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Cited by 30Temporomandibular Joint DisordersOrthodontics and Dentofacial OrthopedicsReliability and Agreement in Measurement

Intra-rater and Inter-rater Reliability of Mandibular Range of Motion Measures Considering a Neutral Craniocervical Position

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Beltran-Alacreu, Hector, López-de-Uralde-Villanueva, Ibai, Paris-Alemany, Alba, Angulo-Díaz-Parreño, Santiago, La Touche, Roy·2014·Journal of Physical Therapy Science
DOI 10.1589/jpts.26.915PMC PMC4085221
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Abstract

[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.

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Authors
Beltran-Alacreu, H., López-de-Uralde-Villanueva, I., Paris-Alemany, A., Angulo-Díaz-Parreño, S., & La Touche, R.
Affiliations
  • Department of Physiotherapy, Faculty of Health Science, The Center for Advanced Studies University La Salle, Universidad Autónoma de Madrid: Calle La Salle 10, Madrid, Madrid 28023, 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
Venue
Journal of Physical Therapy Science
Publisher
Society of Physical Therapy Science
Published
2014
Volume
26
Issue
6
Pages
915-920
ISSN
  • 0915-5287 (ISSN-L)
  • 2187-5626
DOI
10.1589/jpts.26.915
PMC
PMC4085221
OpenAlex
W2060060127
Cited by
30
References
3
Citations by year
2026: 3 · 2025: 2 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 1
FWCI
3.01
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Journal of Physical Therapy Science (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
  • Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
  • Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
Keywords
mandibular range of motion, inter-rater reliability, intra-rater reliability, maximum mouth opening, mandibular advancement, lateral excursion, standard error of measurement, minimal detectable change, standardized assessment protocol

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