Ehlors Danlos/Hypermobility- Initial intro and musculoskeletal concepts Flashcards
(42 cards)
What part of the cervical spine is TMJ dysfunction related to? How does this happen?
TMJ dysfunction is related to upper cervical instability (C1,2,3). This occurs because upper cervical vertebrae govern occipital and temporal bone position, which affects how the mandible and temporal bone relate
What is the motion of the mandible that occurs when someone opens their jaw? How can you self test to see whether the TMJ joint is functioning well?
The mandible begins with the condylar process rotating anteriorly, and then translating down and forward so the jaw can open up. To self test, one can palpate their mandible’s condylar process, and if they feel it in their hand as they open their mouth, not click and not deviate, then their TMJ joint functions well.
Why will someone lock up their jaw in order to stabilize the head and neck?
The jaw can generate between 600-800PSI, meaning it can generate enough force to keep the head upright if not supported by upper cervical.
Why would TMJ contribute to symptoms in the ear, such as earaches?
The temporal nerve runs through the TMJ joint as well as up into the ear. A compression of some kind in the TMJ will disrupt nerve signaling and create symptoms such as fullness or pressure in the ears.
Why might a traditional approach to TMJ not work for someone?
Traditional plans may only address mandible function rather than temporal and mandibular function. Because upper cervical has a large influence on the TMJ joint, addressing mandible without cervical may be fruitless.
How would jaw clenching, which affects TMJ position, alter the airway?
The superior pharyngeal constrictor muscle helps send food down when one swallows. It engages when one clenches their jaw which closes the airway by 50%. This is a contributor to sleep apnea, as jaw clenching occurs during sleep.
What is the relationship between mandible position and C-2?
Whatever direction C2 is rotated in, the mandible will be elevated on that side and rotating to the opp direction
If the TMJ dislocates, how can one reposition it?
Moving the mandible laterally 4-5 times allows the ligaments to pull the mandible back into place.
What is EDS and how does it present in the body
hEDS is a connective tissue disorder where joints experience excessive ranges of motion. Because organs are also held together by connective tissue, organ systems are affected as well. EDS is a sneaky disease because it has so many presentations and it is not well understood, therefore no specializing doctor really exists
What kind of symptoms show up in EDS
Dysautonomia, lack of proprioception, brain fog, GI issues, joint subluxations, fatigue
Breighton laxity tests
Frustration grows for patients when they can’t assign a label to their condition. Because EDS is yet to be fully understood, the symptoms are usually described back to the patient as psychosomatic rather than originating in their physiology. I can help by validating what the client feels and help them better understand what EDS really is
3:1, female to male
What is the ratio between female to male diagnosis of hEDS?
Is there a psychological toll that comes along with hEDS? How can you as a clinician help with that?
What test can someone run to see if they have hEDS?
What test can someone run to see if they have hEDS?
Breighton laxity tests
Frustration grows for patients when they can’t assign a label to their condition. Because EDS is yet to be fully understood, the symptoms are usually described back to the patient as psychosomatic rather than originating in their physiology. I can help by validating what the client feels and help them better understand what EDS really is
3:1, female to male
What is the ratio between female to male diagnosis of hEDS?
Is there a psychological toll that comes along with hEDS? How can you as a clinician help with that?
Is there a psychological toll that comes along with hEDS? How can you as a clinician help with that?
Frustration grows for patients when they can’t assign a label to their condition. Because EDS is yet to be fully understood, the symptoms are usually described back to the patient as psychosomatic rather than originating in their physiology. I can help by validating what the client feels and help them better understand what EDS really is
What is the ratio between female to male diagnosis of hEDS?
3:1, female to male
Why might one need a genetic test to better understand and treat an EDS or related condition?
Becuase there are so many subtypes of EDS, a genetic test may be required in order to find the most direct path to treatment.
Why is choosing the right doctor important?
EDS is a tricky condition that has a variance of symptoms on a regular basis. It is important to find a good doctor that you can have a working relationship with becuase of how frequently you will see them.
Why is the patient’s narrative and full history important?
It is important when speaking to the client to find out as much of their story as possible, in order to formulate an accurate hypothesis which can then be tested.
What kind of testing would be beneficial for a client who needs medication for their condition and why?
Pharmacogenetic testing is helpful to better understanding medication interactions in the body, particularly with liver enzymes, and thus can help one find a better chemical therapy with less potential cost to their body
What are potential outcomes of hyper mobile joints on the musculoskeletal system?
Hyper mobility at a joint will alter how forces are distributed throughout the skeleton and other structures such as tendons, ligaments, muscle, and fascia may become loaded beyond their capacity contributing to pain.
What is kinesiophobia and What are the cycle of events that occur which contribute towards kinesiophobia?
A fear of pain due to movement. A painful event occurs, the pain is catastrophized, a fear of movement/reinjury, hyper vigilance or avoidance of movement, disuse and disability, and then ending with pain and starting a new cycle of events
What is the training goal for someone who is hypermobile, or has EDS?
Provide structural integrity through increasing total body proprioception and vestibular function. These people need to feel as much as possible.
What is your new understanding of proprioception and how does that change your new training strategy?
Proprioception is the ability to sense where your body parts are. When it comes to training strategies, always start with getting a client to feel what a particular joint is doing and then try to pair what that joint is doing with another one. Keep adding joint pieces as you go until the entire structure is as integrated as can be
Why is a particular training strategy important for hypermobile or EDS?
These folks dont have much wiggle room becuase their structural stability is compromised, so you need to make sure you your particularly careful in how you structure their program and what exercises you have them perform.
What are good strategies at a young age for kids with hyper mobility?
Get them involved as early as possible into some kind of movement practice so they can learn how to manage during these growth and developmental periods.
Muscle-bone-bone movements-another bone movement connecting to it. Take your time at each step depending on where the person is
What is the number one priority for an hEDS patient?
Strengthen and stabilize joints to prevent dislocations and subluxations
