Inter- and intra-rater reliability of 3D kinematics during maximum mouth opening of asymptomatic subjects

Author(s)

Calixtre, Leticia Bojikian ^[1] ; Nakagawa, Theresa Helissa ^[2] ; Alburquerque-Sendin, Francisco ^[3] ; da Silva Gruninger, Bruno Leonardo ^[1] ; de Sena Rosa, Lianna Ramalho ^[1] ; Oliveira, Ana Beatriz ^[1]

Affiliation

^[1] Univ Fed Sao Carlos, Lab Clin & Occupat Kinesiol LACO, Dept Phys Therapy, Sao Carlos, SP - Brazil

^[2] Laureate Int Univ, Phys Therapy Dept Uninorte, Manaus, Amazonas - Brazil

^[3] Univ Cordoba, Dept Sociosanitary Sci Radiol & Phys Med, Cordoba - Spain

• Document type: Journal article
• Source: JOURNAL OF BIOMECHANICS; v. 64, p. 245-252, NOV 7 2017.
• Web of Science Citations: 1

Abstract

Previous studies evaluated 3D human jaw movements using kinematic analysis systems during mouth opening, but information on the reliability of such measurements is still scarce. The purpose of this study was to analyze within- and between-session reliabilities, inter-rater reliability, standard error of measurement (SEM), minimum detectable change (MDC) and consistency of agreement across raters and sessions of 3D kinematic variables during maximum mouth opening (MMO). Thirty-six asymptomatic subjects from both genders were evaluated on two different days, five to seven days apart. Subjects performed three MMO movements while kinematic data were collected. Intraclass correlation coefficient (ICC), SEM and MDC were calculated for all variables, and Bland-Altman plots were constructed. Jaw radius and width were the most reproducible variables (ICC > 0.81) and demonstrated minor error. Incisor displacement during MMO and angular movements in the sagittal plane presented good reliability (ICC from 0.61 to 0.8) and small errors and, consequently, could be used in future studies with the same methodology and population. The variables with smaller amplitudes (condylar translations during mouth opening and closing and mandibular movements on the frontal and transversal planes) were less reliable (ICC < 0.61) and presented larger SEM and MDC. Although ICC, SEM and MDC showed less between session reproducibility than within-session and inter-rater, the limits of agreement were larger in inter-rater comparisons. In future studies care must be taken with variables collected on different days and with mandibular movements in the frontal and transversal planes. (C) 2017 Elsevier Ltd. All rights reserved. (AU)

• FAPESP's process: 14/05276-7 - TMJ: kinematics and treatment of the dysfunction thru manual therapy and segmental stabilization of the cervical spine
• Grantee: Letícia Bojikian Calixtre
• Support Opportunities: Scholarships in Brazil - Doctorate