Standardizing the Clinical Orofacial Examination in Juvenile Idiopathic Arthritis: An Interdisciplinary, Consensus-based, Short Screening Protocol.

Arthritis, Juvenile / diagnosis Case-Control Studies Consensus Humans Reproducibility of Results Systematic Reviews as Topic Temporomandibular Joint Temporomandibular Joint Disorders / diagnosis
ARTHRITIS CLINICAL EXAMINATION FACE JUVENILE IDIOPATHIC ARTHRITIS TEMPOROMANDIBULAR JOINT

Journal

The Journal of rheumatology
ISSN: 0315-162X
Titre abrégé: J Rheumatol
Pays: Canada
ID NLM: 7501984

Informations de publication

Date de publication:
01 09 2020
Historique:
accepted: 13 11 2019
pubmed: 4 12 2019
medline: 1 9 2021
entrez: 3 12 2019
Statut: ppublish

Résumé

To develop a consensus-based, standardized, short (< 3 min) clinical examination protocol to assess the multidimensional, orofacial manifestations of juvenile idiopathic arthritis (JIA). The study was conducted by a multidisciplinary task force from the Temporomandibular Joint Juvenile Arthritis Working Group (TMJaw). The study used an acknowledged sequential approach involving (1) a global multidisciplinary online questionnaire study, (2) a systematic literature review and consensus meetings to identify items for inclusion, (3) pilot testing of included items, (4) test of reliability in 22 subjects with JIA by 4 examiners, (5) test of construct validity in a case-control study involving 167 subjects, and (6) establishment of final recommendations. Six items were recommended for the final examination protocol: (1) clinician-assessed pain location, (2) temporomandibular (TMJ) joint pain on palpation (open and closed mouth), (3) mandibular deviation at maximal mouth opening (≥ 3 mm), (4) maximal unassisted mouth opening capacity, (5) frontal facial symmetry, and (6) facial profile. All recommended items showed acceptable reliability and construct validity. The average mean examination time was 2 min and 42 s (SD ± 38.5 s). A consensus-based, short clinical examination protocol was developed. The protocol takes less than 3 min to complete and provides information about orofacial symptoms, TMJ dysfunction, and dentofacial deformity. The standardized examination protocol is applicable to routine clinical care, as well as future research studies.

Identifiants

DOI: 10.3899/jrheum.190661 PMID: 31787607
pubmed: 31787607
pii: jrheum.190661
doi: 10.3899/jrheum.190661
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1397-1404

Auteurs

Peter Stoustrup (P)

From the Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus; Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University, Aarhus, Denmark; Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario; Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital, Calgary, Alberta, Canada; Department of Orthodontics, University Hospital Tübingen, Tübingen, Germany. pstoustrup@odont.au.dk.
P. Stoustrup, DDS, PhD, Associate Professor of Orthodontics, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; T. Herlin, Professor, MD, DMSci, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; L. Spiegel, MD, FRCPC, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto; H. Rahimi, MD, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; B. Koos, DDS, PhD, Professor, Department of Orthodontics, University Hospital Tübingen; T.K. Pedersen, PhD, Consultant Orthodontist, Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University; M. Twilt, MD, MSCE, PhD, Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital. pstoustrup@odont.au.dk.
ORCID: 0000-0002-0903-6718

Troels Herlin (T)

From the Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus; Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University, Aarhus, Denmark; Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario; Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital, Calgary, Alberta, Canada; Department of Orthodontics, University Hospital Tübingen, Tübingen, Germany.
P. Stoustrup, DDS, PhD, Associate Professor of Orthodontics, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; T. Herlin, Professor, MD, DMSci, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; L. Spiegel, MD, FRCPC, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto; H. Rahimi, MD, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; B. Koos, DDS, PhD, Professor, Department of Orthodontics, University Hospital Tübingen; T.K. Pedersen, PhD, Consultant Orthodontist, Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University; M. Twilt, MD, MSCE, PhD, Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital.

