03 TMJ Flashcards Preview

7232 Ortho > 03 TMJ > Flashcards

Flashcards in 03 TMJ Deck (29):
1

When a bruxer wakes up with a headache, what is the cause?

temporalis and masseter are in spasm

2

What TMD patient will benefit from PT?

someone with capsular problems

3

What is associated with capsular problems of the TMJ?

- pain
- limited opening of the jaw
- muscle dysfunction

shouldn't have clicking or popping

4

With capsular problems, where does the jaw deviate if the restriction is on the left?

left

5

normal opening

50-60 mm
3 knuckles

6

functional opening

20-30 mm

7

to measure opening, boundaries are

tooth to tooth

8

how to look at quality of opening

thumbs palpate TMJ and have them open and close 3 times

9

What are you looking for with quality of opening?

any of the 3 abnormal motions (J, C, S)

10

facial features: looking for

- facial asymmetry
- swelling
- bony abnormality
etc....

11

What should you notice about the teeth?

any abnormal wear patterns

12

What are you assessing the temporalis and masseter during palpation?

- tenderness
- tender point (localized area of pain) » rigid bump in the muscle

13

Which head of the lateral pterygoid can you palpate?

superior

14

mobilization for the TMJ
- 2 parts

- caudal distraction
- lift up (protrude the jaw)

15

What should you do after assessing both sides?

- involved, uninvolved
- go back to involved again

16

When using tongue depressors to treat hypomobility, which side does it go under and what happens?

- hypomobile side
- causes the involved side to distract

17

What is the 6x6 in Rocabado's 6x6

6x per session
6x per day

18

Rocabado
Activity 1

rest position and breathing

19

Rocabado
rest position and breathing

- tongue on roof of mouth, cluck 6x
- tongue resting behind teeth
- hold in place while breathing through the nose 6x

20

Rocabado
Activity 2

opening without translation

21

Rocabado
opening without translation

- tongue on roof of mouth
- open and close jaw 6x

22

Rocabado
Activity 3

rhythmic stabilization

23

Rocabado
rhythmic stabilization

- tongue on roof of mouth, open and close
- take tongue off the roof and open/close again

24

Rocabado
Activity 4

upper cervical flexion

25

Rocabado
upper cervical flexion

nod forward 15˚ and backward 15˚ 6x

26

Rocabado
Activity 5

axial extension

27

Rocabado
axial extension

- move chin back and forth to relax jaw
- tuck chin to neck, hold 6s
- release and repeat

28

Rocabado
Activity 6

scapular retraction with depression

29

Rocabado
scapular retraction with depression

- pull shoulders back and down
- hold 6s, repeat, release