TMJ Notes

Question 1

opening pattern for DDwR deviation

Answer 1

C

Question 1

What can be a RED flag in TMD patients?

Answer 1

Impairment of cranial nerves

Question 2

J opening pattern

Answer 2

DDwoR deflection

Question 2

Goal of active exercise for TMD:

Answer 2

to maintain midline position of mandible while increasing motion

Question 2

What should be cleared when assessing TMJ

Answer 2

Cranial nerves and C-spine

Question 3

TMJ OA joint feel/sounds

Answer 3

Hard/cracking clicks or noises throughout motion

Question 4

TMJ opening pattern for muscle dysfunction/imbalance deviation

Answer 4

S

Question 4

ptosis

Answer 4

drooping eyelid

a sign of impaired cranial nerves

Question 6

TMJ: What do clicks imply?

Answer 6

abnormal movement between condyle, disk, and mandible

Question 7

Impairment of cranial nerves indicates what in TMD pts?

Answer 7

RED flag

Question 8

how can you quickly assess TMJ opening/depression?

Answer 8

Knuckle Test

Question 9

Explain two clicks in DDwR

Answer 9

1. Click One: Patients can have a single click that occurs during opening
2. Click Two: If they have a second click (aka reciprocal click), it occurs during closing. It may need to be auscletated to be heard.

Question 10

opening pattern for DDwoR deflection

Answer 10

J

Question 11

TMJ: late clicking implies ______

Answer 11

a chronic problem

Question 12

TMJ: How does mandible move during deviation?

Answer 12

1. Mandible will pivot around restricted joint,
2. deviation is to side of restricted joint.

Question 13

facial palsy

Answer 13

drooping of the corner of the mouth

A cranial nerve impariment symptom

Question 15

Describe DDwoR

Answer 15

Can have Closed lock or Open Lock:

1. Closed lock (can’t open). Condyle is posterior to disk
2. Open Lock (can’t close), 2 clicks on opening as condyle moves anterior to disk (onto disk, off other side)

Question 16

TMJ Functional Opening

Answer 16

~30mm

Question 17

Five common findings of cranial nerve impairment:

Answer 17

1. Tinnitus
2. ptosis
3. facial palsy
4. difficulty swallowing

Question 19

TMJ: Early clicking implies _______

Answer 19

a developing problem

Question 20

Primary goal for TMD intervention:

Answer 20

Restore normal opening

Question 22

TMJ Normal opening

Answer 22

50-60mm

Question 23

The 3 Hallmarks of TMD:

Answer 23

1. orofacial pain
2. restricted jaw opening
3. joint noise

Question 24

C pattern upon opening (TMJ)

Answer 24

DDwR deviation

Question 25

Explain single click in DDwR

Answer 25

Patients can have a single click that occurs during opening.

Question 26

TMJ: S pattern of opening

Answer 26

Muscle dysfunction/imbalance deviation