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01.02.2024 | Research

Trismus in head and neck cancer: translation and validation of the Chinese version of the Gothenburg Trismus Questionnaire-2 (C-GTQ-2)

verfasst von: Chia-Hui Shao, Lisa Tuomi, Caterina Finizia, Chia-Yu Wu, Rou-Han Chen, Chia-Jung Chan, Ya-Jen Chen, Chia-Hsin Lee, Wei-Chin Chang, Shu-Chun Tsai, Tsai-Wei Huang

Erschienen in: Clinical Oral Investigations | Ausgabe 2/2024

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Abstract

Objectives

Trismus, marked by restricted mouth opening, significantly affects patients with temporomandibular disorder (TMD) and head and neck cancer (HNC). Despite its prevalence, specialized questionnaires for trismus assessment are scarce. This study aims to fill this gap by translating and validating the Gothenburg Trismus Questionnaire version 2 (GTQ-2) into Chinese (C-GTQ-2), enhancing the evaluation of trismus in HNC and TMD patients.

Materials and Methods

The study involved 78 HNC patients, 75 TMD patients, and a control group of 150 individuals without trismus symptoms. Participants were asked to complete the C-GTQ-2 and other health-related quality of life (HRQL) instruments. A subset of 30 individuals retook the questionnaire within two weeks to assess test-retest reliability.

Results

The C-GTQ-2 demonstrated remarkable reliability, with Cronbach’s alpha values exceeding 0.70 in three of the four domains, indicating high internal consistency. The instrument also showcased high intra-class correlations in the test-retest, affirming its reliability. Furthermore, it exhibited strong convergent validity, aligning well with other HRQL instruments, and effectively discriminated between patients with and without trismus, establishing its discriminant validity.

Conclusions

The C-GTQ-2 emerges as a valid and reliable tool for assessing trismus in HNC and TMD patients, promising to significantly enhance both clinical and research approaches to managing trismus-related complications in the Chinese-speaking demographic.

Clinical relevance

C-GTQ-2 proves effective for trismus assessment in head and neck cancer and temporomandibular disorder patients, offering enhanced clinical and research utility.

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Titel: Trismus in head and neck cancer: translation and validation of the Chinese version of the Gothenburg Trismus Questionnaire-2 (C-GTQ-2)
verfasst von: Chia-Hui Shao
Lisa Tuomi
Caterina Finizia
Chia-Yu Wu
Rou-Han Chen
Chia-Jung Chan
Ya-Jen Chen
Chia-Hsin Lee
Wei-Chin Chang
Shu-Chun Tsai
Tsai-Wei Huang
Publikationsdatum: 01.02.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 2/2024
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-05537-1

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Trismus in head and neck cancer: translation and validation of the Chinese version of the Gothenburg Trismus Questionnaire-2 (C-GTQ-2)