Validation of the Temporomandibular Disorder Pain Screener in a Specialized Headache Center

Hedwig A. van der Meer; Merete Bakke; Henrik W. Schytz; Bjarne Kjeldgaard Madsen

doi:10.11607/ofph.2787

Validation of the Temporomandibular Disorder Pain Screener in a Specialized Headache Center

Hedwig A. van der Meer^*, Merete Bakke, Henrik W. Schytz, Bjarne Kjeldgaard Madsen

^*Corresponding author for this work

Oral Kinesiology

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Aims: To investigate the sensitivity and specificity of the TMD pain screener in a headache population. Methods: A cross-sectional study was conducted at the Danish Headache Center (DHC). Patients were included if they had primary or secondary headache, trigeminal neuralgia, or facial pain. The pain screener was compared to the outcome of a full Diagnostic Criteria for TMD (DC/TMD) examination. Results: A total of 62 headache patients were included (77% women). The sensitivity of the pain screener short version (three questions) was 85% (95% CI: 70% to 94%), and the specificity was 64% (95% CI: 41% to 83%). In the full version (six questions), the sensitivity was 83% (95% CI: 67% to 93%), and the specificity was 82% (95% CI: 60% to 95%). Conclusion: The TMD pain screener seems to be a valid tool to accurately screen for the presence of TMD to provide the most optimal treatment for headache patients. These findings should however be confirmed in a larger sample with migraine, tension-type headache, and trigeminal neuralgia. J Oral Facial Pain Headache 2021;35:150–156, doi: 10.11607/ofph.2787

Original language	English
Pages (from-to)	150-156
Number of pages	7
Journal	Journal of Oral and Facial Pain and Headache
Volume	35
Issue number	2
DOIs	https://doi.org/10.11607/ofph.2787
Publication status	Published - Apr 2021

Bibliographical note

Funding Information:
The authors thank the secretaries of the Danish Headache Center for their help with the patient inclusion process, as well as Merete Bertelsen for support with data collection. Hedwig van der Meer is funded by the Dutch Organization for Scientific Research (Nederlandse Organisatie voor Wetenschappelijk Onderzoek – NWO; grant number 023.006.004) and received additional funding from the Scientific Committee for Physiotherapy (Wetenschappelijk College Fysiotherapie - WCF) to visit the DHC for research. There are no conflicts of interests within this study. Trial registration: clinicaltrials.gov (NCT04193111).

Funding Information:
The authors thank the secretaries of the Danish Headache Center for their help with the patient inclusion process, as well as Merete Bertelsen for support with data collection. Hedwig van der Meer is funded by the Dutch Organization for Scientific Research (Nederlandse Organisatie voor Wetenschappelijk Onderzoek - NWO; grant number 023.006.004) and received additional funding from the Scientific Committee for Physiotherapy (Wetenschappelijk College Fysiotherapie - WCF) to visit the DHC for research. There are no conflicts of interests within this study. Trial registration: clinicaltrials.gov (NCT04193111).

Publisher Copyright:
© 2021. by Quintessence Publishing Co Inc.

Keywords

diagnosticaccurañó
migraine
orofacial pain
tension-type headache
TMD
trigeminaineuraigia

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Validation of the Temporomandibular Disorder Pain Screener in a Specialized Headache Center",

abstract = "Aims: To investigate the sensitivity and specificity of the TMD pain screener in a headache population. Methods: A cross-sectional study was conducted at the Danish Headache Center (DHC). Patients were included if they had primary or secondary headache, trigeminal neuralgia, or facial pain. The pain screener was compared to the outcome of a full Diagnostic Criteria for TMD (DC/TMD) examination. Results: A total of 62 headache patients were included (77% women). The sensitivity of the pain screener short version (three questions) was 85% (95% CI: 70% to 94%), and the specificity was 64% (95% CI: 41% to 83%). In the full version (six questions), the sensitivity was 83% (95% CI: 67% to 93%), and the specificity was 82% (95% CI: 60% to 95%). Conclusion: The TMD pain screener seems to be a valid tool to accurately screen for the presence of TMD to provide the most optimal treatment for headache patients. These findings should however be confirmed in a larger sample with migraine, tension-type headache, and trigeminal neuralgia. J Oral Facial Pain Headache 2021;35:150–156, doi: 10.11607/ofph.2787",

keywords = "diagnosticaccura{\~n}{\'o}, migraine, orofacial pain, tension-type headache, TMD, trigeminaineuraigia",

author = "{van der Meer}, {Hedwig A.} and Merete Bakke and Schytz, {Henrik W.} and Madsen, {Bjarne Kjeldgaard}",

