The DOI matches its Crossref record; 50 of the 50 references it cites were found in a registry or an index.
Smallest Detectable Difference in Outcome Variables Related to Painful Restriction of the Temporomandibular Joint
Abstract
The smallest detectable difference is the smallest statistically significant change in measurement results. In the field of temporomandibular disorders, the smallest detectable difference is not a commonly used concept. Most outcome studies are based on comparisons of group means, although this does not provide information about individual changes or about the clinical relevance thereof. The smallest detectable difference for maximal mouth opening was calculated from previously published reliability coefficients and the standard deviations of different samples of healthy subjects and patients with complaints of the temporomandibular joint. The smallest detectable difference of pain intensity measured with different visual analogue scales was calculated from the reliability coefficients and standard deviations of a heterogeneous group of pain patients. The smallest detectable difference of function impairment was calculated for a group of patients with complaints of the temporomandibular joint. For maximal mouth opening in healthy subjects, the smallest detectable difference was 5 mm. Repeated measurements improved it to 3 mm. The smallest detectable difference on a visual analogue scale was 28 mm for actual pain intensity and 22 mm for minimal pain as well as for maximal pain intensity. For total function impairment of patients with complaints of the temporomandibular joint, the smallest detectable difference was 8 units on a 0 to 68 scale.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“The smallest detectable difference of maximal mouth opening in healthy people has been reported to be 5 mm”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [35]
In the citing paper
“indicating that an important change of at least 5 mm can be considered clinically relevant.35”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [35]
In the citing paper
“which was clinically significant in favor of postural training.35”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [35]
In the citing paper
“which is considered clinically relevant.35”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [35]
In the citing paper
“This difference was clinically relevant.35”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [35]
Citations
Cites
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 24,532
The McGill Pain Questionnaire: Major properties and scoring methods
Melzack, R. (1975) · Pain · doi:10.1016/0304-3959(75)90044-5 · Cited by 6,873
The validation of visual analogue scales as ratio scale measures for chronic and experimental pain
Price, D. D., McGrath, P. A., Rafii, A., & Buckingham, B. (1983) · Pain · doi:10.1016/0304-3959(83)90126-4 · Cited by 3,921
The measurement of clinical pain intensity: a comparison of six methods
Jensen, M. P., Karoly, P., & Braver, S. (1986) · Pain · doi:10.1016/0304-3959(86)90228-9 · Cited by 3,275
Classification of chronic pain
Merskey, H. (1994) · Medical Entomology and Zoology · Cited by 2,952
Graphic representation of pain
Scott, J., & Huskisson, E. C. (1976) · Pain · doi:10.1016/0304-3959(76)90113-5 · Cited by 2,706
Clinical applications of visual analogue scales: a critical review
McCormack, H. M., Horne, D. J. D. L., & Sheather, S. J. (1988) · Psychological Medicine · doi:10.1017/s0033291700009934 · Cited by 2,108
Measuring change over time: assessing the usefulness of evaluative instruments.
Guyatt, G., Walter, S. D., & Norman, G. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90069-5 · Cited by 1,997
The Dependability of Behavioral Measurements: Theory of Generalizability for Scores and Profiles
Merrifield, P. R., Cronbach, L. J., Gleser, G. C., Nanda, H., & Rajaratnam, N. (1974) · American Educational Research Journal · doi:10.2307/1162145 · Cited by 1,819
Jacobson, N. S., Follette, W. C., & Revenstorf, D. (1984) · Behavior Therapy · doi:10.1016/s0005-7894(84)80002-7 · Cited by 1,294
Katz, L., & McNemar, Q. (1963) · Journal of the American Statistical Association · doi:10.2307/2283304 · Cited by 991
Ohnhaus, E. E., & Adler, R. (1975) · Pain · doi:10.1016/0304-3959(75)90075-5 · Cited by 797
