1983. She received a masters in education from the Federal University of São Carlos in 1992 and in 1996, she received a Ph.D. in science (psychobiology) from the Faculty of Philosophy, Science and Letters, University of São Paulo. Currently, she is a professor at the Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.Melissa de Oliveira MelchiorDr. Melissa de Oliveira Melchior received an M.S. degree in speech and language pathology and audiology from the Faculty of Dentistry of Bauru, University of São Paulo in 1998. Currently, she is a postgraduate student, Department of Otorhinolaryngology, Ophthalmology, and Head and Neck Surgery, Faculty of Medicine of Ribeirão Preto, University of São Paulo and a speech pathologist at the Dental School of Ribeirão Preto, University of São Paulo.Marco Antonio M. Rodrigues Da SilvaDr. Marco Antonio Moreira Rodrigues da Silva received his D.D.S. degree in 1974 from the Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Brazil. He received an M.D. degree in 1985 from the Faculty of Dentistry of Araraquara, Brazil and a Ph.D. degree in 1991 from the Faculty of Dentistry of Ribeirão Preto, São Paulo. He also serves on the staff of the TMJ Disorders Service, Department of Restorative Dentistry, Faculty of Dentistry of Ribeirão Preto, University of São Paulo.