Cervical Spine- TMJ Connections

Question 1

Two-Three finger test

Answer 1

Patients of their own fingers/proximal interphalangeal joint in their mouth.

Question 2

Centric Relation PainTest

Answer 2

Identify pain caused by malposition

Load TMJ in stable position

Question 3

Pain in centric relation paintest

Answer 3

Pain=possible structural problem (disc torn) & co-management is needed

Question 4

No pain in centric relation paintest

Answer 4

No pain = likely functional cause that we can treat

Question 5

Maximal opening of jaw

Answer 5

50mm

Question 6

Functional ROM

Answer 6

35mm

Question 7

Myofascial Release/Pin and Stretch

Answer 7

Massetter
Ptyergoids
Temporalis
Diastric
Suboccipitals

Question 8

Masseters

Answer 8

closing of the jaw

Question 9

Ptyergoids

Answer 9

Anterior rotates disk on the condyle during closing, jaw protrusion, opening and deviation to the opposite side

Question 10

Suboccipitals

Answer 10

Upper cervical extension/chin protraction

Question 11

What is cervicogenic dizziness most often associated with?

Answer 11

flexion-extension injuries and has been reported in patients with severe cervical arthritis, herniated cervical disks, and head trama

Question 12

What do cervicogenic patient complain of?

Answer 12

ataxia, unsteadiness of gait, or postural imbalance associated with neck pain, limited neck range of motion, or headache predominate

Question 13

What is cervicogenic dizziness suggested by?

Answer 13

(1) a close temporal relationship between neck pain and symptoms of dizziness, including time of onset and occurrence of episodes
(2) previous neck injury or pathology, and
(3) elimination of other causes of dizziness.