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TMJ Flashcards

1
Q

What percent of the population will suffer from one symptom associated with TMD throughout their lifetime

A

50-75%

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2
Q

What percent of those with TMD symptoms will report

A

5%

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3
Q

True or False:

Facial pain usually comes and goes but can be constant

A

True

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4
Q

What type of joint is the TMJ

A

Diarthrodial joint

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5
Q

What is located between the temporal bone and condylar process of mandible

A

Fibrocartilaginous disc, ligaments, and capsule

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6
Q

True or False:

The TMJ articular disc is biconcave

A

True

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7
Q

Which portions of the disc are innervated and vascularized

A

Anterior and posterior

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8
Q

What is the capsule characterized medial to lateral

A

Firm

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9
Q

What is the capsule characterized anterior to posterior

A

Loose

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10
Q

True or False:

The TMJ is highly vascularized and innervated

A

True

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11
Q

True or False:

The TMJ has no chemoreceptors

A

False

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12
Q

What is the usual cause of TMD or TMJ pain

A

Misalignment of the disc

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13
Q

What motion occurs during opening and closing of the mouth at the TMJ

A

Rotation and translation

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14
Q

During protrusion and retrusion what movement occurs

A

Translation

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15
Q

What movement occurs during lateral excursion

A

Ipsilateral rotation and contralateral translation

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16
Q

True or False:

People with TMD ot TMJ problems will come in with a lot of symptoms that don’t make sense

A

True

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17
Q

Clicking, popping, and snapping usually start when

A

In or around time of pain

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18
Q

Locking of the jaw is a hallmark sign of what

A

Anterior disc derangement

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19
Q

What is clenching or grinding of the teeth at night called

A

Bruxism

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20
Q

What is muscle spasms in the TMJ

A

Trismus

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21
Q

What are parafunctional activities

A

Activities that the patient does that along with normal function that are bad for health

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22
Q

What are some bad habits that lead to TMJ problems

A

Smoking, biting nails, and clenching

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23
Q

True or False:

Some myofascial symptoms can refer to teeth

A

True

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24
Q

What do missing teeth do to the TMJ

A

Change dynamics of chewing

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25
Q

Can tinnitus be caused by medicine over dose

A

Yes Sir

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26
Q

What is BPPV

A

Benign Paroxysmal Positional Vertigo

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27
Q

What are the 5 D’s

A
  1. Diplopia
  2. Dizziness
  3. Disphagia
  4. Drop Attacks
  5. Dysarthria
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28
Q

What is the only difference in examination between patients with neck pain and without neck pain

A

No cervical spine screen

29
Q

What are the steps of observation of the TMJ (10)

A
  1. Observations
  2. Postural assessment
  3. AROM
  4. Repeated movements
  5. PROM
  6. Passive accessory motion testing
  7. Muscle performance testing
  8. Flexibility testing
  9. Special tests and neuroscreen
  10. Palpation
30
Q

What do you observe during the examination of the TMJ (4)

A
  1. Head alignment
  2. Cursory dental exam
  3. Facial profile/alignment
  4. Tongue position at rest
31
Q

What is included in the cursory denal exam (3)

A
  1. Number of teeth
  2. Bite
  3. Signs of clenching
32
Q

What is the normal number of teeth

33
Q

What type of bite do you look for

A

Overbite, underbite, or crossbite

34
Q

What are signs of clenching

A

Linea alba and scalloping of tongue

35
Q

What is linea alba

A

White scar tissue formed on the cheek formed by gnawing on cheek at night

36
Q

What is scalloping of the tongue

A

Indentations of teeth on the tongue

37
Q

Where should the tongue be at rest with mouth closed

A

Tip of tongue on roof of mouth

38
Q

What is normal mouth opening

39
Q

What are the types of curves that can occur with the opening/closing of the mouth

40
Q

What does an S curve indicate

A

Muscle imbalance

41
Q

What does a C curve indicate

A

Capsular patterns

42
Q

What is an indicator that the test is done for ROM

A

Deflection to the side

43
Q

What is functional opening of the TMJ considered

44
Q

What is functional opening of the TMJ in knuckles or PIPs

A

2 knuckles

45
Q

What is normal opening of the TMJ in knuckles or PIPs

A

3 knuckles

46
Q

What are the motions of PROM of the TMJ (3)

A
  1. Protrusion/Retrusion
  2. Opening
  3. Lateral excursion
47
Q

What do you assess for during PROM

A

End feel and patient response

48
Q

What are the directions of passive motion accessory testing for TMJ (3)

A
  1. Longitudinal distraction
  2. Longitudinal distraction and anterior glide
  3. Longitudinal distraction and lateral glide
49
Q

What are the resisted isometric tests that can be done for TMJ (3)

A
  1. Mandibular depression
  2. Mandibular elevation
  3. Lateral deviation
50
Q

What are the special tests for the TMJ (2)

A
  1. Auscultate TMJ listening for clicking

2. Bite maneuver looking for fractures

51
Q

When should the bite maneuver be performed

A

In the presence of trauma

52
Q

What are the symptoms of disc displacement (4)

A
  1. Acute
  2. Joint sounds
  3. Limited opening or closing
  4. Deflections/deviations
53
Q

What percent of people with disc displacements have difficulty opening mouth

54
Q

If the person has an anterior displacement what do they do

A

Deflect to the side

55
Q

Open locking signifies what type of displacement

A

Posterior displacement

56
Q

Closed locking signifies what type of displacement

A

Anterior displacement

57
Q

What are the symptoms of myofascial problems (4)

A
  1. Chronic
  2. Limited opening
  3. Deviations noted later in range
  4. +or- joint sounds
58
Q

What does reduction mean

A

Disc moved back into place

59
Q

What does without reduction mean

A

Disc did not move back into place

60
Q

What are treatment options for people with anterior derangement with reduction (5)

A
  1. Manual therapy
  2. Motor control activities
  3. Stabilization exercises
  4. Patient education
  5. Referral to dental specialist
61
Q

What does manual therapy do

A

Improves arthorkinematics

62
Q

What are treatment options for people with anterior derangement without reduction (5)

A
  1. Manual therapy
  2. Motor control activities
  3. Stabilization exercises
  4. Patient education
  5. Referral to specialist
63
Q

What does manual therapy do for people without reduction

A

Hopefully recapture disc

64
Q

What are the interventions for hypomobility (7)

A
  1. Patient education
  2. PROM and joint mobz
  3. Soft tissue mobilization and stretching (PNF techniques)
  4. AROM
  5. Postural education
  6. Address restrictions in cervical spine mobility
  7. Motor control and muscle performance training
65
Q

What are the interventions for hypermobility (5)

A
  1. Patient education
  2. Local modalities
  3. Motor control activities
  4. Stabilization activities
  5. Address postural muscle strength/endurance
66
Q

What are the interventions for inflammatory conditions (5)

A
  1. Local modalities
  2. Patient education
  3. Manual therapy
  4. AROM in pain free range
  5. Progress towards a mobility clasification
67
Q

What are ways to educate the patient with inflammatory conditions (2)

A
  1. Activity awareness/modification/avoidance

2. Relaxation/breathing techniques

68
Q

What are interventions for myofascial conditions (4)

A
  1. Patient education
  2. Postural training
  3. Address restrictions of cervical spine
  4. Deep neck flexor and scapular muscle strengthening
69
Q

How many cards are in this deck?!?

Musculo (18 decks)

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