Beltran-Alacreu Hector, López-de-Uralde-Villanueva Ibai, Paris-Alemany Alba, Angulo-Díaz-Parreño Santiago, La Touche Roy
Department of Physiotherapy, Faculty of Health Science, The Center for Advanced Studies University La Salle, Universidad Autónoma de Madrid, Spain ; Research Group on Movement and Behavioral Science and Study of Pain, The Center for Advanced Studies University La Salle, Universidad Autónoma de Madrid, Spain ; Institute of Neuroscience and Craniofacial Pain (INDCRAN), Spain.
Department of Physiotherapy, Faculty of Health Science, The Center for Advanced Studies University La Salle, Universidad Autónoma de Madrid, Spain ; Research Group on Movement and Behavioral Science and Study of Pain, The Center for Advanced Studies University La Salle, Universidad Autónoma de Madrid, Spain ; Institute of Neuroscience and Craniofacial Pain (INDCRAN), Spain ; Hospital La Paz Institute for Health Research, Spain.
J Phys Ther Sci. 2014 Jun;26(6):915-20. doi: 10.1589/jpts.26.915. Epub 2014 Jun 30.
[Purpose] The aim of this study was to determine the inter-rater and intra-rater reliability of the mandibular range of motion (ROM) considering the neutral craniocervical position when performing the measurements. [Subjects and Methods] The sample consisted of 50 asymptomatic subjects. Two raters measured four mandibular ROMs (maximal mouth opening (MMO), laterals, and protrusion) using the craniomandibular scale. Subjects alternated between raters, receiving two complete trials per day, two days apart. Intra- and inter-rater reliability was determined using intra-class correlation coefficients (ICCs). Bland-Altman analysis was used to assess reliability, bias, and variability. Finally, the standard error of measurement (SEM) and minimal detectable change (MDC) were analyzed to measure responsiveness. [Results] Reliability was good for MMO (inter-rater, ICC= 0.95-0.96; intra-rater, ICC= 0.95-0.96) and for protrusion (inter-rater, ICC= 0.92-0.94; intra-rater, ICC= 0.93-0.96). Reliability was moderate for lateral excursions. The MMO and protrusion SEM ranged from 0.74 to 0.82 mm and from 0.29 to 0.49 mm, while the MDCs ranged from 1.73 to 1.91 mm and from 0.69 to 0.14 mm respectively. The analysis showed no random or systematic error, suggesting that effect learning did not affect reliability. [Conclusion] A standardized protocol for assessment of mandibular ROM in a neutral craniocervical position obtained good inter- and intra-rater reliability for MMO and protrusion and moderate inter- and intra-rater reliability for lateral excursions.
[目的] 本研究的目的是在进行测量时，考虑颅颈中立位，确定下颌运动范围（ROM）的评分者间信度和评分者内信度。[对象与方法] 样本包括50名无症状受试者。两名评分者使用颅下颌量表测量四个下颌ROM（最大张口度（MMO）、侧方运动和前伸运动）。受试者在评分者之间交替，每天接受两次完整测试，间隔两天。使用组内相关系数（ICC）确定评分者内和评分者间信度。采用Bland-Altman分析评估信度、偏差和变异性。最后，分析测量标准误（SEM）和最小可检测变化（MDC）以衡量反应性。[结果] MMO（评分者间，ICC = 0.95 - 0.96；评分者内，ICC = 0.95 - 0.96）和前伸运动（评分者间，ICC = 0.92 - 0.94；评分者内，ICC = 0.93 - 0.96）的信度良好。侧方运动的信度为中等。MMO和前伸运动的SEM范围分别为0.74至0.82 mm和0.29至0.49 mm，而MDC范围分别为1.73至1.91 mm和0.69至0.14 mm。分析显示无随机或系统误差，表明效应学习不影响信度。[结论] 在颅颈中立位评估下颌ROM的标准化方案，对于MMO和前伸运动获得了良好的评分者间和评分者内信度，对于侧方运动获得了中等程度的评分者间和评分者内信度。
