Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210001
Brazilian Journal of Pain
Review Article

Instruments that assess functioning in individuals with temporomandibular disorders and the International Classification of Functioning: systematic review

Instrumentos que avaliam a funcionalidade em indivíduos com disfunção temporomandibular e a Classificação Internacional de Funcionalidade: revisão sistemática

Luana Maria Ramos Mendes; Marina Carvalho Arruda Barreto; Shamyr Sulyvan Castro

Downloads: 0
Views: 50

Abstract

BACKGROUND AND OBJECTIVES: The objective of this review was to study the tools used to measure functioning in individuals with temporomandibular disorders and verify its consistency with the model of the International Classification of Functioning (ICF), Disability and Health.

CONTENTS: Systematic review performed in the databases Pubmed, PEDro, Scielo, Bireme, Web of Science, Cochrane, CINAHL, SPORTDiscus and Scopus. Published clinical trials from 2001 to 2019, in Portuguese, English and Spanish were included, with one of the outcomes being the evaluation of functioning of people with temporomandibular disorders. For the evaluation of the quality of the articles, the GRADE Checklist was used. The questionnaires were analyzed, and their questions coded according to the domains of the ICF. 425 articles were found and, after screening, 7 of them were included in this research. In these, 4 different instruments used to evaluate the functioning of people with temporomandibular disorders were found: Research Diagnostic Criteria for Temporomandibular Disorders, Mandibular Function Impairment Questionnaire, Pain Disability Index and the 11-point functional impairment scale. The frequency of ICF’s domains was: body functions (39.8%), body structure (22.8%), activity (17.7%), health condition (8.86%), personal factors (6.8%), participation (2.88), environmental factors (1.03%).

CONCLUSION: The studies related to functioning in the temporomandibular disorder population is still scarce. Moreover, the instruments used fail to address the domains of the ICF in a homogeneous way, and some do not address the whole conceptual model, with an emphasis on gathering information about body functions and structures.

Keywords

International Classification of Functioning, Disability and Health, Temporomandibular joint, Temporomandibular joint dysfunction syndrome

Resumo

JUSTIFICATIVA E OBJETIVOS: O objetivo desta revisão foi estudar as ferramentas utilizadas para mensuração da funcionalidade em indivíduos com disfunção temporomandibular e verificar sua consistência com o modelo da Classificação Internacional de Funcionalidade (CIF), Incapacidade e Saúde.

CONTEÚDO: Revisão sistemática realizada nas bases de dados Pubmed, PEDro, Scielo, Bireme, Web of Science, Cochrane, CINAHL, SPORTDiscus e Scopus. Foram incluídos ensaios clínicos publicados de 2001 a 2019, nos idiomas português, inglês e espanhol, tendo como um dos desfechos a avaliação da funcionalidade de pessoas com disfunção temporomandibular. Para a avaliação da qualidade dos artigos foi utilizado o Checklist GRADE. Os questionários foram analisados e suas questões codificadas de acordo com os domínios da CIF. Foram encontrados 425 artigos, 7 deles foram incluídos nesta pesquisa. Apresentavam 4 diferentes instrumentos para avaliação da funcionalidade de pessoas com disfunção temporomandibular: Research Diagnostic Criteria for Temporomandibular Disorders, Mandibular Function Impairment Questionnaire, Pain Disability Index e Escala de comprometimento funcional de 11 pontos. A frequência dos domínios da CIF foi: função (39,8%), estrutura do corpo (22,8%), atividade (17,7%), condição de saúde (8,86%), fatores pessoais (6,8%), participação (2,88), fatores ambientais (1,03%).

CONCLUSÃO: A literatura é limitada sobre estudos sobre a funcionalidade na população com disfunção temporomandibular. Além disso, os instrumentos utilizados não conseguem abordar os domínios da CIF de uma forma satisfatória, com ênfase na coleta de informações a respeito de funções e estruturas do corpo.

Palavras-chave

Articulação temporomandibular, Classificação Internacional de Funcionalidade, Incapacidade e saúde, Síndrome da disfunção da articulação temporomandibular

References

Balik A, Peker K, Ozdemir-Karatas M. Comparisons of measures that evaluate oral and general health quality of life in patients with temporomandibular disorder and chronic pain. Cranio. 2019:1-11.

Tatli U, Benlidayi ME, Ekren O, Salimov F. Comparison of the effectiveness of three different treatment methods for temporomandibular joint disc displacement without reduction. Int J Oral Maxillofac Surg. 2017;46(5):603-9.

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6-27.

Ramos MM, González AP, De La Hoz Aizpúrua JL. Dolor orofacial musculoesquelético (disfunción craneomandibular). RCOE. 2013;18(3):161-5.

Bagis B, Ayaz EA, Turgut S, Durkan R, Özcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J Med Sci. 2012;9(7):539-44.

