Factor and Rasch Analysis of the Fonseca Anamnestic Index for the Diagnosis of Myogenous Temporomandibular Disorder

Overview

Journal Braz J Phys Ther

Specialty Rehabilitation Medicine

Date 2017 May 3

PMID 28460710

Citations 13

Authors

Delaine Rodrigues-Bigaton

Ester M de Castro

Paulo F Pires

Affiliations

Soon will be listed here.

Abstract

Background: Rasch analysis has been used in recent studies to test the psychometric properties of a questionnaire. The conditions for use of the Rasch model are one-dimensionality (assessed via prior factor analysis) and local independence (the probability of getting a particular item right or wrong should not be conditioned upon success or failure in another).

Objective: To evaluate the dimensionality and the psychometric properties of the Fonseca anamnestic index (FAI), such as the fit of the data to the model, the degree of difficulty of the items, and the ability to respond in patients with myogenous temporomandibular disorder (TMD).

Methods: The sample consisted of 94 women with myogenous TMD, diagnosed by the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), who answered the FAI. For the factor analysis, we applied the Kaiser-Meyer-Olkin test, Bartlett's sphericity, Spearman's correlation, and the determinant of the correlation matrix. For extraction of the factors/dimensions, an eigenvalue >1.0 was used, followed by oblique oblimin rotation. The Rasch analysis was conducted on the dimension that showed the highest proportion of variance explained.

Results: Adequate sample "n" and FAI multidimensionality were observed. Dimension 1 (primary) consisted of items 1, 2, 3, 6, and 7. All items of dimension 1 showed adequate fit to the model, being observed according to the degree of difficulty (from most difficult to easiest), respectively, items 2, 1, 3, 6, and 7.

Conclusion: The FAI presented multidimensionality with its main dimension consisting of five reliable items with adequate fit to the composition of its structure.

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References

Velly A, Schiffman E, Rindal D, Cunha-Cruz J, Gilbert G, Lehmann M . The feasibility of a clinical trial of pain related to temporomandibular muscle and joint disorders: the results of a survey from the Collaboration on Networked Dental and Oral Research dental practice-based research networks. J Am Dent Assoc. 2013; 144(1):e1-10. PMC: 3539212. DOI: 10.14219/jada.archive.2013.0022. View

Conrad K, Smith Jr E . International conference on objective measurement: applications of Rasch analysis in health care. Med Care. 2004; 42(1 Suppl):I1-6. DOI: 10.1097/01.mlr.0000103527.52821.1c. View

Bevilaqua-Grossi D, Chaves T, de Oliveira A, Monteiro-Pedro V . Anamnestic index severity and signs and symptoms of TMD. Cranio. 2006; 24(2):112-8. DOI: 10.1179/crn.2006.018. View

Gibbons C, Mills R, Thornton E, Ealing J, Mitchell J, Shaw P . Rasch analysis of the hospital anxiety and depression scale (HADS) for use in motor neurone disease. Health Qual Life Outcomes. 2011; 9:82. PMC: 3192662. DOI: 10.1186/1477-7525-9-82. View

Forkmann T, Gauggel S, Spangenberg L, Brahler E, Glaesmer H . Dimensional assessment of depressive severity in the elderly general population: psychometric evaluation of the PHQ-9 using Rasch Analysis. J Affect Disord. 2013; 148(2-3):323-30. DOI: 10.1016/j.jad.2012.12.019. View

Anderson G, Gonzalez Y, Ohrbach R, Truelove E, Sommers E, Look J . The Research Diagnostic Criteria for Temporomandibular Disorders. VI: future directions. J Orofac Pain. 2010; 24(1):79-88. PMC: 3157036. View

Sharma S, Gupta D, Pal U, Jurel S . Etiological factors of temporomandibular joint disorders. Natl J Maxillofac Surg. 2012; 2(2):116-9. PMC: 3343405. DOI: 10.4103/0975-5950.94463. View

Nascimento M, Vasconcelos B, Porto G, Ferdinanda G, Nogueira C, Raimundo R . Physical therapy and anesthetic blockage for treating temporomandibular disorders: a clinical trial. Med Oral Patol Oral Cir Bucal. 2012; 18(1):e81-5. PMC: 3548651. DOI: 10.4317/medoral.17491. View

Weiler R, Santos F, Kulic M, De Souza Lima M, Pardini S, Mori M . Prevalence of signs and symptoms of temporomandibular dysfunction in female adolescent athletes and non-athletes. Int J Pediatr Otorhinolaryngol. 2013; 77(4):519-24. DOI: 10.1016/j.ijporl.2012.12.024. View

10.

Dworkin S, LeResche L . Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992; 6(4):301-55. View

11.

Nomura K, Vitti M, Oliveira A, Chaves T, Semprini M, Siessere S . Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in Brazilian dental undergraduates. Braz Dent J. 2007; 18(2):163-7. DOI: 10.1590/s0103-64402007000200015. View

12.

Mokkink L, Prinsen C, Bouter L, de Vet H, Terwee C . The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and how to select an outcome measurement instrument. Braz J Phys Ther. 2016; 20(2):105-13. PMC: 4900032. DOI: 10.1590/bjpt-rbf.2014.0143. View

13.

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J . Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache. 2014; 28(1):6-27. PMC: 4478082. DOI: 10.11607/jop.1151. View

14.

Wang Y, Byers K, Velozo C . Rasch analysis of Minimum Data Set mandated in skilled nursing facilities. J Rehabil Res Dev. 2009; 45(9):1385-99. View

15.

Berni K, Dibai-Filho A, Pires P, Rodrigues-Bigaton D . Accuracy of the surface electromyography RMS processing for the diagnosis of myogenous temporomandibular disorder. J Electromyogr Kinesiol. 2015; 25(4):596-602. DOI: 10.1016/j.jelekin.2015.05.004. View

16.

Pedroni C, de Oliveira A, Guaratini M . Prevalence study of signs and symptoms of temporomandibular disorders in university students. J Oral Rehabil. 2003; 30(3):283-9. DOI: 10.1046/j.1365-2842.2003.01010.x. View

17.

Chachamovich E, Fleck M, Trentini C, Power M . Brazilian WHOQOL-OLD Module version: a Rasch analysis of a new instrument. Rev Saude Publica. 2008; 42(2):308-16. DOI: 10.1590/s0034-89102008000200017. View

18.

Slade G, Bair E, By K, Mulkey F, Baraian C, Rothwell R . Study methods, recruitment, sociodemographic findings, and demographic representativeness in the OPPERA study. J Pain. 2011; 12(11 Suppl):T12-26. PMC: 3666856. DOI: 10.1016/j.jpain.2011.08.001. View

19.

Manfredini D, Cocilovo F, Favero L, Ferronato G, Tonello S, Guarda-Nardini L . Surface electromyography of jaw muscles and kinesiographic recordings: diagnostic accuracy for myofascial pain. J Oral Rehabil. 2011; 38(11):791-9. DOI: 10.1111/j.1365-2842.2011.02218.x. View

20.

Look J, Schiffman E, Truelove E, Ahmad M . Reliability and validity of Axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) with proposed revisions. J Oral Rehabil. 2010; 37(10):744-59. PMC: 3133763. DOI: 10.1111/j.1365-2842.2010.02121.x. View