AIM: To determine the interexaminer reliability of dynamic and static pain tests in patients with temporomandibular disorders (TMD). METHODS: One hundred fifteen consecutive TMD patients participated in the study. At intake, pain on dynamic and static pain tests was scored on a 4-point ordinal scale by 1 of 5 dentists. Pressure was applied to the mandible during mandibular opening, closing, and protrusive movements (dynamic tests) and while the mandible was kept motionless by the patient in an open, closed, or protrusive position (static tests). After this examination, the dynamic and static pain tests were performed a second time by 1 of 2 physical therapists blinded to the outcome of the first examination. Prior to the study, all examiners took part in a yearly training session, while 3 examiners (2 dentists and 1 physical therapist) were trained on a more regular basis. RESULTS: The interexaminer reliability of dynamic and static pain tests ranged from "poor" to "fair to good" (intraclass correlation coefficient [ICC]: 0.29-0.54) but reached the "excellent" level (ICC: 0.34-0.92) when only the data gathered by the more extensively trained examiners were considered. The reliability was higher when the data were analyzed on the 4-point scale as compared to a dichotomized pain scale. CONCLUSION: The reliability of dynamic and static pain tests for the temporomandibular region is fair to good when rated on an ordinal pain scale. Thorough training of examiners can improve the reliability considerably.
AIM: To determine the interexaminer reliability of dynamic and static pain tests in patients with temporomandibular disorders (TMD). METHODS: One hundred fifteen consecutive TMDpatients participated in the study. At intake, pain on dynamic and static pain tests was scored on a 4-point ordinal scale by 1 of 5 dentists. Pressure was applied to the mandible during mandibular opening, closing, and protrusive movements (dynamic tests) and while the mandible was kept motionless by the patient in an open, closed, or protrusive position (static tests). After this examination, the dynamic and static pain tests were performed a second time by 1 of 2 physical therapists blinded to the outcome of the first examination. Prior to the study, all examiners took part in a yearly training session, while 3 examiners (2 dentists and 1 physical therapist) were trained on a more regular basis. RESULTS: The interexaminer reliability of dynamic and static pain tests ranged from "poor" to "fair to good" (intraclass correlation coefficient [ICC]: 0.29-0.54) but reached the "excellent" level (ICC: 0.34-0.92) when only the data gathered by the more extensively trained examiners were considered. The reliability was higher when the data were analyzed on the 4-point scale as compared to a dichotomized pain scale. CONCLUSION: The reliability of dynamic and static pain tests for the temporomandibular region is fair to good when rated on an ordinal pain scale. Thorough training of examiners can improve the reliability considerably.
Authors: Eric L Schiffman; Richard Ohrbach; Edmond L Truelove; Feng Tai; Gary C Anderson; Wei Pan; Yoly M Gonzalez; Mike T John; Earl Sommers; Thomas List; Ana M Velly; Wenjun Kang; John O Look Journal: J Orofac Pain Date: 2010
Authors: Eric Schiffman; Richard Ohrbach; Edmond Truelove; John Look; Gary Anderson; Jean-Paul Goulet; Thomas List; Peter Svensson; Yoly Gonzalez; Frank Lobbezoo; Ambra Michelotti; Sharon L Brooks; Werner Ceusters; Mark Drangsholt; Dominik Ettlin; Charly Gaul; Louis J Goldberg; Jennifer A Haythornthwaite; Lars Hollender; Rigmor Jensen; Mike T John; Antoon De Laat; Reny de Leeuw; William Maixner; Marylee van der Meulen; Greg M Murray; Donald R Nixdorf; Sandro Palla; Arne Petersson; Paul Pionchon; Barry Smith; Corine M Visscher; Joanna Zakrzewska; Samuel F Dworkin Journal: J Oral Facial Pain Headache Date: 2014
Authors: Gary C Anderson; Yoly M Gonzalez; Richard Ohrbach; Edmond L Truelove; Earl Sommers; John O Look; Eric L Schiffman Journal: J Orofac Pain Date: 2010
Authors: Eric L Schiffman; Edmond L Truelove; Richard Ohrbach; Gary C Anderson; Mike T John; Thomas List; John O Look Journal: J Orofac Pain Date: 2010
Authors: Gary C Anderson; Mike T John; Richard Ohrbach; Donald R Nixdorf; Eric L Schiffman; Edmond S Truelove; Thomas List Journal: Pain Date: 2010-12-31 Impact factor: 6.961
Authors: Annemarie van der Wal; Paul Van de Heyning; Annick Gilles; Laure Jacquemin; Vedat Topsakal; Vincent Van Rompaey; Marc Braem; Corine Mirjam Visscher; Steven Truijen; Sarah Michiels; Willem De Hertogh Journal: Front Neurosci Date: 2020-09-16 Impact factor: 4.677
Authors: Nicholas Lucas; Petra Macaskill; Les Irwig; Robert Moran; Luke Rickards; Robin Turner; Nikolai Bogduk Journal: BMC Med Res Methodol Date: 2013-09-09 Impact factor: 4.615