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对I轴DC/TMD诊断I轴DC/TMD鉴于特定肌肉的同度收缩试验的标准有效性

Marcos Iglesias-Peón^1,2, Juan Mesa-Jiménez³, César Fernández-de-Las-Peñas⁴

¹Doctoral Program in Biomedicine, University of Córdoba, Córdoba, Spain.

Journal of oral rehabilitation

|June 25, 2025

概括

同度收缩试验 (ICTest) 显示出高特异性来诊断关节障碍 (TMD) 肌肉疼痛,特别是在masseter和temporalis肌肉中,但对于中间状肌肉来说,特异性较低.

科学领域:

牙科诊断牙科诊断牙科诊断
肌肉骨系统疾病肌肉骨系统疾病
疼痛评估疼痛评估疼痛评估

背景情况:

部疾病 (TMD) 很常见,轴I经常涉及肌肉功能障碍.
准确的诊断工具对于有效的TMD管理至关重要.
同度收缩试验 (ICTest) 是评估肌肉参与TMD的一个潜在方法.

研究的目的:

为了评估轴ITMD的同位收缩试验 (ICTest) 的诊断有效性.
为了评估ICTest对特定的肌的准确性:肌,肌和中间肌.

主要方法:

一个病例控制研究,涉及40名TMD患者 (肌肉起源) 和40名健康对照.
进行了ICTest,以评估体,体和中间体肌肉.
计算了诊断准确度指标,包括灵敏度,特异性,PPV,NPV,LR+和LR-.

主要成果:

在所有研究的肌肉和疼痛亚型 (肌痛) 中,ICTest表现出高特异性 (93.4%98.7%).
灵敏度各不相同 (41%88.9%),对于中枢状肌肉和指向肌筋关节疼痛的灵敏度较低.
概率比 (LR) 显示出可变性,但表明了诊断效用 (LR+ ≥ 7.08,LR- ≤ 0.76).

结论:

ICTest是一种高度特定的工具,用于评估TMD中的masseter,temporalis和中间状肌肉.
诊断有效性降低了中间状肌肉和转移的肌筋关节疼痛.
该ICTest显示了诊断肌肉相关TMD的前景,并指出了具体的局限性.

关键词:

面部疼痛面部疼痛肌肉收缩肌肉收缩肌肉疾病肌肉疾病口服药物口服药物口服药物部部疾病部部疾病对结果的验证.

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