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MMBRG Protocol – Infants and Preschoolers: Myofunctional Orofacial Clinic Examination

PURPOSE: To present the Myofunctional Orofacial Clinical Examination Protocol belonging to the MMBGR Protocol - Infants and Preschoolers, including its validation. METHODS: Initially, test content-based validity was evaluated from the MBGR Protocol to be used with the age group between 6 and 71 mont...

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Autores principales: Medeiros, Andréa Monteiro Correia, Marchesan, Irene Queiroz, Genaro, Katia Flores, Barreto, Íkaro Daniel de Carvalho, Berretin-Felix, Giédre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Fonoaudiologia 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886187/
https://www.ncbi.nlm.nih.gov/pubmed/35475847
http://dx.doi.org/10.1590/2317-1782/20212020325
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author Medeiros, Andréa Monteiro Correia
Marchesan, Irene Queiroz
Genaro, Katia Flores
Barreto, Íkaro Daniel de Carvalho
Berretin-Felix, Giédre
author_facet Medeiros, Andréa Monteiro Correia
Marchesan, Irene Queiroz
Genaro, Katia Flores
Barreto, Íkaro Daniel de Carvalho
Berretin-Felix, Giédre
author_sort Medeiros, Andréa Monteiro Correia
collection PubMed
description PURPOSE: To present the Myofunctional Orofacial Clinical Examination Protocol belonging to the MMBGR Protocol - Infants and Preschoolers, including its validation. METHODS: Initially, test content-based validity was evaluated from the MBGR Protocol to be used with the age group between 6 and 71 months based on the bibliography and experience between the authors (original and current). For the content and appearance analysis, 10 speech therapists specialized in Orofacial Motricity attended and filled out an electronic form with dichotic and Likert scale questions in two moments. We used the Content Validity Index and the Exact Binomial Test. Then there was a validity based on the response processes analysis followed by a reliability of the Clinical Examination with 155 participants by 7 experienced and calibrated speech therapists, and the examiners between and within agreement was verified by the Intraclass Correlation Coefficient. RESULTS: There were additions, modifications, and exclusions of items according to the age group, resulting in the Myofunctional Orofacial Clinical Examination Protocol for Infants and Preschoolers, which obtained 90.5% agreement; and 100% of the appropriate scores by at least 90% of the specialists. In reliability, most items of the Extraoral and Intraoral Examination and Chewing obtained a reasonable to good, or even excellent, agreement. CONCLUSION: The “Clinical Myofunctional Clinical Examination” was validated based on the test content, response process, and reliability and, along with the “Instructional” and the “Clinical History” is part of the “MMBGR Protocol - Infants and Preschoolers” for speech therapy activities in the age group between 6 and 71 months of age.
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spelling pubmed-98861872023-02-01 MMBRG Protocol – Infants and Preschoolers: Myofunctional Orofacial Clinic Examination Medeiros, Andréa Monteiro Correia Marchesan, Irene Queiroz Genaro, Katia Flores Barreto, Íkaro Daniel de Carvalho Berretin-Felix, Giédre Codas Original Article PURPOSE: To present the Myofunctional Orofacial Clinical Examination Protocol belonging to the MMBGR Protocol - Infants and Preschoolers, including its validation. METHODS: Initially, test content-based validity was evaluated from the MBGR Protocol to be used with the age group between 6 and 71 months based on the bibliography and experience between the authors (original and current). For the content and appearance analysis, 10 speech therapists specialized in Orofacial Motricity attended and filled out an electronic form with dichotic and Likert scale questions in two moments. We used the Content Validity Index and the Exact Binomial Test. Then there was a validity based on the response processes analysis followed by a reliability of the Clinical Examination with 155 participants by 7 experienced and calibrated speech therapists, and the examiners between and within agreement was verified by the Intraclass Correlation Coefficient. RESULTS: There were additions, modifications, and exclusions of items according to the age group, resulting in the Myofunctional Orofacial Clinical Examination Protocol for Infants and Preschoolers, which obtained 90.5% agreement; and 100% of the appropriate scores by at least 90% of the specialists. In reliability, most items of the Extraoral and Intraoral Examination and Chewing obtained a reasonable to good, or even excellent, agreement. CONCLUSION: The “Clinical Myofunctional Clinical Examination” was validated based on the test content, response process, and reliability and, along with the “Instructional” and the “Clinical History” is part of the “MMBGR Protocol - Infants and Preschoolers” for speech therapy activities in the age group between 6 and 71 months of age. Sociedade Brasileira de Fonoaudiologia 2022-06-17 /pmc/articles/PMC9886187/ /pubmed/35475847 http://dx.doi.org/10.1590/2317-1782/20212020325 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Medeiros, Andréa Monteiro Correia
Marchesan, Irene Queiroz
Genaro, Katia Flores
Barreto, Íkaro Daniel de Carvalho
Berretin-Felix, Giédre
MMBRG Protocol – Infants and Preschoolers: Myofunctional Orofacial Clinic Examination
title MMBRG Protocol – Infants and Preschoolers: Myofunctional Orofacial Clinic Examination
title_full MMBRG Protocol – Infants and Preschoolers: Myofunctional Orofacial Clinic Examination
title_fullStr MMBRG Protocol – Infants and Preschoolers: Myofunctional Orofacial Clinic Examination
title_full_unstemmed MMBRG Protocol – Infants and Preschoolers: Myofunctional Orofacial Clinic Examination
title_short MMBRG Protocol – Infants and Preschoolers: Myofunctional Orofacial Clinic Examination
title_sort mmbrg protocol – infants and preschoolers: myofunctional orofacial clinic examination
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886187/
https://www.ncbi.nlm.nih.gov/pubmed/35475847
http://dx.doi.org/10.1590/2317-1782/20212020325
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