Ampliação das escalas numéricas do Protocolo de Avaliação Miofuncional Orofacial (AMIOFE), validação e confiabilidade

Abstract

In the literature, there is only one instrument validated for the clinical evaluation of the orofacial myofunctional condition of children, the Orofacial Myofunctional Evaluation Protocol with Scores (OMES) (Felício and Ferreira, 2008). In spite of recognized importance of the perceptible evaluation this present some limitations because your subjectivity, and, the increase of precision in the results is provided with numerical scales with more information. The numerical scales and the items number evaluations for OMES protocol were extended, with aim for possibility the detection and note of difference smalls in the characteristics physics and in the orofacial behaviors entre-subjects and variation intra-subject in the time. This study had with objective describe the OMES protocol extended (OMES-E), analyze the validity, the reliability and the correlation, as well as investigate the values of sensitivity, of specificity and predictive values of the OMES-E. The sample for the study compounded of images and videos of 50 children, 25 boys (mean age=8.4 years, standard deviation=1.8) and 25 girls (mean age=8.2 years, standard deviation=1.7). Three speech therapists (E1, E2 and E3) properly calibrated in orofacial myofuncional evaluation were choosed after analysis of ability of the examiners in to use the OMES protocol. To analysis of criterion validity of OMES-E protocol the children were evaluated individually for the analysis of images recorded on videocassette for the protocols OMES and OMES-E. To complement the criterion validity was carried out the test of the correlations and of the reability of the applications and/or of the interpretation of the OMES-E. Statistical analysis was performed using the Statistics software based on the split-half reliability method, the level of significance was set at 0.05, Spearman correlation coefficient, the coefficient Kappa weighted linear (Kw'), the sensitivity (S), specificity (E), predictive values (VP+ e VP-) and the prevalence (P) were also calculated. Was statistically significant correlation between the evaluations with the OMES and OMES-E protocols, the values, in agreement with the examiners, were E1 (r=0.81, p<0.01), E2 (r=0.79, p<0.01) and E3 (r=0.94, p<0.01). The reliability between protocols were to E1 0.89, to E2 0.88, and to E3 0.97. The correlations and reliability values between the testretest with the OMES-E were: E1 (r=0,86, 0,93), E2 (r=0.75, 0.86) e E3 (r=0.80, 0.89). The correlations and reliability values between examiners with the OMES-E were: E1 x E2 (r=0.74, 0.84), E1 x E3 (r=0.70, 0.83), all with p<0.01. The Kw' strength of agreement to the OMES-E protocol apply, for the analyses test-retest and to analyses between examiners, predominant were "moderate" and "good. To the OMES-E protocol were found mean values of 0.91 for the S, of 0.77 for the E, of 0.87 for the VP+ and of 0.85 for the VP-. The prevalence mean of myofuncional disorder was 0.58. The OMES-E protocol proved to be a valid and reliable instrument for orofacial myofuncional evaluation a...

Orofacial myofunctional changes and electromyographic activity of the orbicularis oris muscle in trombonists

“…Afterwards, the subjects were submitted to Orofacial Myofunctional Assessment with the application of the OMES-E protocol. This is a specific and comprehensive tool in Orofacial Motricity, whose expanded scores allow for graduation of specific orofacial myofunctional disorders 15 .…”

“…Some authors highlight the importance of orofacial myofunctional assessment, and define strategies for its application [10][11][12][13] . Despite the recognized importance of clinical evaluation, it has limitations related to subjectivity 14,15 . In this perspective, sEMG is a complementary quantitative test that determines muscle activity.…”

Efeitos da eletroestimulação associada ao treino mastigatório em pessoas com síndrome de down

“…Procedures performed during the speech-language pathology (SLP) assessment were divided into two stages: application of the protocol of Orofacial Myofunctional Evaluation with Scores (OMES), which was performed by trained therapists pre-and post-intervention, observing appearance and postural position of the lips, cheeks and tongue, oral cavity (aspect of the hard palate), and mobility of the lips, cheeks and tongue; evaluation of functions of the stomatognathic system: respiration, deglutition and mastication, with the latter assessed using stuffed cookies ("Bono") (food indicated in the Brazilian validation process of the OMES protocol) (15) . The medians were calculated based on the protocol scores, with higher scores indicating normality and lower scores showing impairment.…”

Análise Das Funções Do Sistema Estomatognático Em Idosos Usuários De Prótese Dentária

“…Desta forma, a avaliação fonoaudiológica consistiu-se por uma anamnese sociodemográfica e uma avaliação clínica. Esta avaliação foi construída a partir dos Protocolos de Avaliação Miofuncional Orofacial com Escores-AMIOFE 15 , Protocolo MBGR 16 e da avaliação utilizado em outro estudo semelhante a esta pesquisa 14 . Na anamnese coletou-se informações referentes à idade, sexo, escolaridade, estado civil e número de doenças.…”