NDLI: Intra-rater and Inter-rater Reliability of Mandibular Range of MotionMeasures Considering a Neutral Craniocervical Position

Content Provider	PubMed Central
Author	Hector, Beltran-alacreu Ibai, López-de-uralde-villanueva Alba, Paris-alemany Santiago, Angulo-díaz-parreño Touche, Roy La
Copyright Year	2014
Abstract	[Purpose] The aim of this study was to determine the inter-rater and intra-raterreliability of the mandibular range of motion (ROM) considering the neutral craniocervicalposition when performing the measurements. [Subjects and Methods] The sample consisted of50 asymptomatic subjects. Two raters measured four mandibular ROMs (maximal mouth opening(MMO), laterals, and protrusion) using the craniomandibular scale. Subjects alternatedbetween raters, receiving two complete trials per day, two days apart. Intra- andinter-rater reliability was determined using intra-class correlation coefficients (ICCs).Bland-Altman analysis was used to assess reliability, bias, and variability. Finally, thestandard error of measurement (SEM) and minimal detectable change (MDC) were analyzed tomeasure 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 andprotrusion SEM ranged from 0.74 to 0.82 mm and from 0.29 to 0.49 mm, while the MDCs rangedfrom 1.73 to 1.91 mm and from 0.69 to 0.14 mm respectively. The analysis showed no randomor systematic error, suggesting that effect learning did not affect reliability.[Conclusion] A standardized protocol for assessment of mandibular ROM in a neutralcraniocervical position obtained good inter- and intra-rater reliability for MMO andprotrusion and moderate inter- and intra-rater reliability for lateral excursions.
Related Links	http://dx.doi.org/10.1589/jpts.26.915
Ending Page	920
Page Count	6
Starting Page	915
File Format	PDF
ISSN	09155287
e-ISSN	21875626
Journal	Journal of Physical Therapy Science
Issue Number	6
Volume Number	26
Language	English
Publisher	The Society of Physical Therapy Science
Publisher Date	2014-01-01
Access Restriction	Open
Rights Holder	The Society of Physical Therapy Science
Subject Keyword	Physical Therapy, Sports Therapy and Rehabilitation Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Physical Therapy, Sports Therapy and Rehabilitation

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