Increasing the reliability and validity of pain intensity measurement in chronic pain patients
Jensen, M. P., & McFarland, C. A. (1993) · Pain · doi:10.1016/0304-3959(93)90148-i · Cited by 720
Temporomandibular joint arthrocentesis: A simplified treatment for severe, limited mouth opening
Nitzan, D. W., Dolwick, M. F., & Martinez, G. A. (1991) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/0278-2391(91)90409-f · Cited by 676
Elements of Generalizability Theory
Brennan, R. L. (1992) · Medical Entomology and Zoology · Cited by 599
Mitchell, S. K. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.376 · Cited by 445
Temporomandibular Joint Arthrocentesis: A Simplified Treatment for Severe, Limited Mouth Opening
Green, J. L. (2020) · CRC Press eBooks · doi:10.1201/9780429288036-42 · Cited by 418
Assessing clinical signs of temporomandibular disorders: Reliability of clinical examiners
Dworkin, S. F., LeResche, L., DeRouen, T. A., & Korff, M. V. (1990) · Journal of Prosthetic Dentistry · doi:10.1016/0022-3913(90)90079-r · Cited by 247
Temporomandibular joint arthroscopy: A 6-year multicenter retrospective study of 4,831 joints
McCain, J. P., Sanders, B., Koslin, M. G., Quinn, J. H., Peters, P. B., & Indresano, A. T. (1992) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/0278-2391(92)90047-4 · Cited by 228
Roebroeck, M. E., Harlaar, J., & Lankhorst, G. J. (1993) · Physical Therapy · doi:10.1093/ptj/73.6.386 · Cited by 227
Osteoarthrosis as the cause of craniomandibular pain and dysfunction: A unifying concept
Stegenga, B., de Bont, L. G. M., & Boering, G. (1989) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/0278-2391(89)90227-9 · Cited by 219
Self-citationStegenga, B., de Bont, L. G., de Leeuw, R., & Boering, G. (1993) · PubMed · Cited by 197
Self-citationArthroscopic lavage and lysis of the temporomandibular joint: A change in perspective
Nitzan, D. W., Dolwick, M. F., & Heft, M. W. (1990) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/0278-2391(90)90335-y · Cited by 196
Mantha, S., Thisted, R. A., Foss, J. F., Ellis, J. E., & Roizen, M. F. (1993) · Anesthesia & Analgesia · doi:10.1213/00000539-199311000-00029 · Cited by 168
Pathology of temporomandibular joint internal derangement and osteoarthrosis
de Bont, L. G. M., & Stegenga, B. (1993) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/s0901-5027(05)80805-7 · Cited by 165
Self-citationThe normal range of mouth opening
Mezitis, M., Rallis, G., & Zachariades, N. (1989) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/0278-2391(89)90174-2 · Cited by 149
Murakami, K.-I., MATSUKI, M., IIZUKA, T., & Takatoki, O. N. O. (1987) · CRANIO® · doi:10.1080/08869634.1987.11678169 · Cited by 143
Intra- and inter-observer variation in functional examination of the masticatory system.
Carlsson, G. E., Egermark-Eriksson, I., & Magnusson, T. (1980) · PubMed · Cited by 118
[The Dutch version of the McGill pain questionnaire: a reliable pain questionnaire].
van der Kloot, W. A., Oostendorp, R. A. B., van der Meij, J., & van den Heuvel, J. (1995) · PubMed · Cited by 108
Validity of Diagnostic and Monitoring Tests Used for Temporomandibular Disorders
Lund, J. P., Widmer, C. G., & Feine, J. S. (1995) · Journal of Dental Research · doi:10.1177/00220345950740041501 · Cited by 105
Reliability of Clinical Measurement in Temporomandibular Disorders
Dworkin, S. F., LeResche, L., & DeRouen, T. A. (1988) · Clinical Journal of Pain · doi:10.1097/00002508-198806000-00005 · Cited by 97
Reliability: Consistency or Differentiating Among Subjects?
Stratford, P. W. (1989) · Physical Therapy · doi:10.1093/ptj/69.4.299a · Cited by 84
Kopp, S., & Wenneberg, B. (1983) · PubMed · Cited by 82
A comparison of three methods of measuring maximal opening of the mouth.
Wood, G. D., & Branco, J. A. (1979) · PubMed · Cited by 80
Stegenga, B., de Bont, L. G. M., Dijkstra, P. U., & Boering, G. (1993) · British Journal of Oral and Maxillofacial Surgery · doi:10.1016/0266-4356(93)90089-f · Cited by 79
Self-citationMurakami, K.-I., Segami, N., MORIYA, Y., & IIZUKA, T. (1992) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/0278-2391(92)90102-6 · Cited by 70
LOBBEZOO‐SCHOLTE, A. M., de Wijer, A., Steenks, M. H., & BOSMAN, F. (1994) · Journal of Oral Rehabilitation · doi:10.1111/j.1365-2842.1994.tb01143.x · Cited by 63
Therapeutic outcome assessment in permanent temporomandibular joint disc displacement.
