Headache and TMJ Lab

Question 1

PC 1 Inion

Answer 1

inferior nuchal line, lateral to inion
FStRa
rectus capitis minor m.

Question 2

PC 1 Occiput

Answer 2

inferior nuchal line, between inion and mastoid
ESaRa
obliquus capitis superior m.

Question 3

PC 2 Occiput

Answer 3

inferior nuchal line
ESaRa
semispinalis capitis m.

Question 4

PC 2

Answer 4

superior aspect of C2
ESaRa
rectus capitis m. and obliquus capitis inferior m.

Question 5

Ischemia compression steps

Answer 5

place thumb over trigger point
apply a pinching force and hold with deep pressure
warn pt they will feel pain
monitor point and wait for it to melt away
reassess

Question 6

ME at AA

Answer 6

fully FLEX the c-spine to lock out motion at the AA

Question 7

ME at C2-C7

Answer 7

flex or extend head through involved segment into barrier

Question 8

steps of BLT

Answer 8

establish point of BLT
test respiratory phases and have pt hold in phase that provides best BLT
repeat until best motion obtained (1-3x)
reassess

Question 9

steps of FPR

Answer 9

neutralize curve
apply gentle compression (<1 lb)
while maintaining compression, move segment into its ease of motion
hold 3-5 seconds
return to neutral
release compression
reassess

Question 10

steps of still’s

Answer 10

Place segment into its position of ease
add compression
while maintaining compression, take segment into neutral and articulate through the restrictive barrier
release compression
return to neutral
reassess

Question 11

HVLA OA

Answer 11

force directed at patient’s eye

Question 12

HLVA AA

Answer 12

apply a rotational thrust at the end of ME treatment

Question 13

medial pterygoid ST

Answer 13

insert gloved finger to end of teeth and feel for tight bad of tissue
this is anterior to the anterior oral pillar
gently bowstring the tissue

Question 14

Medial pterygoid CS

Answer 14

medial aspect fo the ascending ramus anterior to the angle of jaw
deviate mandible away from tenderpoint

Question 15

Masseter CS

Answer 15

belly of masseter muscle, inferior to zygoma

deviate mandible towards tenderpoint

Question 16

TMJ CS

Answer 16

On TMJ opposite of mandibular deviation

rotate away

Question 17

Trigger point characteristics

Answer 17

characteristic pain patter
located in muscle tissue
elicits a radiating pain pattern
taut band of tissue
twitch response
dermographia

Question 18

tender poin characteristics

Answer 18

no characteristic pain pattern
no radiation patter
no twitch response
no dermogrpahia

Question 19

Orientation of C2-7 joint

Answer 19

backward
up
medial

Question 20

Cervical HVLA

Answer 20

upper - towards eye
middle - straight across neck
lower cervical - towards axilla

Question 21

c-shaped deviation

Answer 21

unilateral problem

deviates toward side of dysfunction

Question 22

s-shaped deviation

Answer 22

bilateral problem

Question 23

moving jaw to the R and forward evaluates

Answer 23

L medial and lateral pterygoid

Question 24

moving jaw to the L and forward evaluates

Answer 24

R medial and lateral pterygoid