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Vol. 22. Num. 4.01 July 2018
Pages 255-344
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Vol. 22. Num. 4.01 July 2018
Pages 255-344
Original Research
DOI: 10.1016/j.bjpt.2018.02.003
Analysis of the accuracy and reliability of the Short-Form Fonseca Anamnestic Index in the diagnosis of myogenous temporomandibular disorder in women
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Paulo Fernandes Piresa, Ester Moreira de Castroa, Elisa Bizetti Pelaia, Ana Beatriz Chiconelo de Arrudab, Delaine Rodrigues-Bigatona,
Corresponding author
drodrigues@unimep.br

Corresponding author at: Postgraduate Program in Human Movement Sciences, Universidade Metodista de Piracicaba (UNIMEP), Rodovia do Açúcar, Km 156, Taquaral, Bloco 7, Sala 37, CEP: 13400-911 Piracicaba, SP, Brazil.
a Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programma de Pós-graduação em Ciências do Movimento Humano, Piracicaba, SP, Brazil
b Universidade Metodista de Piracicaba (UNIMEP), Faculdade de Ciências da Saúde, Programa de Graduação em Fisioterapia, Piracicaba, SP, Brazil
Highlights

  • The Short-Form Fonseca Anamnestic Index (SFAI) has good diagnostic accuracy for myogenour TMD.

  • The best cut-off point of the SFAI was 17.5 points.

  • The SFAI should be used for clinical practice and research.

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Figures (2)
Tables (3)
Table 1. Diagnosis of TMD in subjects based on to the Research Diagnostic Criteria for Temporomandibular Disorders, n=123.
Table 2. Reliability statistics applied to the selected items of the SFAI.
Table 3. Area under the ROC curve (AUC), best cut-off score, sensitivity, specificity, predictive values, and likelihood ratios of the SFAI (from the first session).
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Abstract
Background

The Fonseca Anamnestic Index is a questionnaire used to classify individuals with temporomandibular disorders. Previous studies have shown that the Fonseca Anamnestic Index provides a multidimensional measurement of the temporomandibular disorders construct and that the main dimension presents a good fit to the model according to the item response theory.

Objective

To evaluate the between-day reliability, accuracy, and best cut-off score of the Short-Form Fonseca Anamnestic Index for the diagnosis of myogenous temporomandibular disorders.

Methods

The sample consisted of 123 women (57 with myogenous temporomandibular disorders and 66 asymptomatic), evaluated by the Research Diagnostic Criteria for Temporomandibular Disorders. The participants answered the Short-Form Fonseca Anamnestic Index on two occasions with a seven-day interval between tests. For the analysis of between-day reliability, the intraclass correlation coefficient, the standard error of measurement and the minimum detectable change were used. The Receiver Operating Characteristic curve was used to determine the diagnostic accuracy and the best cut-off point.

Results

The Short-Form Fonseca Anamnestic Index demonstrated excellent reliability (intraclass correlation coefficient0.95) for all items and for the total Short-Form Fonseca Anamnestic Index score (intraclass correlation coefficient=0.98; standard error of measurement=3.28; minimum detectable change=9.09). The level of accuracy of the Short-Form Fonseca Anamnestic Index for the diagnosis of myogenous temporomandibular disorders was high (area under the curve of 0.97), with a better cut-off score of 17.5 points.

Conclusion

The Fonseca Anamnestic Index should be used in its short form to classify the absence of myogenous temporomandibular disorders (scores between 0 and 15 points) or presence of myogenous temporomandibular disorders (scores between 20 and 50 points) in women.

Keywords:
Temporomandibular joint disorders
Sensitivity and specificity
Diagnosis
Accuracy studies
Reliability

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