Lec 4 Flashcards

1
Q

How many pain-related TMD and Headaches have been validated?

A

4

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2
Q

The 4 pain-related TMD and Headaches that have been validated.

A

1) Arthralgia
2) Myalgia
3) Myofascial pain with referral
4) Headache attributed to TMD

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3
Q

Diagnostic criteria for TMD symptoms

A

Must have had the pain in the last 30 days that’s modified by function and parafunction.

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4
Q

The most common pain condition.

A

Myalgia

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5
Q

Facial muscles that are more prevalent in a pain condition.

A

Temporalis and Masseter

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6
Q

Pain of muscle origin that’s affected by jaw movement, function, or parafunction, and replication of this pain occurs with provocation testing of the masticatory muscles.

A

Myalgia

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7
Q

Have this when you can:

1) Locate the pain to temporalis or masseter.
2) Have pain during palpation of temporalis or masseter, or during vertical range of motion (MAO and MUO)

A

Myalgia

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8
Q

All pain-related TMD and headaches have this in clinical finding in common.

A

Confirmation of pain in temporalis and masseter.

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9
Q

All pain-related TMD and headaches have this history in common.

A

1) Chief complaint of pain

2) Pain modified by function or parafunction

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10
Q

Myofascial pain with referral goes where?

A

BEYOND the boundary of the muscle being palpated.

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11
Q

Diagnose the disorder:

1) Confirm that pain is located in temporalis and masseter.
2) Report familiar pain occurs when you palpate temporalis and masseter
3) Report pain at a site BEYOND the boundary of the muscle being palpated.

A

Myofascial pain with referral

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12
Q

Pain of MUSCLE origin with referral of pain beyond the boundary of the muscle being palpated.

A

Myofascial pain with referral.

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13
Q

Pain of JOINT origin that’s affected by jaw movement, function, or parafunction, and replication of this pain occurs with provocation testing of the TMJ.

A

Arthralgia

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14
Q

How do you test for familiar pain in arthralgia?

A

1) Palpate the lateral pole or around it.

2) MUO or MAO, right or left lateral, or protrusive movement (Movement in ANY direction).

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15
Q

Has pain in any direction, and when you palpate the lateral pole.

A

Arthralgia

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16
Q

Headache in the temple area that’s caused by TMD.

And headache that’s modified with jaw movement, function, or parafunction.

A

Headache attributed to TMD.

17
Q

These two have pain in ANY direction of movement.

A

Arthralgia and Headache attributed to TMD

18
Q

Have pain when you palpate temporalis OR

During movement in ANY direction.

A

Headache attributed to TMD

19
Q

Headache TMD pain is in this area.

A

Temple

20
Q

These facial muscles are activated during vertical range of motion.

A

Masseter and Temporalis

21
Q

If you have headache associated TMD, you need to have this.

A

Myalgia or Arthralgia

22
Q

Sensitivity for these pain-related conditions is above what?

A

80

23
Q

Used to diagnose muscle spasms.

A

EMG

24
Q

Sudden, involuntary, reversible tonic contraction of a muscle.

A

Muscle spasm

25
Q

Immediate onset of myalgia and immediate limited range of motion associated with this.

A

Muscle spasm

26
Q

Shortening of the muscle due to fibrosis of the tendons, ligaments, or muscle fibers.

A

Contracture

27
Q

1) Pain is present if the muscle is over-extended.
2) Hx of radiation, trauma, or infection
3) Progressive loss of ROM.
4) MUO and MAO are limited

A

Contracture

28
Q

This range of motion is affected in contracture.

A

Vertical

29
Q

Muscle pain with inflammation or infection.

A

Myositis

30
Q

Can get this from direct trauma or autoimmune disease.

A

Myositis

31
Q

Calcification of the muscle can occur

A

Myositis ossificans

32
Q

This has local myalgia, edema, erythema, increased temperature, and inflammatory markers.

A

Myositis ossificans

33
Q

Enlargement of one or more muscles.

A

Hypertrophy

34
Q

This is usually NOT associated with pain, and is secondary to overuse and/or chronic tensing of the muscles.
Familiar/genetic in origin.

A

Hypertrophy

35
Q

Pain-related changes should be viewed as adaptive bc they help to prevent further damage and promote healing.

A

Pain adaptation model

36
Q

This theory says that muscle pain becomes chronic because stimulation of nociceptors by an initial injury leads to tonix excitation of motorneurons (hyperactivity).
Leads to spasm, fatigue, and overwork, and that this process leads to further stimulation of nociceptors, resulting in a pain-spasm-pain cycle.

A

Vicious Cycle Theory

37
Q

This reduces muscle contraction.

A

Pain

38
Q

The effect of pain on motor activity relies on the complex interaction of distinctive bio-psychosocial characteristics, as well as the anatomical and functional complexity of the individual sensory-motor system.

A

Integrated Pain Adaptation Model

39
Q

Usually NOT associated with pain.

A

Hypertrophy