Kropmans, T., Dijkstra, P. U., Stegenga, B., & de Bont, L. D. (1999) · Journal of Oral Rehabilitation · doi:10.1046/j.1365-2842.1999.00417.x · Cited by 63
Self-citationThe Significance of Clinical Change and Clinical Change of Significance: Issues and Methods
Ottenbacher, K., Johnson, M., & Hojem, M. A. (1988) · American Journal of Occupational Therapy · doi:10.5014/ajot.42.3.156 · Cited by 60
Dijkstra, P. U., BONT, L. G. M. D., Stegenga, B., & Boering, G. (1995) · Journal of Oral Rehabilitation · doi:10.1111/j.1365-2842.1995.tb00084.x · Cited by 47
Self-citationChung, S., Kim, J.-H., Kim, H., & Murphy, G. J. (1993) · CRANIO® · doi:10.1080/08869634.1993.11677961 · Cited by 39
Psychometrics in Temporomandibular Disorders: An overview
Dahlström, L. (1993) · Acta Odontologica Scandinavica · doi:10.3109/00016359309040585 · Cited by 36
SCHIFFMAN, E. L., Anderson, G. C., Fricton, J., & Lindgren, B. R. (1992) · Journal of Dental Research · doi:10.1177/00220345920710110901 · Cited by 30
Longitudinal variation of maximal mandibular mobility: An intraindividual study
Agerberg, G. (1987) · Journal of Prosthetic Dentistry · doi:10.1016/0022-3913(87)90060-6 · Cited by 24
The Effect of Awareness of Measurement Error on Physical Therapists' Confidence in Their Decisions
Hayes, K. W. (1992) · Physical Therapy · doi:10.1093/ptj/72.7.515 · Cited by 21
A Retrospective Study on the Clinical Results of Temporomandibular Joint Surgery
Kuwahara, T., Bessette, R. W., & Maruyama, T. (1994) · CRANIO® · doi:10.1080/08869634.1994.11678016 · Cited by 20
Lyons, J. S., & Howard, K. I. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.59.5.745 · Cited by 19
Clinical outcome of arthrotomy after failed arthroscopy
Sickels, J. E. V., & Dolezal, J. (1994) · Oral Surgery Oral Medicine Oral Pathology · doi:10.1016/0030-4220(94)90136-8 · Cited by 11
Reply to Drs. Dworkin and Siegfried: Hopefully, all those ratings are not necessary
Jensen, M. P. (1994) · Pain · doi:10.1016/0304-3959(94)90214-3 · Cited by 5
Research works printed but not linked: 8
- Carlsson GE, 1980, Swed Dent J, 4, 187
- Kopp S., 1983, Swed Dent J, 7, 239
- 10.1037/0022-006X.59.5.745 · DOI
- Stegenga B., 1993, J Orofac Pain, 7, 183
- Vallerand WP, 1991, J Craniomandib Disord, 5, 197
- van der Kloot WA, 1995, Ned Tijdschr Geneeskd, 139, 669
- Veldhuijzen NH, 1993, Klassieke testtheorie en generaliseerbaarheidstheorie
- Wood GD, 1979, J Oral Surgery, 37, 175
Cited by
Sorted by citations
Armijo-Olivo, S., Pitance, L., Singh, V., Neto, F., Thie, N., & Michelotti, A. (2016) · Physical Therapy · doi:10.2522/ptj.20140548 · Cited by 413
Between-Session Reliability of Four Hop Tests and the Agility T-Test
Munro, A. G., & Herrington, L. C. (2010) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e3181d83335 · Cited by 331
Munro, A. G., Herrington, L. C., & Carolan, M. (2012) · Journal of Sport Rehabilitation · doi:10.1123/jsr.21.1.7 · Cited by 266
Between-session reliability of the star excursion balance test
Munro, A. G., & Herrington, L. C. (2010) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2010.07.002 · Cited by 240
Damstra, J., Fourie, Z., Slater, J. J. R. H., & Ren, Y. (2009) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2009.06.016 · Cited by 207
Metadata
- Authors
- Kropmans, T. J. B., Dijkstra, P. U., Stegenga, B., Stewart, R., & de Bont, L. G. M.
- Affiliations
- Department of Oral and Maxillofacial Surgery, University Hospital Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands
- University Medical Center Groningen (NL)
- University of Groningen (NL)
- Venue
- Journal of Dental Research
- Publisher
- SAGE Publications
- Published
- 1999-03
- Volume
- 78
- Issue
- 3
- Pages
- 784-789
- ISSN
- 0022-0345 (ISSN-L)
- 1544-0591
- OpenAlex
- W2032780306
- Cited by
- 126
- References
- 50
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 9 · 2021: 5 · 2020: 1 · 2019: 6 · 2018: 6 · 2017: 7 · 2016: 9 · 2015: 3 · 2014: 7 · 2013: 5 · 2012: 6
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Dental Research (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Keywords
- minimal detectable change, temporomandibular joint pain, temporomandibular disorders, maximum mouth opening, pain intensity, visual analogue scale, measurement reliability, outcome measures, clinical relevance
- MeSH terms
- Adult, Decision Support Techniques, Facial Pain, Female, Humans, Male, Mandible, Pain Measurement, Psychometrics, Surveys and Questionnaires, Reference Values, Temporomandibular Joint Disorders, Reproducibility of Results, Range of Motion, Articular, Outcome Assessment, Health Care, Evidence-Based Medicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review