Diagnostic criteria for headache attributed to temporomandibular disorders

Eric Schiffman; Richard Ohrbach; Thomas List; Gary Anderson; Rigmor Jensen; Mike T John; Donald Nixdorf; Jean-Paul Goulet; Wenjun Kang; Ed Truelove; Al Clavel; James Fricton; John Look

doi:10.1177/0333102412446312

Diagnostic criteria for headache attributed to temporomandibular disorders

Eric Schiffman, Richard Ohrbach, Thomas List, Gary Anderson, Rigmor Jensen, Mike T John, Donald Nixdorf, Jean-Paul Goulet, Wenjun Kang, Ed Truelove, Al Clavel, James Fricton, John Look

46 Citationer (Scopus)

Abstract

Aims: We assessed and compared the diagnostic accuracy of two sets of diagnostic criteria for headache secondary to temporomandibular disorders (TMD).Methods: In 373 headache subjects with TMD, a TMD headache reference standard was defined as: self-reported temple headache, consensus diagnosis of painful TMD and replication of the temple headache using TMD-based provocation tests. Revised diagnostic criteria for Headache attributed to TMD were selected using the RPART (recursive partitioning and regression trees) procedure, and refined in half of the data set. Using the remaining half of the data, the diagnostic accuracy of the revised criteria was compared to that of the International Headache Society's International Classification of Headache Diseases (ICHD)-II criteria A to C for Headache or facial pain attributed to temporomandibular joint (TMJ) disorder.Results: Relative to the TMD headache reference standard, ICHD-II criteria showed sensitivity of 84% and specificity of 33%. The revised criteria for Headache attributed to TMD had sensitivity of 89% with improved specificity of 87% (p-<-0.001). These criteria are (1) temple area headache that is changed with jaw movement, function or parafunction and (2) provocation of that headache by temporalis muscle palpation or jaw movement.Conclusion: Having significantly better specificity than the ICHD-II criteria A to C, the revised criteria are recommended to diagnose headache secondary to TMD.

Originalsprog	Engelsk
Tidsskrift	Cephalalgia
Vol/bind	32
Udgave nummer	9
Sider (fra-til)	683-92
Antal sider	10
ISSN	0333-1024
DOI	https://doi.org/10.1177/0333102412446312
Status	Udgivet - jul. 2012

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title = "Diagnostic criteria for headache attributed to temporomandibular disorders",

abstract = "Aims: We assessed and compared the diagnostic accuracy of two sets of diagnostic criteria for headache secondary to temporomandibular disorders (TMD).Methods: In 373 headache subjects with TMD, a TMD headache reference standard was defined as: self-reported temple headache, consensus diagnosis of painful TMD and replication of the temple headache using TMD-based provocation tests. Revised diagnostic criteria for Headache attributed to TMD were selected using the RPART (recursive partitioning and regression trees) procedure, and refined in half of the data set. Using the remaining half of the data, the diagnostic accuracy of the revised criteria was compared to that of the International Headache Society's International Classification of Headache Diseases (ICHD)-II criteria A to C for Headache or facial pain attributed to temporomandibular joint (TMJ) disorder.Results: Relative to the TMD headache reference standard, ICHD-II criteria showed sensitivity of 84% and specificity of 33%. The revised criteria for Headache attributed to TMD had sensitivity of 89% with improved specificity of 87% (p-<-0.001). These criteria are (1) temple area headache that is changed with jaw movement, function or parafunction and (2) provocation of that headache by temporalis muscle palpation or jaw movement.Conclusion: Having significantly better specificity than the ICHD-II criteria A to C, the revised criteria are recommended to diagnose headache secondary to TMD.",

author = "Eric Schiffman and Richard Ohrbach and Thomas List and Gary Anderson and Rigmor Jensen and John, {Mike T} and Donald Nixdorf and Jean-Paul Goulet and Wenjun Kang and Ed Truelove and Al Clavel and James Fricton and John Look",

year = "2012",

month = jul,

doi = "10.1177/0333102412446312",

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pages = "683--92",

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TY - JOUR

T1 - Diagnostic criteria for headache attributed to temporomandibular disorders

AU - Schiffman, Eric

AU - Ohrbach, Richard

AU - List, Thomas

AU - Anderson, Gary

AU - Jensen, Rigmor

AU - John, Mike T

AU - Nixdorf, Donald

AU - Goulet, Jean-Paul

AU - Kang, Wenjun

AU - Truelove, Ed

AU - Clavel, Al

AU - Fricton, James

AU - Look, John

PY - 2012/7

Y1 - 2012/7

N2 - Aims: We assessed and compared the diagnostic accuracy of two sets of diagnostic criteria for headache secondary to temporomandibular disorders (TMD).Methods: In 373 headache subjects with TMD, a TMD headache reference standard was defined as: self-reported temple headache, consensus diagnosis of painful TMD and replication of the temple headache using TMD-based provocation tests. Revised diagnostic criteria for Headache attributed to TMD were selected using the RPART (recursive partitioning and regression trees) procedure, and refined in half of the data set. Using the remaining half of the data, the diagnostic accuracy of the revised criteria was compared to that of the International Headache Society's International Classification of Headache Diseases (ICHD)-II criteria A to C for Headache or facial pain attributed to temporomandibular joint (TMJ) disorder.Results: Relative to the TMD headache reference standard, ICHD-II criteria showed sensitivity of 84% and specificity of 33%. The revised criteria for Headache attributed to TMD had sensitivity of 89% with improved specificity of 87% (p-<-0.001). These criteria are (1) temple area headache that is changed with jaw movement, function or parafunction and (2) provocation of that headache by temporalis muscle palpation or jaw movement.Conclusion: Having significantly better specificity than the ICHD-II criteria A to C, the revised criteria are recommended to diagnose headache secondary to TMD.

AB - Aims: We assessed and compared the diagnostic accuracy of two sets of diagnostic criteria for headache secondary to temporomandibular disorders (TMD).Methods: In 373 headache subjects with TMD, a TMD headache reference standard was defined as: self-reported temple headache, consensus diagnosis of painful TMD and replication of the temple headache using TMD-based provocation tests. Revised diagnostic criteria for Headache attributed to TMD were selected using the RPART (recursive partitioning and regression trees) procedure, and refined in half of the data set. Using the remaining half of the data, the diagnostic accuracy of the revised criteria was compared to that of the International Headache Society's International Classification of Headache Diseases (ICHD)-II criteria A to C for Headache or facial pain attributed to temporomandibular joint (TMJ) disorder.Results: Relative to the TMD headache reference standard, ICHD-II criteria showed sensitivity of 84% and specificity of 33%. The revised criteria for Headache attributed to TMD had sensitivity of 89% with improved specificity of 87% (p-<-0.001). These criteria are (1) temple area headache that is changed with jaw movement, function or parafunction and (2) provocation of that headache by temporalis muscle palpation or jaw movement.Conclusion: Having significantly better specificity than the ICHD-II criteria A to C, the revised criteria are recommended to diagnose headache secondary to TMD.

U2 - 10.1177/0333102412446312

DO - 10.1177/0333102412446312

M3 - Journal article

C2 - 22767961

SN - 0800-1952

VL - 32

SP - 683

EP - 692

JO - Cephalalgia, Supplement

JF - Cephalalgia, Supplement

IS - 9

ER -

Diagnostic criteria for headache attributed to temporomandibular disorders

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