TMJ

Question 1

why does patient with neck pain might result with tmp pain

Answer 1

grinding teeth

Question 2

what are some mechanical imbalances that could lead to TMJ pain

Answer 2

Dental problems (malocclusion, bite etc)
Faulty joint mechanics (subluxation of disc, inflammation etc)
Muscle spasm of mastication muscles- emotional tension, postural dysfunction
Forward head posture
Sinus problems- mouth breather
Sudden trauma (whiplash)
Sustained trauma (dental work, excessive stresses, chewing)

Question 3

Intervention Summary for TMJ pain

Answer 3

Mouth guard
Postural education
Jaw posture education
TMJ mobilization/manipulation
Suboccipital interventions
Mandibular and tongue proprioception exercises

Question 4

what is the resting position of the jaw

Answer 4

Teeth slightly apart
Lips closed
Tongue on top of hard palate

Question 5

ROM Exercises for TMJ

Answer 5

Mouth open
Mouth closed
Lateral deviation
Retraction
Protrusion

Question 6

Muscle Relaxation and Tongue Proprioception control

Answer 6

Tongue on hard palate
Draw circles or letters
Tip of tongue on hard palate
Blow air out to vibrate tongue, “making rrr sound”
Clicking sound with tongue on roof of mouth
Jaw quickly opens and returns

Question 7

Jaw Muscle and Joint Proprioception

Answer 7

Tongue on top of mouth- open and close jaw through first half of ROM

If jaw deviates with opening, have patient practice lateral deviation to opposite side

Gentle isometrics on movements of jaw