7. Home Care Flashcards
Describe axis I and II
Axis I= clinical TMD conditions
Axis II= Behavior and psychosocial assessment
What are the different instruments used to assess the severity of the following domains
- Anxiety
- Parafunction
- Depression
- Pain intensity
- Limitation
- Pain location
- Distress
- Physical function
- Physical symptoms (co morbid disorders)
- Anxiety= GAD (generalized anxiety disorder)
- Parafunction = Oral behaviors checklist
- Depression= Patient health question 9
- Pain intensity = Graded Chronic pain scale (GCPS)
- Limitation= Jaw functional limitation
- Pain location= Pain drawing
- Distress= Patient health question 4
- Physical function= Graded chronic pain scale
- Physical symptoms (Co morbid disorders)= Patient health questionaire 15
Define TMD
group of conditions causing pain and dysfunction in the jaw joint and muscles that control jaw movement
Cause of TMD
We don’t know- related to central sensitization and can be related to trauma
_ people in the US have TMD
10 million
Mose common TMD symptom
pain on chewing
T/F For most people TMD will go away with little/no treatment
T
Give examples of self- care practices
- Eat soft foods
- Ice packs
- Avoid extreme jaw movements (yawning chewing gum etc.)
- OTC pain meds
- ROM exercises
Self-management routines should include the following
- Rest masticatory system
- Habit awareness
- physiotherapy
Advantage and use of PT therapy
- Conservative
- Good adjunct
Goal of posture training is to
prevent increase cervical and shoulder muscle activity and possible protrusion of the mandible
What are the three different types of physical therapy exercises
- Repetitive exercises
- Isotonic
- Isometric
Difference between isometric and isotonic exercises
Isotonic= Increase ROM Isometric= Increase muscular strength
How do you perform repetitive exercises
place fingers on preauricular area
-Move jaw open to comfortable position and close just before tooth contact
How to perform isometric exercises
move jaw against resistance (open palm)
