Lec 9

Question 1

What do chronic pain scales measure?

Answer 1

Persistence
Intensity
Interference

Question 2

Is generalized pain central or local?

Answer 2

CENTRAL

Question 3

Each body site that has pain increases the chances of getting this.

Answer 3

Another pain disorder

Question 4

Measures limitations in chewing tough food, hard bread, opening wide, swallowing, yawning, frowning, kissing, smiling, etc.

Answer 4

Jaw Functional Limitation Scale

Question 5

Subscales of the Patient Health Questionnaire 4 (PHQ-4)

Answer 5

Anxiety and Depression

Question 6

This test measures 7 items assessing ANXIOUS MOOD and BEHAVIOR:

1) Feeling nervous, anxious, or on-edge
2) Not being able to stop or control worrying
3) Worrying too much about different things.
4) Trouble relaxing
5) Being so restless that it’s hard to sit still.
6) Becoming easily annoyed
7) Feeling afraid like something awful might happen.

Answer 6

GAD-7

Question 7

Asks questions about depression and anxiety:

1) Feeling nervous, anxious, or on edge.
2) Not being able to stop or control worrying.
3) Little interest or pleasure in doing things.
4) Feeling down, depressed, or hopeless.

Answer 7

PHQ-4

Question 8

Assesses depression, including suicide.

Answer 8

PHQ-9

Question 9

Assesses non-specific physical symptoms.

Answer 9

PHQ-15

Question 10

This therapy uses the following:

• Biofeedback
• Relaxation
• Behavioral modification
• Cognitive behavior therapy
• Mindfulness
• Education

Answer 10

Biobehavioral Therapy

Question 11

Overall goals of biobehavioral therapy.

Answer 11

• Self management
• Self control over pain symptoms
• Self control over impact of pain (disability level)
• Maintaining psychosocial function even if pain continues.

Question 12

CBT stands for:

Answer 12

Cognitive Behavior Therapy

Question 13

The use of exercises and physical activities to help condition muscles and restore strength and movement.

Answer 13

Physical Therapy

Question 14

• Helps relieve musckuloskeletal pain.
• Helps restore normal function.
• Helps to coordinate and strengthen muscle activity.

Answer 14

Physical Therapy

Question 15

Recognized as an effective conservative method of treatment for TMD.

Answer 15

Physical Therapy

Question 16

TMD has nothing to do with this.

Answer 16

• Position of the head or body.

- Occlusion

Question 17

Exercises that increase muscle strength.

Answer 17

Isometric

Question 18

Increase range of motion.

Answer 18

Isotonic

Question 19

In these exercises, you’re moving against resistance to increase muscle strength.

Answer 19

Isometric

Question 20

Using an open palm against the chin or desired side.

Answer 20

Resistance

Question 21

These devices increase range of motion.

Answer 21

Passive jaw motion devices.

Question 22

Physical Therapy and Home Care for TMD:

Answer 22

• Transcutaneous electrical nerve stimulation.
• Acupuncture
• Ultrasound
• Iontophoresis
• Thermal therapy
• Manipulation (active or passive motion).
• Trigger point injections

Question 23

This can be used as as adjuvant modality in the management of pain associated with TMD’s.

Answer 23

Transcutaneous Electrical Nerve Stimulation (TENS)

Question 24

Don’t have enough evidence to say that this alone is effective in treating TMD pain.

Answer 24

Acupuncture.

Question 25

This is thought to reduce pain by releasing endogenous opioids.

Answer 25

Acupuncture

Question 26

This is more effective than placebo in reducing pain intensity in TMD, but we don't yet know if it can be used as symptomatic treatment for TMD.

Answer 26

Acupuncture

Question 27

What is Ultrasound used to treat?

Answer 27

Chronic TMD pain

Question 28

This is NEVER a treatment method for TMD.

Answer 28

Occlusal adjustment

Question 29

``` T/F: There's some evidence that the following can be effective in alleviating TMD pain: Occlusal appliances Acupuncture Behavioral therapy Jaw exercises Postural training Pharmacy ```

Answer 29

True

Question 30

This is a significant factor in developing a high level of rapport and treatment compliance.

Answer 30

Time spend on patient reassurance and education.

Question 31

The success of a self-management program depends on this.

Answer 31

Patient motivation Cooperation Compliance

Question 32

A self-management routine should include the following:

Answer 32

- Rest of the masticatory system thru voluntary limitation of mandibular function. - Habit awareness and modification. - Home physiotherapy program

Question 33

This should not be used for: - Acute injury - Acute inflammation - Infection

Answer 33

Heat

Question 34

These are used for local analgesic and anti-inflammatory effects in muscle and joint tissues.

Answer 34

Ice packs

Question 35

Avoid drinking this for TMD issues.

Answer 35

Caffeine