VALIDITY AND RELIABILITY OF THE HELKIMO CLINICAL DYSFUNCTION INDEX FOR THE DIAGNOSIS OF TEMPOROMANDIBULAR DISORDERS TEMPOROMANDİBULAR BOZUKLUKLARIN TEŞHİSİNDE HELKİMO KLİNİK DİSFONKSİYON İNDEKSİNİN GEÇERLİLİĞİ VE GÜVENİRLİĞİ


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Çil E. T., Seçinti C., Özlüer D., Yeşilkaya H., Akbuğa Koç E., Diraçoğlu D., ...More

Turkish Journal of Physiotherapy and Rehabilitation, vol.36, no.2, pp.143-152, 2025 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 2
  • Publication Date: 2025
  • Doi Number: 10.21653/tjpr.1426260
  • Journal Name: Turkish Journal of Physiotherapy and Rehabilitation
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.143-152
  • Keywords: Helkimo, Reliability, Temporomandibular dysfunction, Validity
  • Istanbul University Affiliated: Yes

Abstract

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.