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MSK II - haley > TMD > Flashcards

TMD Flashcards

1
Q

TMJ VS TMD

A

tmj - the joint; everyone has
tmd- the dysfunction; not everyone has

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2
Q

orofacial pain

A

pain in face and jaw/mouth region

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3
Q

Orofacial pain classifications

A
  1. primary headache/non cervicogenic headache
  2. TMJ dysfunction
  3. Masticatory Muscle Disorder
  4. Cervicogenic headache
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4
Q

The TMJ has two joint compartments… explain the movement for each compartment

A

superior - slides/translation

inferior - rolls/rotates

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5
Q

what are the ROM norms for TMJ

A
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6
Q

what muscles perform TMJ movements

A
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7
Q

what category of tmj issues has a reciprocal click

A

disc derangement with reduction

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8
Q

what category of tmj issues has no clicking (two noted issues)

A

disc derangement without reduction

myofascial disorder

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9
Q

what category of tmj issues has a history of hypermobility?

A

disc derangement with reduction

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10
Q

what category of tmj issues is the “hypomobile stage”

A

disc derangement without reduction

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11
Q

which category of tmj issues has opening to 25-35mm? what about >50 mm

A

25-35 = disc derangement without reduction

> 50 = hypermobile/sublux

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12
Q

what category of tmj issues is positive for CONTRALATERAL pain with forced biting?

A

inflammatory conditions

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13
Q

what category of tmj issues is positive for IPSILATERAL pain with forced biting?

A

myofascial disorder

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14
Q

what category of tmj issues has a loud clunk/popping sound, the feeling of it being out of place, and open locking?

A

Hypermobility/Sublux

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15
Q

explain overbite vs overjet

A

overbite: how far overlapping the front teeth are over bottom teeth; frontal plane 1/3 mandible incisor

overjet: how far anterior top teeth sit over bottom (3-6mm) ; transverse/sagittal plane

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16
Q

what is a quick way to test functional opening?

A

3 knuckles test- you should be able to fit 3 knuckles in mouth

17
Q

opening to lateral excursion rhythm

A

4:1

18
Q

TMJ “rhythm”

A

first 11mm condylar rotation

19
Q

Deviations & Deflection

A

C- curve: hypomobility; reduction of disc

S - curve: muscle imbalance

Deflection: deviates towards less mobile side

20
Q

T or F: measuring opening is the only measurement to discriminate between those with and without TMD

A

TRUE

21
Q

forced biting provocation test (cotton roll test) and interpretation

A

looking for increased symptoms

ipsilateral pain = muscle/tendon irritation

contralateral pain = joint

22
Q

can modalities be used in isolation for TMD ?

A

no, they are complementary for symptom relief

23
Q

How fat apart should teeth be in resting position

A

2-3 mm

24
Q

what should you avoid with TMD ?

A
  • uncontrolled yawning
  • gum chewing
  • nail biting
  • resting chin in hands
  • stomach sleeping
25
Q

how much sleep should you get?

A

7-8 hours

26
Q

what should be strengthened and what should be lengthened in everyone for better posture?

A

strengthen - DCF, cervical extensors, scapular retractors

lengthen - scalenes, pecs, SCM, suboccipitals

27
Q

treatment for joint mobility

A

mobs
PROM / AROM w caution

28
Q

treatment for joint inflammation

A

protection , ice, ionto
- parafunctions
- chewing
- ROM

29
Q

treatment for disc or articular dysfunction

A

address impairments of joint pain and reduced ROM

CONSERVATIVE TX WONT SIGNIFICANTLY HELP

DDwoR - educate patient abt remodeling phase, noise and motion should normalize over time

30
Q

treatment for TMD pain

A

exercise
diaphragmatic breathing
stress reduction technique
relacation of mandibular mm

31
Q

Rocabado 6x6 Exercises

A
  1. Nasal Breathing - 6 breaths
  2. Controlled Opening
  3. Mandibular Rhythmic Stabilization
  4. Upper Cervical Distraction: OA nodding
  5. Axial Ext of Cervical Spine (chin tuck)
  6. Shoulder Girdle Retraction (w thor ext)
32
Q

Theory of Condylar Remodeling

A

normalize forces between disc and musculature

  • co-contraction enhances stabilization

wheh youre laterally deviating, it will gap and glide the condyle anteriorly while the disc remains in place

MSK II - haley (4 decks)

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