note = "Funding Information: The authors thank the secretaries of the Danish Headache Center for their help with the patient inclusion process, as well as Merete Bertelsen for support with data collection. Hedwig van der Meer is funded by the Dutch Organization for Scientific Research (Nederlandse Organisatie voor Wetenschappelijk Onderzoek – NWO; grant number 023.006.004) and received additional funding from the Scientific Committee for Physiotherapy (Wetenschappelijk College Fysiotherapie - WCF) to visit the DHC for research. There are no conflicts of interests within this study. Trial registration: clinicaltrials.gov (NCT04193111). Funding Information: The authors thank the secretaries of the Danish Headache Center for their help with the patient inclusion process, as well as Merete Bertelsen for support with data collection. Hedwig van der Meer is funded by the Dutch Organization for Scientific Research (Nederlandse Organisatie voor Wetenschappelijk Onderzoek - NWO; grant number 023.006.004) and received additional funding from the Scientific Committee for Physiotherapy (Wetenschappelijk College Fysiotherapie - WCF) to visit the DHC for research. There are no conflicts of interests within this study. Trial registration: clinicaltrials.gov (NCT04193111). Publisher Copyright: {\textcopyright} 2021. by Quintessence Publishing Co Inc.",

year = "2021",

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doi = "10.11607/ofph.2787",

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pages = "150--156",

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TY - JOUR

T1 - Validation of the Temporomandibular Disorder Pain Screener in a Specialized Headache Center

AU - van der Meer, Hedwig A.

AU - Bakke, Merete

AU - Schytz, Henrik W.

AU - Madsen, Bjarne Kjeldgaard

N1 - Funding Information: The authors thank the secretaries of the Danish Headache Center for their help with the patient inclusion process, as well as Merete Bertelsen for support with data collection. Hedwig van der Meer is funded by the Dutch Organization for Scientific Research (Nederlandse Organisatie voor Wetenschappelijk Onderzoek – NWO; grant number 023.006.004) and received additional funding from the Scientific Committee for Physiotherapy (Wetenschappelijk College Fysiotherapie - WCF) to visit the DHC for research. There are no conflicts of interests within this study. Trial registration: clinicaltrials.gov (NCT04193111). Funding Information: The authors thank the secretaries of the Danish Headache Center for their help with the patient inclusion process, as well as Merete Bertelsen for support with data collection. Hedwig van der Meer is funded by the Dutch Organization for Scientific Research (Nederlandse Organisatie voor Wetenschappelijk Onderzoek - NWO; grant number 023.006.004) and received additional funding from the Scientific Committee for Physiotherapy (Wetenschappelijk College Fysiotherapie - WCF) to visit the DHC for research. There are no conflicts of interests within this study. Trial registration: clinicaltrials.gov (NCT04193111). Publisher Copyright: © 2021. by Quintessence Publishing Co Inc.

PY - 2021/4

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N2 - Aims: To investigate the sensitivity and specificity of the TMD pain screener in a headache population. Methods: A cross-sectional study was conducted at the Danish Headache Center (DHC). Patients were included if they had primary or secondary headache, trigeminal neuralgia, or facial pain. The pain screener was compared to the outcome of a full Diagnostic Criteria for TMD (DC/TMD) examination. Results: A total of 62 headache patients were included (77% women). The sensitivity of the pain screener short version (three questions) was 85% (95% CI: 70% to 94%), and the specificity was 64% (95% CI: 41% to 83%). In the full version (six questions), the sensitivity was 83% (95% CI: 67% to 93%), and the specificity was 82% (95% CI: 60% to 95%). Conclusion: The TMD pain screener seems to be a valid tool to accurately screen for the presence of TMD to provide the most optimal treatment for headache patients. These findings should however be confirmed in a larger sample with migraine, tension-type headache, and trigeminal neuralgia. J Oral Facial Pain Headache 2021;35:150–156, doi: 10.11607/ofph.2787

AB - Aims: To investigate the sensitivity and specificity of the TMD pain screener in a headache population. Methods: A cross-sectional study was conducted at the Danish Headache Center (DHC). Patients were included if they had primary or secondary headache, trigeminal neuralgia, or facial pain. The pain screener was compared to the outcome of a full Diagnostic Criteria for TMD (DC/TMD) examination. Results: A total of 62 headache patients were included (77% women). The sensitivity of the pain screener short version (three questions) was 85% (95% CI: 70% to 94%), and the specificity was 64% (95% CI: 41% to 83%). In the full version (six questions), the sensitivity was 83% (95% CI: 67% to 93%), and the specificity was 82% (95% CI: 60% to 95%). Conclusion: The TMD pain screener seems to be a valid tool to accurately screen for the presence of TMD to provide the most optimal treatment for headache patients. These findings should however be confirmed in a larger sample with migraine, tension-type headache, and trigeminal neuralgia. J Oral Facial Pain Headache 2021;35:150–156, doi: 10.11607/ofph.2787

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KW - orofacial pain

KW - tension-type headache

KW - TMD

KW - trigeminaineuraigia

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Validation of the Temporomandibular Disorder Pain Screener in a Specialized Headache Center

Abstract

Bibliographical note

Keywords

UN SDGs

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