Table 3.
Reliability of Binary Clinical Tests Incorporated in the Expert-driven Revised Algorithms
Clinical Test | Kappa for Item Reliability* |
---|---|
History of pain (RDC/TMD Question 3**) | 1.00 |
History of jaw locking (RDC/TMD Question 14**) | 1.00 |
Temporalis or masseter familiar pain to palpation | 0.75 |
Temporalis or masseter familiar pain with opening | 0.63 |
Detection of muscle pain (Familiar pain to palpation or jaw movement) | 0.73 |
Pain-free unassisted interincisal opening plus vertical incisal overlap < 40 mm | 0.92 |
Detection of disc click | 0.70 |
Maximum assisted interincisal opening (regardless of pain) plus vertical incisal overlap < 40 mm | 0.63 |
Familiar joint pain with 1 lb. palpation pressure | 0.86 |
Familiar joint pain with 2 lb. palpation pressure | 0.89 |
Familiar joint pain with opening | 0.61 |
Familiar joint pain with lateral excursion | 0.63 |
Detection of joint pain (Familiar pain to palpation or with jaw movements) | 0.78 |
Examiner-detected coarse crepitus | 0.80 |
Participant-reported crepitus | 0.91 |
Detection of crepitus (Examiner-detected or participant- reported crepitus) | 0.85 |
Kappa estimates were computed using generalized estimate equations (GEE).
Research Diagnostic Criteria for Temporomandibular Disorders: Review, Criteria, Examinations and Specifications, Critique 1.