Lynn Spiegel (L)

From the Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus; Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University, Aarhus, Denmark; Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario; Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital, Calgary, Alberta, Canada; Department of Orthodontics, University Hospital Tübingen, Tübingen, Germany.
P. Stoustrup, DDS, PhD, Associate Professor of Orthodontics, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; T. Herlin, Professor, MD, DMSci, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; L. Spiegel, MD, FRCPC, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto; H. Rahimi, MD, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; B. Koos, DDS, PhD, Professor, Department of Orthodontics, University Hospital Tübingen; T.K. Pedersen, PhD, Consultant Orthodontist, Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University; M. Twilt, MD, MSCE, PhD, Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital.

Hanna Rahimi (H)

From the Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus; Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University, Aarhus, Denmark; Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario; Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital, Calgary, Alberta, Canada; Department of Orthodontics, University Hospital Tübingen, Tübingen, Germany.
P. Stoustrup, DDS, PhD, Associate Professor of Orthodontics, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; T. Herlin, Professor, MD, DMSci, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; L. Spiegel, MD, FRCPC, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto; H. Rahimi, MD, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; B. Koos, DDS, PhD, Professor, Department of Orthodontics, University Hospital Tübingen; T.K. Pedersen, PhD, Consultant Orthodontist, Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University; M. Twilt, MD, MSCE, PhD, Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital.

Bernd Koos (B)

From the Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus; Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University, Aarhus, Denmark; Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario; Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital, Calgary, Alberta, Canada; Department of Orthodontics, University Hospital Tübingen, Tübingen, Germany.
P. Stoustrup, DDS, PhD, Associate Professor of Orthodontics, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; T. Herlin, Professor, MD, DMSci, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; L. Spiegel, MD, FRCPC, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto; H. Rahimi, MD, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; B. Koos, DDS, PhD, Professor, Department of Orthodontics, University Hospital Tübingen; T.K. Pedersen, PhD, Consultant Orthodontist, Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University; M. Twilt, MD, MSCE, PhD, Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital.

Thomas Klit Pedersen (TK)

From the Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Aarhus; Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus; Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University, Aarhus, Denmark; Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario; Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital, Calgary, Alberta, Canada; Department of Orthodontics, University Hospital Tübingen, Tübingen, Germany.
P. Stoustrup, DDS, PhD, Associate Professor of Orthodontics, Section of Orthodontics, Department of Dentistry and Oral Health, Aarhus University; T. Herlin, Professor, MD, DMSci, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; L. Spiegel, MD, FRCPC, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, University of Toronto; H. Rahimi, MD, Pediatric Rheumatology Clinic, Pediatrics and Adolescent Medicine, Aarhus University Hospital; B. Koos, DDS, PhD, Professor, Department of Orthodontics, University Hospital Tübingen; T.K. Pedersen, PhD, Consultant Orthodontist, Professor, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Section of Orthodontics, Aarhus University; M. Twilt, MD, MSCE, PhD, Assistant Professor, Department of Pediatrics, Cumming School of Medicine, University of Calgary and Alberta Children's Hospital.

Marinka Twilt (M)

ORCID: 0000-0003-1954-2822

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Classifications MeSH

questionsmedicales.fr › Maladies du système immunitaire › Maladies auto-immunes › Arthrite juvénile › Standardizing the Clinical Orofacial...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études cas-témoins › Standardizing the Clinical Orofacial...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Consensus › Standardizing the Clinical Orofacial...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Standardizing the Clinical Orofacial...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Méthodologie en recherche épidémiologique › Reproductibilité des résultats › Standardizing the Clinical Orofacial...
questionsmedicales.fr › Sciences de l'information › Sources d'information › Moyens de communication › Publications › Littérature de revue comme sujet › Revues systématiques comme sujet › Standardizing the Clinical Orofacial...
questionsmedicales.fr › Système stomatognathique › Articulation temporomandibulaire › Standardizing the Clinical Orofacial...
questionsmedicales.fr › Maladies du système stomatognathique › Troubles de l'articulation temporomandibulaire › Standardizing the Clinical Orofacial...