Felício Cláudia Maria de, Lima Maria do Rosário Ferreira, Medeiros Ana Paula Magalhães, Ferreira José Tarcísio Lima
Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo - USP - Ribeirão Preto (SP), Brazil.
Núcleo de Apoio à Pesquisa em Morfofisiologia Craniofacial, Universidade de São Paulo - USP - Ribeirão Preto (SP), Brazil.
Codas. 2017 Dec 4;29(6):e20170042. doi: 10.1590/2317-1782/20172017042.
To develop a comprehensive assessment protocol for identifying, classifying and grading changes in stomatognathic system components and functions of older people, to determine its psychometric properties and verify its association with oral health and age.
The content validity of the Orofacial Myofunctional Evaluation with Scores for Elders protocol (OMES-Elders) was established based on the literature. The protocol contains three domains: appearance/posture, mobility, and functions of the stomatognathic system. Eighty-two healthy elder volunteers (mean age 69±7.24 years) were evaluated using the OMES-Elders. A test-screening for orofacial disorders (reference) was used to analyze the concurrent validity (correlation test), sensitivity, specificity and accuracy (Receiver Operating Characteristic Curve: ROC curve) of the OMES-Elders. The association of the OMES-Elders scores with the Oral Health Index (OHX) and age in the sample was tested.
There was a significant correlation between the OMES-Elders and the reference test (p < 0.001). Reliability coefficients ranged from good (0.89) to excellent (0.99). The OMES-Elders protocol had a sensitivity of 82.9%, specificity of 83.3% and accuracy of 0.83. The scores of the protocol were significantly lower in individuals with worse oral health (OHX ≤ 61%), although individuals with adequate oral health (OHX ≥ 90%) also had myofunctional impairments. The predictors OHX and age explained, respectively, 33% and 30% of the variance in the OMES-Elders total score.
As the first specific orofacial myofunctional evaluation of older people, the OMES-Elders protocol proved to be valid, reliable and its total score was associated with oral health and age.
制定一项全面的评估方案，用于识别、分类和分级老年人口腔颌面部系统组成部分及功能的变化，确定其心理测量特性，并验证其与口腔健康和年龄的关联。
基于文献确定了老年人口腔颌面肌功能评估评分方案（OMES-Elders）的内容效度。该方案包含三个领域：外观/姿势、活动度以及口腔颌面部系统的功能。使用OMES-Elders对82名健康老年志愿者（平均年龄69±7.24岁）进行评估。采用口腔颌面部疾病测试筛查（参考标准）来分析OMES-Elders的同时效度（相关性测试）、敏感性、特异性和准确性（受试者工作特征曲线：ROC曲线）。测试了样本中OMES-Elders评分与口腔健康指数（OHX）和年龄的关联。
OMES-Elders与参考测试之间存在显著相关性（p < 0.001）。可靠性系数范围从良好（0.89）到优秀（0.99）。OMES-Elders方案的敏感性为82.9%，特异性为83.3%，准确性为0.83。口腔健康较差（OHX≤61%）的个体中该方案的得分显著较低，尽管口腔健康良好（OHX≥90%）的个体也存在肌功能损害。预测因素OHX和年龄分别解释了OMES-Elders总分变异的33%和30%。
作为首个针对老年人的特定口腔颌面肌功能评估方案，OMES-Elders方案被证明是有效、可靠的，其总分与口腔健康和年龄相关。
