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Published on: February 2, 2020
Expanded protocol of orofacial myofunctional evaluation with scores: Validity and reliability
Cláudia Maria de Felício1, Gislaine Aparecida Folha, Cláudia Lúcia Pimenta Ferreira
1Faculty of Medicine of Ribeirão Preto, University of São Paulo, Department of Otorhinolaryngology, Ophthalmology and Head and Neck Surgery, Brazil. cfelicio@fmrp.usp.br
International Journal of Pediatric Otorhinolaryngology
|August 31, 2010
Summary
The expanded OMES-E protocol is a valid and reliable tool for evaluating orofacial myofunctional disorders in children. This enhanced assessment improves diagnostic precision for orofacial myofunctional disorders (OMD).
Area of Science:
- Speech-Language Pathology
- Pediatric Dentistry
- Orofacial Myology
Background:
- Clinical evaluation of the stomatognathic system is crucial for diagnosing orofacial myofunctional disorders (OMD).
- The existing OMES protocol was expanded to enhance diagnostic accuracy.
- The study introduces the expanded OMES protocol (OMES-E) for pediatric evaluations.
Purpose of the Study:
- To describe the expanded OMES protocol (OMES-E) for evaluating children.
- To analyze the validity, reliability, and inter-examiner agreement of the OMES-E protocol.
- To determine the sensitivity, specificity, and predictive values of the OMES-E instrument.
Main Methods:
- Videorecorded evaluations of 50 children (25 boys, 25 girls) were analyzed by three speech therapists.
- The OMES and OMES-E protocols were applied on separate occasions.
- Statistical analyses included Pearson correlation, split-half reliability, and Kappa coefficient (Kw') for validity and reliability assessment.
Main Results:
- Strong statistically significant correlations were found between OMES and OMES-E protocols (0.79-0.94) and test-retest reliability (0.75-0.86).
- Inter-examiner reliability coefficients ranged from 0.70 to 0.84.
- The OMES-E protocol demonstrated high mean sensitivity (0.91) and specificity (0.77), with positive (0.87) and negative (0.85) predictive values.
Conclusions:
- The OMES-E protocol is a valid and reliable instrument for orofacial myofunctional evaluation in children.
- The expanded protocol offers improved diagnostic capabilities for orofacial myofunctional disorders.
- The findings support the clinical utility of OMES-E in assessing the stomatognathic system.
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