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Titolo:
THE REPRODUCIBILITY OF MUSCLE AND JOINT TENDERNESS DETECTION METHODS AND MAXIMUM MANDIBULAR MOVEMENT MEASUREMENT FOR THE TEMPOROMANDIBULAR SYSTEM
Autore:
GOULET JP; CLARK GT; FLACK VF; LIU CR;
Indirizzi:
UNIV LAVAL,FAC MED DENT,DEPT STOMATOL,CITE UNIV ST FOY PQ G1K 7P4 CANADA UNIV CALIF LOS ANGELES,SCH DENT,SECT DIAGNOST SCI & OROFACIAL PAIN LOS ANGELES CA 90024 UNIV CALIF LOS ANGELES,SCH PUBL HLTH,DEPT BIOSTAT LOS ANGELES CA 90024
Titolo Testata:
Journal of orofacial pain
fascicolo: 1, volume: 12, anno: 1998,
pagine: 17 - 26
SICI:
1064-6655(1998)12:1<17:TROMAJ>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRESSURE THRESHOLD METER; STOMATOGNATHIC SYSTEM; PAIN THRESHOLDS; CLINICAL SIGNS; RELIABILITY; DISORDERS; DIAGNOSIS; VALIDITY; PALPATION; ALGOMETER;
Keywords:
INTEREXAMINER RELIABILITY; MUSCLE TENDERNESS ASSESSMENT; MANDIBULAR MOVEMENT MEASUREMENTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
37
Recensione:
Indirizzi per estratti:
Citazione:
J.P. Goulet et al., "THE REPRODUCIBILITY OF MUSCLE AND JOINT TENDERNESS DETECTION METHODS AND MAXIMUM MANDIBULAR MOVEMENT MEASUREMENT FOR THE TEMPOROMANDIBULAR SYSTEM", Journal of orofacial pain, 12(1), 1998, pp. 17-26

Abstract

The purpose of this study was (1) to evaluate the reproducibility of two masticatory muscle and joint tenderness detection methods; (2) to evaluate the reproducibility of maximum mandibular movement measurements; and (3) to investigate factors influencing examiner agreement. Thetenderness assessment procedures involved application of a standard pressure for 2 seconds over four anatomically defined masticatory muscle sites, one control forehand site, and two temporomandibular joint sites on each sine of the face. One technique utilized a pressure algometer (PAP), while the other technique required that a trained examiner apply pressure with the inner: fingertip (FPP). Seventy-two subjects (36 patients and 36 controls) were evaluated in a single-blind study design. Control subjects were matched for age, gender, and race with temporomandibular disorder subjects. Each subject was examined twice witheach of the described methods in a randomized, fully balanced sequence by calibrated examiners. Tenderness levels were determined by the subject via self-report of pain upon pressure using a standard set of verbal descriptors. Maximum pain-free, active, and passive opening and maximum active right and left lateral, movements were measured using a millimeter ruler. Intraclass correlation coefficients (ICC) for the tenderness assessment methods ranged from 0.220 to 0.739 for the FPP method and from 0.391 to 0.880 for the PAP method. ICCs for mandibular movement measurement were much less variable, ranging from 0.59 to 0.68 for lateral movement and from 0.78 to 0.93 for opening movement. Theseresults indicate good to excellent agreement between calibrated examiners for mandibular movement measurement and for tenderness assessmentmethods at two masseter (ie, superficial and deep) and the anterior temporalis sites. Only fair agreement was found for the middle temporalis and lateral TMJ capsule sites using these methods.

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Documento generato il 02/12/20 alle ore 14:55:33