Test-retest reliability of a protocol for recording the electromyographic signal from the masseter muscle on patients with temporomandibular disorders
DOI:
https://doi.org/10.5585/22.2023.23446Keywords:
Reliability, Temporomandibular Joint Dysfunction Syndrome, Electromyography, Masseter Muscle, Reproducibility of ResultsAbstract
Introduction: Electromyography (EMG) has been used to assess alterations in the masticatory system caused by temporomandybular disorders (TMD).
Objectives: The aim of this study was to verify the test-retest reliability of a protocol for recording the EMG signal from masseter muscle in TMD patients.
Methods: This is a cross-sectional study comprising 20 individuals with TMD. Tests were performed in two sessions 7 days apart. The EMG signal was evaluated by the variables integral (iEMG) and the root mean square of the signal (RMS).
Results: In the intraday analysis the reliability for the RMS (ICC2,k: 0.85 to 0.96) and iEMG (ICC2,k: 0.85 to 0.95) was excellent, while the test/retest reliability was poor for both RMS (ICC2,1: 0.03 to 0.29) and iEMG (ICC2,1: 0.08 to 0.39) variables.
Conclusions: The protocol for collecting the EMG signal from the masseter muscle in an individual with TMD demonstrated that the data are reproducible only in the same recording session, whereas for c recording on alternate days, the reliability was poor.
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Valesan LF, Da-Cas CD, Réus JC, Denardin ACS, Garanhani RR, Bonotto D, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021 Feb;25(2):441-453.
Rongo R, Ekberg EC, Nilsson IM, Al-Khotani A, Alstergren P, Conti PCR, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for children and adolescents: An international Delphi study-Part 1-Development of Axis I. J Oral Rehabil. 2021 Jul;48(7):836-845.
De Felício CM, Ferreira CL, Medeiros AP, Rodrigues Da Silva MA, Tartaglia GM, Sforza C. Electromyographic indices, orofacial myofunctional status and temporomandibular disorders severity: A correlation study. J Electromyogr Kinesiol. 2012 Apr;22(2):266-272.
Bender SD. Orofacial pain and headache: a review and look at the commonalities. Curr Pain Headache Rep. 2014 Mar;18(3):400.
La Touche R, Martínez García S, Serrano García B, Proy Acosta A, Adraos Juárez D, Fernández Pérez JJ, et al. Effect of manual therapy and therapeutic exercise applied to the cervical region on pain and pressure pain sensitivity in patients with temporomandibular disorders: A systematic review and meta-analysis. Pain Med. 2020 Oct 1;21(10):2373-2384.
von Piekartz H, Schwiddessen J, Reineke L, Armijo-Olivio S, Bevilaqua-Grossi D, Biasotto Gonzalez DA, et al. International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study. J Oral Rehabil. 2020 Jun;47(6):685-702.
Suvinen TI, Reade PC, Kemppainen P, Könönen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain. 2005 Dec;9(6):613-633.
Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache. 2014 Winter;28(1):6-27.
Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, et al. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil. 2018 Nov;45(11):837-844.
Pedroni CR, De Oliveira AS, Guaratini MI. Prevalence study of signs and symptoms of temporomandibular disorders in university students. J Oral Rehabil. 2003 Mar;30(3):283-289.
de Oliveira AS, Dias EM, Contato RG, Berzin F. Prevalence study of signs and symptoms of temporomandibular disorder in Brazilian college students. Braz Oral Res. 2006 Jan-Mar;20(1):3-7.
Dijkstra PU, Stegenga B, DeBont LG, Bos RR. Function impairment and pain after closed treatment of fractures of the mandibular condyle. J Trauma. 2005; 59(2):424-430.
Lauriti L, Silva PF, Politti F, Biasotto-Gonzalez DA, Fernandes KP, Mesquita-Ferrari RA, et al. Pattern of electromyographic activity in mastication muscles of adolescents with temporomandibular disorder. J Phys Ther Sci. 2013 Oct;25(10):1303-1307.
Politti F, Casellato C, Kalytczak MM, Garcia MB, Biasotto-Gonzalez DA. Characteristics of EMG frequency bands in temporomandibullar disorders patients. J Electromyogr Kinesiol. 2016 Dec;31:119-125.
Herpich CM, Leal-Junior EC, Amaral AP, Tosato Jde P, Glória IP, Garcia MB, et al. Effects of phototherapy on muscle activity and pain in individuals with temporomandibular disorder: a study protocol for a randomized controlled trial. Trials. 2014 Dec 16;15:491.
Massaroto Barros B, Biasotto-Gonzalez DA, Bussadori SK, Gomes CAFP, Politti F. Is there a difference in the electromyographic activity of the masticatory muscles between individuals with temporomandibular disorder and healthy controls? A systematic review with meta-analysis. J Oral Rehabil. 2020 May;47(5):672-682.
Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979 Mar;86(2):420-428.
Cicchetti DV, Sparrow SA. Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic. 1981 Sep;86(2):127-137.
Eliasziw M, Young SL, Woodbury MG, Fryday-Field K. Statistical methodology for the concurrent assessment of interrater and intrarater reliability: using goniometric measurements as an example. Phys Ther. 1994 Aug;74(8):777-788.
Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res. 2005 Feb;19(1):231-240.
Giannasi LC, Politti F, Dutra MTS, Tenguan VLS, Silva GRC, Mancilha GP, et al. Intra-Day and Inter-Day Reliability of Measurements of the electromyographic signal on masseter and temporal muscles in patients with Down syndrome. Sci Rep. 2020 May 4;10(1):7477.
Giannasi LC, Matsui MY, Politti F, F Batista SR, Caldas BF, Amorim JB, et al. Test-retest reliability of electromyographic variables of masseter and temporal muscles in patients with cerebral palsy. Arch Oral Biol. 2014 Dec;59(12):1352-1358.
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