VALIDITY AND RELIABILITY OF THE HELKIMO CLINICAL DYSFUNCTION INDEX FOR THE DIAGNOSIS OF TEMPOROMANDIBULAR DISORDERS

Yıl 2025, Cilt: 36 Sayı: 2, 143 - 152, 22.09.2025

Elif Tuğçe Çil , Can Seçinti , Deniz Özlüer , Hazal Yeşilkaya , Ebru Akbuğa Koç , Demirhan Dıraçoğlu , Şule Hantal

Öz

Purpose: The Helkimo Clinical Dysfunction Index (HCDI) is a brief and easy-to-use assessment tool designed to evaluate individuals with temporomandibular disorders (TMDs). The evaluation assesses muscle strength, joint function, mobility, pain, and musculature to give a rapid overall review for various levels of treatment. Because of this, the research aimed to verify the HCDI’s use in a group of TMD patients.
Methods: There were 88 participants, 44 of whom had TMD. The other 44 participants were healthy. Inter-rater concordance, predictive scores, and concurrent validity were all assessed in the study.
Results: The analysis of the receiver operating characteristic curve identified an optimal cut-off point of more than 1 point in the HCDI score that manifested a sensitivity of 81.17% alongside a specificity of 72.43% for diagnosing TMDs, thus establishing the DC/TMD protocol as the benchmark.
Conclusion: This analytical process demonstrated an area under the curve of 0.90, indicative of commendable precision.

Anahtar Kelimeler

Helkimo , Reliability , Validity , Temporomandibular dysfunction

TEMPOROMANDİBULAR BOZUKLUKLARIN TEŞHİSİNDE HELKİMO KLİNİK DİSFONKSİYON İNDEKSİNİN GEÇERLİLİĞİ VE GÜVENİRLİĞİ

Öz

Amaç: Helkimo Klinik Disfonksiyon İndeksi (HCDI), temporomandibular bozukluğu (TMD) olan bireyleri değerlendirmek için tasarlanmış kısa, kullanımı kolay bir değerlendirme aracıdır. Değerlendirme, çeşitli tedavi seviyeleri için hızlı bir genel değerlendirme sağlamak amacıyla kas gücü, eklem fonksiyonu, hareketlilik, ağrı ve kas sistemini değerlendirir. Bu nedenle, araştırma HCDI’nin TMD hastasında kullanımını doğrulamayı amaçlamıştır.
Yöntem: Çalışmaya 44’ünde TMD olan 88 katılımcı dahil edildi. Diğer 44 katılımcı ise sağlıklıydı. Çalışmada değerlendiriciler arası uyum, öngörücü skorlar ve eşzamanlı geçerlilik değerlendirilmiştir.
Bulgular: Alıcı işletim karakteristik eğrisinin analizi, TMD’lerin teşhisi için %72,43 özgüllüğün yanı sıra %81,17’lik bir duyarlılık gösteren HCDI skorunda 1 puandan fazla optimal bir kesme noktası belirlenerek DC/TMD protokolünü ölçüt olarak bulundu.
Sonuç: Bu analitik süreç, yüksek bir hassasiyetin göstergesi olan 0,90’lık bir eğri altındaki alanı göstermiştir.

Anahtar Kelimeler

Helkimo , Güvenirlik , Geçerlilik , Temporomandibular disfonksiyon

Etik Beyan

Ethical Standards in 1946 Declaration of Helsinki, as revised in 2013, were followed and the study was approved by the University’s Ethics Board. Clinical Trial Registry Name And Registration Number DenizOzluer/ NCT05749224

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