Hands-on Interventions to Manage Mobility Impairments of the Temporal Mandibular (TMJ) Region with Related Headache

Credit

Speaker

Theresa A. Schmidt, PT, DPT, MS, OCS, LMT, CEAS Related seminars and products

Educise PC

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Objectives

1. Investigate signs and symptoms of temporal mandibular joint (TMJ) disorders.
2. Propose key components of TMD examination and functional outcomes measures.
3. Investigate the relationship between movement impairments of the TMJ and cervical spine. 
4. Analyze the role of poor posture in TMD. 
5. Integrate manual therapy into a plan of care to manage mobility impairments of TMD.
6. Develop a therapeutic exercise program to improve mobility and function for people with TMD.

Outline

• Structural and functional aspects of TMJ and cervicocranial complex 
• Osseous and myofascial elements: muscles of mastication, mandibular elevation, depression, TM disc arthrokinematics

• Demographics, statistics, history, medical/dental history, habits, orthotics/braces, work/play history, stress effects, computer work, bruxism, tinnitus, concussion, whiplash, dizziness, breathing issues, neuropathic pain, referred pain, headaches
• Signs and symptoms of TMD and TMD-related headache, ear and neck pain
• Imaging studies

• Tests and measures, functional outcome tools
  • Observation, palpation of craniocervical and upper quarter
  • Location of trigger points
  • Posture: facial symmetry, cervical spine position, tongue position, mobility, teeth/ bite alignment
  • ROM, strength
  • Joint mechanics, chewing, eating, mouth opening
    • Valsalva cough/sneeze
    • Condylar translation, rotation
• Cervical motions associated with jaw opening/closing

• TMD Disability Index (Steigerwald Maher TMD Disability Index- 10Q) Neck Pain Disability Index (NDI), CCFT

• Indications and Contraindications for manual therapy
• Mobility Impairment Interventions- 
  • Soft tissue mobilization, myofascial release, positional release, muscle energy, myofascial trigger points reduction
  • Posture alignment
  • Neuromuscular re-education, correction of condylar rotation, jaw opening/closing correction, craniosacral release, massage, joint mobilization
  • Cervical and scapular mobility considerations
• Basic therapeutic exercise and home programs design review
  • Rocabado 6 x 6 program
  • Kraus’ TMD exercise program

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Massage Therapists
• Chiropractors