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Validation of the MBGR orofacial myofunctional assessment protocol for adults with temporomandibular disorders with disc displacement with reduction.

伴有关节盘移位的成人颞下颌关节紊乱病患者的MBGR口面肌功能评估方案的验证。

  • 影响因子:0
  • DOI:10.1590/2317-1782/20202019132
  • 作者列表:"Bueno MDRS","Rosa RR","Genaro KF","Berretin-Felix G
  • 发表时间:2020-04-17
Abstract

PURPOSE:This study aimed at validating the MBGR Orofacial Myofunctional Assessment Protocol (MBGR Protocol) for adults with Temporal Mandibular Disorders (TMD). METHODS:The study sample was composed of 30 adults: 15 with TMD (disc displacement with reduction according to the Research Diagnostic Criteria for Temporomandibular Disorders) and 15 control individuals. The validation process encompassed the content, criterion, and construct of the protocol, as well as its inter- and intra-rater agreement levels and sensitivity and specificity values, considering a 5% statistical significance level. RESULTS:The following validities were confirmed: of content, as the MBGR Protocol covers all functional issues present in patients with TMD; of criterion, with significant correlations between the MBGR and Orofacial Myofunctional Evaluation with Scores (OMES) protocols; of construct, differentiating individuals with and without Orofacial Myofunctional Disorders (OMD) as for pain on palpation and mandible range of motion, with significant correlation between the MBGR clinical evaluation and that using a digital algometer, as well as confirmation of the instrumental assessment for the breathing mode classification. Agreement ranged from poor to very good and from reasonable to very good for the inter- and intra-rater power analyses, respectively. High sensitivity and specificity values were observed. CONCLUSION:The MBGR Protocol proved to be valid for use in adults presented with TMD with disc displacement with reduction and controls, covering all aspects that enable the analysis of OMD in these individuals. OBJETIVO:Este estudo visou validar o Protocolo de Avaliação Miofuncional Orofacial MBGR para adultos com DTM. MÉTODO:Participaram 30 adultos, sendo 15 com DTM (deslocamento de disco com redução segundo o Research Diagnostic Criteria for Temporomandibular Disorders) e 15 Controles. O processo de validação envolveu a validade de conteúdo, de critério e de construto, além da concordância inter e intra-avaliador, sensibilidade e especificidade. Considerou-se nível de significância de 5%. RESULTADOS:Foram confirmadas as validades de conteúdo, visto que o Protocolo MBGR abarca todas as questões funcionais presentes em indivíduos com DTM; de critério, com correlações significantes entre o MBGR e AMIOFE; e de construto, diferenciando indivíduos com e sem DMO quanto à dor à palpação e mobilidade mandibular, com correlação significante entre a avaliação clínica do MBGR e o uso do algômetro digital, bem como confirmação do exame instrumental para a classificação do modo respiratório. A força de concordância variou de pobre a muito boa para a análise interavaliador e de razoável a muito boa para intra-avaliador. Os valores de sensibilidade e especificidade foram elevados. CONCLUSÃO:O Protocolo MBGR mostrou-se válido para aplicação em adultos com DTM com deslocamento de disco com redução e controles, contemplando todos os aspectos que possibilitam a análise das condições oromiofuncionais nesses indivíduos.

摘要

目的: 本研究旨在验证成人颞下颌疾患 (TMD) 的MBGR口面部肌功能评估方案 (MBGR方案)。 方法: 研究样本由 30 例成人组成: 15 例TMD (根据颞下颌关节紊乱病研究诊断标准,关节盘移位伴复位) 和 15 例对照个体。验证过程包括方案的内容、标准和结构,以及评定者间和评定者内的一致性水平以及灵敏度和特异性值,考虑了 5% 的统计学显著性水平。 结果: 证实了以下有效性: 内容,因为MBGR方案涵盖了TMD患者中存在的所有功能问题; 标准,MBGR和口面肌功能评价与评分 (OMES) 协议之间具有显著相关性; 结构,区分有和无口面肌功能障碍 (OMD) 的个体至于触诊疼痛和下颌骨活动范围,MBGR临床评价与使用数字algometer的临床评价显著相关,以及呼吸模式分类仪器评价的确认。评定者间和评定者内权力分析的一致性分别从差到非常好,从合理到非常好。观察到较高的敏感性和特异性值。 结论: MBGR方案被证明适用于伴有椎间盘移位的TMD成人患者,包括减少和对照,涵盖了能够分析这些个体中OMD的所有方面。 Objectivo: Este estudo visou validar o Protocolo de avalia ç ao Miofuncional口面MBGR para adulttos com DTM。 M é todo: Participaram 30 adultos,sendo 15 com DTM (delocamento de disco com redu ç ã o segundo o颞下颌关节紊乱病研究诊断标准) e 15 对照。O prociso de valid a ç ao envolveu a validade de conte ú do,de crit é rio e de construto,al é m da concord ância inter e intra-avalidor,sensibilidade e specifidade。Conference ou-se n í vel de patient ā ncia de 5%. 结果: Foram confirmadaas as validades de conte ú do,visto que o Protocolo MBGR abarca todas as questes funciais presentes em indiv í duos com DTM; de crit é rio,com correla ç es patititentes e o MBGR e AMIOFE; e de construto,diferenciando indiv í duos com e sem DMO quanto à dor à palpa ç ó o e mobilidade下颌,Com correla ç ã o sentiante entre a avalia ç ó o cl í nica do MBGR e o uso do alg ó metro digital,bem como confirma ç ó o do exame tools para classifica ç ó o modo respir ó rio。A forç a de concord ä ncia variou de pobre a muito boa para a an á lise interavalidor e de razou á vel A muito boa para intra-avalidor.Os valores de sensibilidade e specificidade foram elevados. Conclusao: O Protocolo MBGR mostou-se v á lido para adulem adultos com DTM com desclocatento de disco com redu ç ao e controles,conforplando to dos os aspectos que possibilitam a an á lise das condies indiasis v í duos.

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影响因子:2.49
发表时间:2020-03-01
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DOI:10.1097/SCS.0000000000005693
作者列表:["Jahanbin A","Eslami N","Torkamanzadeh N"]

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颌部疾病方向

颌部的疾病,包括颌畸形、颌骨囊肿、颌骨肿瘤等疾病。

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