10/23/2019 1 Chew on this: Evaluation and Treatment of TMJ Dysfunction IPTA FALL CONFERENCE 2019 TRACY PORTER, PT, DPT Objectives 1. Describe TMJ anatomy and biomechanics. 2. Identify key examination elements. 3. Discuss diagnostic classifications for TMJ dysfunction. 4. Apply interventions specific to a diagnostic classification. Incidence 10-70% Women > men Ages 20-40
14
Embed
Chew on this: Evaluation and Treatment of TMJ …...10/23/2019 1 Chew on this: Evaluation and Treatment of TMJ Dysfunction IPTA FALL CONFERENCE 2019 TRACY PORTER, PT, DPT Objectives
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
10/23/2019
1
Chew on this: Evaluation and Treatment of TMJ DysfunctionIPTA FALL CONFERENCE 2019
TRACY PORTER, PT, DPT
Objectives
1. Describe TMJ anatomy and biomechanics.
2. Identify key examination elements.
3. Discuss diagnostic classifications for TMJ dysfunction.
4. Apply interventions specific to a diagnostic classification.
Incidence
10-70%
Women > men
Ages 20-40
10/23/2019
2
Etiology
Dental procedures Surgical procedures Injury Clenching/grinding Mal-occlusion Missing teeth Arthritic changes Postural imbalances Stress Parafunctional habits Movement dysfunction of the jaw
Presentation
Significant variance in presentation
Interdisciplinary (multi-factorial) approach
Anatomy of the Temporomandibular Joint
https://images.app.goo.gl/zG1auDToqmMFEh5GA
10/23/2019
3
https://images.app.goo.gl/sgDrm8WiuNrTKKXJ9
https://images.app.goo.gl/ebhGy7XK1mNkzMJz8
Close functional and anatomical relationships between cranial nerves V and VII (sensory and motor)
Sensation on the face is innervated by the trigeminal nerves (V) as are the muscles of mastication, but the muscles of facial expression are innervated mainly by the facial nerve (VII) as is the sensation of taste
Acute disc or joint – education, avoidance of end range mandible depression, joint protection, antiinflammatory modalities, postural correction exercises
Subacute or chronic disc or joint – education, neuromuscular reeducation, joint protection, postural correction exercises
Case Discussions
References
Armijo-Olivio S, Pitance L, Singh V, Neto F, Thie N, and Michelotti A. Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: Systematic review and meta-analysis. Physical Therapy. 2016;96(1):9-25.
Clinical examination of the temporomandibular joint. Elsevier, Ltd. 2013. Harrison A, Thorp J, and Ritzline P. A proposed diagnostic classification of patients with
temporomandibular disorders: Implications for physical therapists. JOSPT. 2014;44(3):182-197.
Lietz-Kijak D, Kopacz L, Ardan R, Grzegocka M, and Kijak E. Assessment of the short-term effectiveness of kinesiotaping and trigger points release used in functional disorders of the masticatory muscles. Pain Research and Management. 2018:1-7.
Rajeskhar H. Physical therapy in temporomandibular disorders. Indian Journal of Physiotherapy and Occupational Therapy. 2015;9(2):198-204.
Reneker J, Paz J, Petrosino C, Cook C. Diagnostic accuracy of clinical tests and signs of temporomandibular joint disorders: A systematic review of the literature. JOSPT. 2011;41(6): 408-416.
Van Grootel R, Buchner R, Wismeijer D, and van der Glas H. Towards an optimal therapy strategy for myogenous TMD, physiotherapy compared with occlusal splint therapy in an RCT with therapy-and-patient-specific treatment durations. BMC Musculoskeletal Disorders. 2017;18:76-92.