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Folia Phoniatr Logop. 2018;70(1):8-12. doi: 10.1159/000488027. Epub 2018 May 30.

Reliability and Validity of the Italian Version of the Protocol of Orofacial Myofunctional Evaluation with Scores (I-OMES).

Author information

1
Phoniatric Unit, Department of Biomedical and Clinical Sciences "L. Sacco," University of Milan, Milan, Italy.
2
Departamento de Fonoaudiologia, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
3
Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
4
Audiology Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.

Abstract

OBJECTIVE:

To evaluate the reliability, validity, and responsiveness of the Italian OMES (I-OMES).

PATIENTS AND METHODS:

The study consisted of 3 phases: (1) internal consistency and reliability, (2) validity, and (3) responsiveness analysis. The recruited population included 27 patients with orofacial myofunctional disorders (OMD) and 174 healthy volunteers. Forty-seven subjects, 18 healthy and all recruited patients with OMD were assessed for inter-rater and test-retest reliability analysis. I-OMES and Nordic Orofacial Test - Screening (NOT-S) scores of the patients were correlated for concurrent validity analysis. I-OMES scores from 27 patients with OMD and 27 age- and gender-matched healthy subjects were compared to investigate construct validity. I-OMES scores before and after successful swallowing rehabilitation in patients were compared for responsiveness analysis.

RESULTS:

Adequate internal consistency (Cronbach α = 0.71) and strong inter-rater and test-retest reliability (intraclass coefficient correlation = 0.97 and 0.98, respectively) were found. I-OMES and NOT-S scores significantly and inversely correlated (r = -0.38). A statistical significance (p < 0.001) was found between the pathological group and the control group for the total I-OMES score. The mean I-OMES score improved from 90 (78-102) to 99 (89-103) after myofunctional rehabilitation (p < 0.001).

CONCLUSION:

The I-OMES is a reliable and valid tool to evaluate OMD.

KEYWORDS:

Assessment protocol; Deglutition; Mastication; Orofacial myofunctional disorders; Respiration; Stomatognathic system

PMID:
29847818
DOI:
10.1159/000488027
[Indexed for MEDLINE]

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