TMJ lab

Question 1

If opening of the jaw is consistently inconsistent, this means

Answer 1

neuromuscular control issue

Question 2

If someone has a neuro muscular control what kind of motion occur during opening of the mouth?

Answer 2

S curve

Question 3

If someone has a C Curve what is the underlying issue ?

Answer 3

Capsular

Question 4

What are the 3 muscles palpated?

Answer 4

Masseter- at angle of jaw
Temporalis- at temple
LATERAL pterygoid - palpated in external auditory meatus

Question 5

What is the sequence of the Mandibular Neurodynamic test?

Answer 5

Capital flexion

Side bend away

Open mouth slightly (1cm)

Lateral deviation away

Question 6

What other muscles should you perform flexibility examination when assessing TMJ ?

Answer 6

Pectoralis major
Pectoralis minor
Latissimus dorsi

Question 7

Can you palpate the lateral pterygoid intraorally?

Where can you palpate the medial pterygoid?

Answer 7

unlikely due to gag reflex, can palpate in external auditory meatus though extraorally

medial pterygoid is rope-like muscle behind last molar

Question 8

When should you perform the centric relation provocation test?

Answer 8

LAST

Question 9

The centric relation provocation test is positive if…

Answer 9

Pain anterior to tragus

indicating a pathology of the disc

Question 10

MET that resists closing is used to do what?

Answer 10

Increase opening

Question 11

how hard should a patient push during TMJ METs?

Answer 11

10-20%

hold 10 seconds each time

Question 12

How hard should a patient push for closing METs

Answer 12

10-20%

Question 13

which side does the therapist stand on when doing TMJ mobilizations

Answer 13

Contralateral side

Question 14

Before preforming any TMJ mobilization, what forces do we apply first

Answer 14

Distraction

Question 15

What are some manips that could be used to decrease TMJ pain?

Answer 15

OA
C/T spine as needed