Lopes Pãnos R, Ortiz-Gutiérrez RM, Chana Valero P, Felipe Concepción E. Assessment of postural control and balance in persons with temporomandibular disorders: a systematic review. Rehabilitation. 2019;53(1):28-42.

Almoznino G, Goldschleger G, Aviv T, Chweidan H, Yarom N. Oral health-related quality of life in patients with temporomandibular disorders. J Oralfac Pain.. 2015;29(3):2311-41.

Roldán-Barraza C, Janko S, Villanueva J, Araya I, Lauer HC. A systematic review and meta-analysis of usual treatment versus psychosocial interventions in the treatment of myofascial temporomandibular disorder pain. J Oral Facial Pain Headache. 2014;28(3):205-22.

Stucki G, Bickenbach J. Functioning: the third health indicator in the health system and the key indicator for rehabilitation. Eur J Phys Rehabil Med. 2017;53(1):134-8.

Üstün TB, Chatterji S, Bickenbach J, Kostanjsek N, Schneider M. The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health. Disabil Rehabil. 2003;25(11-12):565-71.

Garin O, Ayuso-Mateos JL, Almansa J, Nieto M, Chatterji S, Vilagut G. Validation of the "World Health Organization Disability Assessment Schedule, WHODAS-2" in patients with chronic diseases. Health Qual Life Outcomes. 2010;8:51.

Farias N, Buchalla CM. A classificação internacional de funcionalidade, incapacidade e saúde da organização mundial da saúde: conceitos, usos e perspectivas. Rev Bras Epidemiol. 2005;8(2):187-93.

Fontes AP, Fernandes AA, Botelho MA. Funcionalidade e Incapacidade: aspesctos conceptuais, estruturais e de aplicação da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Rev Port Saude Publica. 2010;28(2):171.

Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Plos Med. 2009;6(7).

Galvao TF, Pereira MG. Avaliação da qualidade da evidência de revisões sistemáticas. Epidemiol Serv Saúde. 2015;24(1):173-5.

Maher GC, Sherrington C, Herbert RD, Moseley AN, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713-21.

Cieza A, Fayed N, Bickenbach J, Prodinger B. Refinements of the ICF Linking Rules to strengthen their potential for establishing comparability of health information. Disabil Rehabil. 2019;41(5):574-83.

Shedden Mora MC, Weber D, Neff A, Rief W. Biofeedback-based cognitive-behavioral treatment compared with occlusal splint for temporomandibular disorder: a randomized controlled trial. Clin J Pain. 2013;29(12):1057-65.

de Lucena LB, Kosminsky M, da Costa LJ, de Góes PS. Validation of the Portuguese version of the RDC/TMD Axis II questionnaire. Braz Oral Res. 2006;20(4):312-7.

Chaves TC, Oliveira De AS, Grossi DB. Principais instrumentos para avaliação da disfunção temporomandibular, parte I: índices e questionários; uma contribuição para a prática clínica e de pesquisa. Fisioter Pesqui. 2008;15(1):92-100.

Tait RC, Chibnall JT, Krause S. The Pain Disability Index: psychometric properties. Pain. 1990;40(2):171-82.

Calixtre LB, Oliveira AB, de Sena Rosa LR, Armijo-Olivo S, Visscher CM, Alburquerque-Sendín F. Effectiveness of mobilisation of the upper cervical region and craniocervical flexor training on orofacial pain, mandibular function and headache in women with TMD. A randomised, controlled trial. J Oral Rehabil. 2019;46(2):109-19.

Rodrigues MDF, Rodrigues ML, Bueno KS, Aroca JP, Camilotti V, Busato MCA. Effects of low-power laser auriculotherapy on the physical and emotional aspects in patients with temporomandibular disorders: a blind, randomized, controlled clinical trial. Complement Ther Med. 2019;42:340-6.

Vuckovic NH, Williams LA, Schneider J, Ramirez M, Gullion CM. Long-term outcomes of shamanic treatment for temporomandibular joint disorders. Perm J. 2012;16(2):28-35.

Vuckovic NH, Gullion CM, Williams LA, Ramirez M, Schneider J. Feasibility and short-term outcomes of a shamanic treatment for temporomandibular joint disorders. Altern Ther Health Med. 2007;13(6):18-29.

Wolfart S, Heydecke G, Luthardt RG, Marré B, Freesmeyer WB, Stark H. Effects of prosthetic treatment for shortened dental arches on oral health-related quality of life, self-reports of pain and jaw disability: results from the pilot-phase of a randomized multicentre trial. J Oral Rehabil. 2005;32(11):815-22.


Submitted date:
04/28/2020

Accepted date:
11/08/2020

60873ceba953957e2f10e083 brjp Articles

BrJP

Share this page
Page Sections