| Research diagnostic criteria for temporomandibular disorders: a calibration and reliability study. | |
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MedLine Citation:
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PMID: 16128356 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study was to investigate the reliability between different examiners when using the axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). The hypothesis was that the standardized RDC/TMD examination protocol enables calibrated examiners to evaluate all examination items reliably. After calibration training by the RDC/TMD calibration team including the calibration of palpation pressure and the performance of the standardized examination protocol, four examiners, blinded to the patients' medical histories examined 24 subjects in a randomized sequence. One experienced examiner was the standard (hierarchical calibration). The recorded measurements strictly followed the RDC/TMD. Intraclass correlation coefficients (ICC), bias and precision were calculated to estimate interrater reliability. Acceptable (0.75 > or = CC > 0.4) to excellent (ICC > 0.75) reliability was found for 20 of the 23 (87%) examinations. Only sub-retromandibular muscle palpation and joint sound vibration recordings on lateral excursion showed poor-results (ICC < or = 0.4). The RDC/TMD examination protocol enables calibrated examiners to perform most (87%) examination items with satisfactory reliability. Therefore multi-site studies based on the RDC/TMD examination protocol may become feasible, keeping in mind the unsatisfactory reliability of 13% of the items (clicking during laterotrusion to the ipsilateral side, palpation of the posterior and submandibular region). |
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Authors:
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Marc Schmitter; Brigitte Ohlmann; Mike T John; Christian Hirsch; Peter Rammelsberg |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Validation Studies |
Journal Detail:
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Title: Cranio : the journal of craniomandibular practice Volume: 23 ISSN: 0886-9634 ISO Abbreviation: Cranio Publication Date: 2005 Jul |
Date Detail:
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Created Date: 2005-08-30 Completed Date: 2005-09-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8609491 Medline TA: Cranio Country: United States |
Other Details:
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Languages: eng Pagination: 212-8 Citation Subset: D |
Affiliation:
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University of Heidelberg, Dept. of Prosthodontics, Im Neuenheimer Feld 400, D-69120 Heidelberg, Germany. Marc_Schmitter@med.uni-heidelberg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Calibration Dislocations / diagnosis Female Humans Male Mandible / physiopathology Masseter Muscle / physiopathology Middle Aged Observer Variation Palpation / methods Pterygoid Muscles / physiopathology Range of Motion, Articular / physiology Reproducibility of Results Single-Blind Method Sound Temporal Muscle / physiopathology Temporomandibular Joint / physiopathology Temporomandibular Joint Disk / physiopathology Temporomandibular Joint Disorders / diagnosis* Temporomandibular Joint Dysfunction Syndrome / diagnosis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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