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JFLS · Jaw Functional Limitation Scale

20 items · 5 min · 0–10 (mean of items) · lower is better

1 Before you use it

What it is

The only TMJ measure in this library, and the reason the TMJ page has a PROM at all. Twenty items across three domains — mastication, jaw mobility, and verbal and emotional expression.

An 8-item short form exists.

When to reach for it

Any temporomandibular presentation, at baseline and review.

TMJ turns up on MSK placement more often than students expect, usually attached to a neck or headache presentation.

Patterns it serves · 1

2 Giving it

Scoring

Each item 0–10, reported as a mean. Higher means more limitation. Report the three subscale means as well as the global score.

What it doesn’t measure

Pain intensity, joint noises, or any diagnostic classification. Pair it with the NPRS and with the appropriate diagnostic criteria examination.

Repeat it

Intake and each 4-to-6-week review; three subscale means plus the global score every time.

3 Reading the score

Interpreting it

Interpret against baseline.

The verbal and emotional expression subscale is the one students don't expect and is often the domain a patient actually cares about.

Is the change real?

MDC 17.1 points on the 20-item total; 1.06 on the global score. Compare the change against this patient's own baseline as well as the figure. SourceMeasured in temporomandibular disorders.

On placement

TMD, 6 weeks of education, jaw exercise and habit change. JFLS global score 3.8 → 2.5; 20-item total 68 → 44.

Read it as the global score fell 1.3, past its 1.06-point MDC; the 20-item total fell 24, past its 17.1-point MDC (both measured in temporomandibular disorders). Real change — the library carries no MCID, so whether it matters to the patient is a question you ask, not a threshold you read.

Do ask which of the three subscales moved. If verbal and emotional expression is still high, that is the domain the patient came in about.

Student trap. Treating a jaw as a joint and forgetting the third subscale. Talking and expression matter to the patient more than millimetres of opening.

Official source: inform-iadr.com. We don't host the form.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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