general notes

Question 1

SA training

Answer 1

– 3 sets of 5 reps in 4pk to also train SA

- Do craniocervical and cervical extensions, then cc rotators

Question 2

Neck flx strength/enduranc

Answer 2

e – cc flx nod – maintains nod and lifts head of bed and hold for about 5 secs

• Make sure start with nod > if lifts and looses nods then to ahrd
• Start with 5x5 holds then 10x10 > remove pillow

Question 3

Neck flx strength/enduranc progress

Answer 3

Progress flx to increase interaction btwn deep and superficial layers of flxs

• Eccentric and concentric control
• Sit > roll back for eccentric control of cervical flexors then chick tuck up to neutral for concentric control of cervical flexors

Question 4

neck flexor strength

Answer 4

For strength – do isometric head hold with chin tuck in rolled back position – can rest on pt hand’s and do 5 sec holds – EYES DOWN AND CHIN DOWN

• Can do HEP by using own hand to rest – JUST LIFT WEIGHT NOT HEAD
• 5 X 5 SEC HOLDS > 10X10 AS TOLERATED

Question 5

ccft

Answer 5

1. teach PATTERNS
2. CCFT – LOOK AT CEILING (EYES BACK AND CHIN UP) AND LOOK AT CEILING BEHIND KNEES – SLIDE AND NOD CHIN
   ^ INCORPORATE EYE MVMT
3. PT PALPATES SUPERFICIAL MUSCLES

Question 6

Wry neck =

Answer 6

*Most limited usually LF>Rot>Ext towards side of pain
* Acute Z Joint Wry Neck (locked or unlocked) – can do manip
* Oa wry - Avoid manipulation in older people (condition is more irritable, more effusion, slower to respond) strat w/ joint mobs then do traction
* DIscogenic wry neck = NO MANIP AS C/I BECAUSE CAN DVLP INTO A DISC, NERVE OR ROOT SYNDROME - Most limited, usually Ext>LF>Rot towards side of pain
+ HOTPACK

Question 7

tmj innerv.

Answer 7

• INnervated by mandibular branch of trigeminal nerve AND AURICULOTEMPORAL nerve
o Cranial and cervical nerve supply
o Upper 3 cervical nerve roots

Question 8

TMJ anatomy

Answer 8

• 2 separate synovial cavities above and below disc
o DISC = Superior portion – elastic
o Inferior portion – non-elastic (provides restraint)

Question 9

Temporalis

Answer 9

¬ Temporalis
o ALL PARTS – closes mouth/elevates mandible
o POSTERIOR – retrusion/lateral deviation (to same side)

Question 10

¬ Masseter

Answer 10

o ALL PARTS – elevation
o SUPERFICIAL – protrusion
o DEEP – retraction with elevation

Question 11

¬ Lateral Pterygoid

Answer 11

o 2 antagonistic parts (superior & inferior)
♣ SUPERIOR – attaches to disc and condyle
• Active in closure to position or stabilise the disc

♣ INFERIOR –
• Acting bilaterally produces opening/protrusion
• Acting unilaterally produces lateral deviation (to other side)

Question 12

¬ Medial Pterygoid

Answer 12

o Acting bilaterally produces closure (particularly in protrusion)/protrusion
o Acting unilaterally produces lateral deviation (to opposite side)