ABSTRACT
Introduction: Most of the instruments used in Brazil to diagnose Temporomandibular Disorders (TMD) were developed in another Language. To effectively use instruments that were created in another language, it must be translated into the relevant target language before cross-cultural adaptation. Clinimetric tests should also be performed. Measurement properties consist of quality criteria related to evaluation instruments. These criteria are necessary to determine the quality of the instruments used in Brazil. Objectives: The aim of the present systematic review was to assess the quality of the measurement properties of instruments utilized to diagnose TMD. Methods: Systematic searches were performed of the PUBMED, SCIELO, LILACS and SCIENCE DIRECT databases. Studies addressing questionnaires translated and cross-culturally adapted for use in Brazil were retrieved and the quality of the measurement properties was analyzed using the COSMIN checklist. Results: In the 11 eligible articles, 10 instruments were identified. The studies were evaluated based on their analysis of structural validity, internal consistency, reproducibility (concordance and reliability), responsiveness, ceiling effect and floor effect. None the assessment tools had all its measurement properties tested. Conclusion: The measurement properties of the instruments were not completely tested. Thus, care must be taken when interpreting the scores of these questionnaires (AU).
Subject(s)
Surveys and Questionnaires , Temporomandibular Joint Disorders/diagnosisABSTRACT
Abstract Introduction: Temporomandibular Disorder (TMD) is caused by multiple factors and exhibits various symptoms. Its most common symptom is pain, a factor that can influence the quality of an individual's sleep. Objective: The aim of the present study was to assess the correlation between TMD and sleep. Methods: A cross-sectional study was conducted with 60 women, aged between 18 and 40 years, who had been diagnosed with TMD based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Fonseca's anamnestic index (FAI) was used to classify the severity of the dysfunction. To complete the assessment, each volunteer was assessed using the visual analogue scale (VAS) for pain. They also responded to two questions related to their quality of sleep and the average hours of sleep per night. Results: The more severe the TMD, the fewer hours of sleep per night (r = -0.5663). In total, 63.33% of the volunteers reported not sleeping well. Concerning pain, the greater the VAS score, the less hours of sleep (r = -0.516) and the more severe the TMD. Conclusion: It was found that the severityof TMD was correlated with pain symptoms and the number of hours of sleep per night.
Resumo Introdução: A etiologia da Disfunção Temporomandibular (TMD) é multifatorial e apresenta sintomatologia variada, sendo a dor o sintoma mais comum, o que pode influenciar na qualidade do sono. Objetivo: Este estudo teve como objetivo avaliar a correlação entre a TMD e a qualidade e quantidade de sono. Métodos: Estudo transversal no qual foram selecionadas 60 mulheres entre 18 e 40 anos, portadoras de TMD, diagnosticadas por meio do Critérios de Diagnóstico para Pesquisa das Desordens Temporomandibulares (RDC/TMD), e que responderam ao Índice Anamnético de Fonsecapara classificação quanto ao grau de severidade da disfunção. Para completar a avaliação, cada voluntária respondeu a Escala visual analógica da dor, e duas questões com relação a qualidade do sono, e a quantidade média de horas de sono por noite. Resultados: Verificou-se que quanto mais severa a TMD, menor o número de horas dormidas por noite (r = -0,5663) e 63,33% das voluntárias relataram não dormir bem. Com relação a dor, quanto maior a dor, menor as horas dormidas (r = -0,516) e quanto mais severa a TMD, maior a dor. Conclusão: Observou-se que quanto mais severa a TMD, maior a dor e menor o número de horas que as voluntárias referiam dormir por noite.