Abstract：
UNASSIGNED: Temporomandibular disorders are a source of orofacial pain. Understanding clinimetric properties of evaluation procedures is necessary for assessing impairments and determining response to interventions.
UNASSIGNED: Reliability, minimal detectable change (MDC95), and 95% limits of agreement of TMJ examination procedures were investigated.
UNASSIGNED: Occlusion (central incisor alignment, overjet, overbite), mandibular dynamics (maximal incisor opening, laterotrusion, protrusion active range of motion (AROM)), auscultation, tenderness, and joint play were measured on 50 asymptomatic adults (30 females), mean age 24.8. The inter-rater reliability assessment used an intra-session design. Participants returned 24-48 h later for intra-rater assessments. Intraclass correlation coefficients (ICC) and Kappa values were used to determine reproducibility.
UNASSIGNED: Intra-rater reliability for occlusion and AROM was ICC 3,1 ≥ 0.75, whereas interrater reliability was ICC 2,1 ≥ 0.68. Kappa values for inter-rater agreement of joint mobility was K = .18, whereas auscultation and palpation were K ≥ 0.48. Intra-rater Kappa values were ≥ 0.24, with lateral pterygoid region palpation having poor agreement. The MDC95 for occlusion was 1 mm, whereas AROM ranged from 3 to 6 mm. Mean AROM differences between raters were -1.16, -0.42, -0.18, and -0.8 mm for maximal incisor opening, left and right laterotrusion, and protrusion, respectively.
UNASSIGNED: AROM and occlusion measurements may be used with confidence; however, poor agreement for joint mobility measurements and lateral pterygoid region palpation must be recognized. When re-assessing measurements, a 3-6 and 1-mm change in AROM and occlusion, respectively, is required to be 95% certain change is not due to error. Future symptomatic population research is needed (250/250).
UNASSIGNED: Reliability, minimal detectable change (MDC95), and 95% limits of agreement of TMJ examination procedures were investigated.
UNASSIGNED: Occlusion (central incisor alignment, overjet, overbite), mandibular dynamics (maximal incisor opening, laterotrusion, protrusion active range of motion (AROM)), auscultation, tenderness, and joint play were measured on 50 asymptomatic adults (30 females), mean age 24.8. The inter-rater reliability assessment used an intra-session design. Participants returned 24-48 h later for intra-rater assessments. Intraclass correlation coefficients (ICC) and Kappa values were used to determine reproducibility.
UNASSIGNED: Intra-rater reliability for occlusion and AROM was ICC 3,1 ≥ 0.75, whereas interrater reliability was ICC 2,1 ≥ 0.68. Kappa values for inter-rater agreement of joint mobility was K = .18, whereas auscultation and palpation were K ≥ 0.48. Intra-rater Kappa values were ≥ 0.24, with lateral pterygoid region palpation having poor agreement. The MDC95 for occlusion was 1 mm, whereas AROM ranged from 3 to 6 mm. Mean AROM differences between raters were -1.16, -0.42, -0.18, and -0.8 mm for maximal incisor opening, left and right laterotrusion, and protrusion, respectively.
UNASSIGNED: AROM and occlusion measurements may be used with confidence; however, poor agreement for joint mobility measurements and lateral pterygoid region palpation must be recognized. When re-assessing measurements, a 3-6 and 1-mm change in AROM and occlusion, respectively, is required to be 95% certain change is not due to error. Future symptomatic population research is needed (250/250).
摘要：
■颞下颌关节紊乱症是口面部疼痛的一个来源。了解评估程序的临床特性对于评估损伤和确定对干预措施的反应是必要的。
■可靠性，最小可检测变化(MDC95)，并调查了TMJ检查程序的95％一致性限制。
■闭塞（中切牙对齐，喷射机,过咬合),下颌动力学（最大切牙开口，laterotrusion,突起活动范围（AROM）），听诊,压痛,并对50名无症状成年人(30名女性)进行了关节运动测量，平均年龄24.8岁。评估者间可靠性评估使用了会话内设计。参与者在24-48小时后返回进行评估者内部评估。使用组内相关系数(ICC)和Kappa值来确定再现性。
■闭塞和AROM的评分者内可靠性为ICC3,1≥0.75，而评分者间可靠性为ICC2,1≥0.68。评估者间关节活动度一致的Kappa值为K=.18，而听诊和触诊为K≥0.48。评分者Kappa值≥0.24，翼状体外侧区触诊的一致性较差。闭塞的MDC95为1毫米，而AROM的范围从3到6毫米。最大切牙开口的平均AROM差异为-1.16、-0.42、-0.18和-0.8mm，左和右侧移，和突出，分别。
■AROM和遮挡测量可以放心地使用；但是，必须认识到关节活动度测量和翼状体外侧触诊的一致性差。重新评估测量时，AROM和遮挡的3-6和1-mm变化，分别,要求95%确定的变化不是由于错误。需要未来的症状人群研究（250/250）。
■可靠性，最小可检测变化(MDC95)，并调查了TMJ检查程序的95％一致性限制。
■闭塞（中切牙对齐，喷射机,过咬合),下颌动力学（最大切牙开口，laterotrusion,突起活动范围（AROM）），听诊,压痛,并对50名无症状成年人(30名女性)进行了关节运动测量，平均年龄24.8岁。评估者间可靠性评估使用了会话内设计。参与者在24-48小时后返回进行评估者内部评估。使用组内相关系数(ICC)和Kappa值来确定再现性。
■闭塞和AROM的评分者内可靠性为ICC3,1≥0.75，而评分者间可靠性为ICC2,1≥0.68。评估者间关节活动度一致的Kappa值为K=.18，而听诊和触诊为K≥0.48。评分者Kappa值≥0.24，翼状体外侧区触诊的一致性较差。闭塞的MDC95为1毫米，而AROM的范围从3到6毫米。最大切牙开口的平均AROM差异为-1.16、-0.42、-0.18和-0.8mm，左和右侧移，和突出，分别。
■AROM和遮挡测量可以放心地使用；但是，必须认识到关节活动度测量和翼状体外侧触诊的一致性差。重新评估测量时，AROM和遮挡的3-6和1-mm变化，分别,要求95%确定的变化不是由于错误。需要未来的症状人群研究（250/250）。
