Practical 1 Techniques

Question 1

TMJ BLT (pain on opening)

Answer 1

COMPRESS jaw, laterally move mandible direction of most ease, hold until release

Question 2

TMJ BLT (pain on closing)

Answer 2

DECOMPRESS jaw, laterally move mandible direction of most ease, hold until release

Question 3

Temporalis MFR

Answer 3

Assess F/E, sidebending, rotation

take to direct barrier for tissue release

Question 4

Lateral jaw deviation MET

Answer 4

Translate jaw to opposite side of deviation to engage restrictive barrier, have pt translate jaw to neutral for iso

i.e Lt deviation = engage RB with Rt translation

Question 5

S-curve deviation (temporalis, masseter, medial pterygoid hypertonicity) MET

Answer 5

Depress jaw to engage RB, have pt close jaw to neutral for iso

*these muscles close the jaw, so direct barrier will be found with opening jaw

Question 6

S-curve deviation (digastrics, mylohyoid, lateral pterygoid hypertonicity) MET

Answer 6

Hold jaw closed to engage RB, have pt open jaw to neutral for iso

*these muscles open the jaw, so direct barrier will be found with closing jaw

Question 7

Shoulder AC joint IR SD MET

Answer 7

Abduct arm to 90 and externally rotate to RB, do MET

Question 8

Shoulder AC joint ER SD MET

Answer 8

Abduct arm to 90 and internally rotate to RB, do MET

Question 9

Shoulder SC joint Adducted SD MET

Answer 9

Place arm into E and IR to engage RB, have pt raise arm for MET

Elevated SC = Adducted SC

Question 10

Shoulder SC joint Extended SD MET

Answer 10

Place hand on physician shoulder with my hand under scapula, monitor SC with other hand, pull scapula anteriorly while applying posterior force to proximal SC, have pt retract scap against force for MET

Anterior SC = Extended SC

Question 11

Lumbar MET

Answer 11

Step on opposite side of PTP (if upper lumbar) or PTP down (if lower lumbar), engage 3D direct barrier, do MET

Question 12

Piriformis MET

Answer 12

Pt prone, flex knee to 90, apply lateral force at ankle, have pt ER hip with ankle for iso MET