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Diagnostic value of orthopedic tests in patients with temporomandibular disorders.
- Source :
-
Journal of dental research [J Dent Res] 1993 Oct; Vol. 72 (10), pp. 1443-53. - Publication Year :
- 1993
-
Abstract
- For a better definition of diagnostic subgroups of patients with temporomandibular disorders (TMD), clinical orthopedic tests have been developed for the masticatory system, for use together with the commonly used active movement tests and palpation. In the present study, the characteristics and additional diagnostic value of four orthopedic tests--namely, passive opening, the joint play test, compression, and the static pain test--were determined for a patient group, diagnostic subgroups, and a control group. Significant differences among the scores of the tests in the different groups indicated that all six orthopedic tests contributed to the diagnostic process. Because of the close functional relationship of the masticatory system, most information was obtained when patients indicated where pain occurred during the different tests. Logistic regression techniques were used for determination of the relative diagnostic value of each orthopedic test in the diagnostic process. Active movement was the most powerful test for distinguishing the different subgroups. Palpation and passive opening were additionally useful for distinguishing between patients and control subjects and between the subgroups of arthrogenous and myogenous patients. Besides active movement, both compression and the joint play test played a minor role in the distinction of subgroups of arthrogenous patients. It may be concluded that in routine clinical practice, besides history taking and conventional radiography, a functional examination consisting of active movements, passive opening, and palpation provides valuable diagnostic information. In patients with a specific diagnostic problem, one of the other additional tests might be indicated.
- Subjects :
- Adult
Cartilage, Articular physiopathology
Dental Occlusion
Female
Humans
Male
Mandible physiopathology
Mandibular Condyle physiopathology
Masseter Muscle physiopathology
Masticatory Muscles physiopathology
Medical History Taking
Movement
Pain
Palpation
Physical Examination
Range of Motion, Articular
Sensitivity and Specificity
Sound
Stress, Mechanical
Temporomandibular Joint physiopathology
Temporomandibular Joint Disorders classification
Temporomandibular Joint Disorders diagnosis
Temporomandibular Joint Disorders physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 0022-0345
- Volume :
- 72
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Journal of dental research
- Publication Type :
- Academic Journal
- Accession number :
- 8408888
- Full Text :
- https://doi.org/10.1177/00220345930720101501