Term
| gender with greater incidence of TMJ dysfunction |
|
Definition
|
|
Term
|
Definition
temporal
mandibular condyle |
|
|
Term
| 4 parts of teh temporal bone associated with the TMD |
|
Definition
posterior glenoid spine
mandibular fossa
atericular eminence
articular tubercle |
|
|
Term
| 2 parts of the mandibular condyle |
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Definition
|
|
Term
| 3 types of jts that the TMJ is |
|
Definition
synovial
compound
bicondylar |
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|
Term
| the TMJ is comprised of whta 3 structures |
|
Definition
articular eminence
intra-articular disc
head of the mandible |
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|
Term
| structure which separates the temporal bone and mandibular condyle |
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Definition
|
|
Term
| shape of teh fibrocartilaginous disc of teh TMJ |
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Definition
|
|
Term
| purpose of the fibrocartilaginous disc |
|
Definition
| supports, protects, and assists in lubricatino of the jt surfaces |
|
|
Term
| 3 bands of the fibrocartilagionus disc |
|
Definition
posterior
intermediate
anterior |
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|
Term
| which band ot eh fibrocartilagionus disc is avascular and aneural |
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Definition
|
|
Term
| TMJ: disc related pain would be a result of what structures being compressed (2) |
|
Definition
| anterior and posterior bands |
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|
Term
| Posterior attachment of the disc (2) |
|
Definition
superior/inferior retrodiscal lamina
mandibular condyle |
|
|
Term
| anterior attachment of the disc |
|
Definition
| upper part of lateral pterygoid mm |
|
|
Term
| medial/lateral attachment |
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Definition
| medial and lateral collateral discal ligaments to medial and lateral poles of the condyle |
|
|
Term
| the superior and inferior retrodiscal lamina enclose an area referred to as what |
|
Definition
|
|
Term
| what is the bilaminar zone |
|
Definition
| loose neurovascular tissue |
|
|
Term
|
Definition
|
|
Term
| the retrodiscal pad can be a source of what (4) |
|
Definition
inflammation
edema
hematoma
arthralgia |
|
|
Term
| capsular tightness will deflect the jaw in which way |
|
Definition
| towards the side of tightness |
|
|
Term
| what is the capsule lined with |
|
Definition
| highly vascularized synovial membrane |
|
|
Term
| what sense does the capsule provide |
|
Definition
|
|
Term
| 2 parts of teh temperomandibular ligament |
|
Definition
|
|
Term
| purpose of the temperomandibular ligament for support |
|
Definition
| supports mandible during moderate opening |
|
|
Term
| purpose of the temperomandibular ligament for resistance |
|
Definition
| resists rotation and posterior displacement of the mandible |
|
|
Term
|
Definition
temporomandibular
stylomandibular
sphenomandibular |
|
|
Term
| purpose of the stylomandibular ligament |
|
Definition
| guiding mechanism to keep disc, condyle, and temporal bone firmly opposed |
|
|
Term
| purpose of the sphenomandibular ligament: suspensory |
|
Definition
| suspensory ligament of mandible during wide opening |
|
|
Term
| purpose of the sphenomandibular ligament:checks |
|
Definition
| anteiror translation of mandible |
|
|
Term
| purpose of the sphenomandibular ligament:painful |
|
Definition
| painful with prolonged opening |
|
|
Term
| mvmt of the TMJ requires a balance between what 2 muscle groups |
|
Definition
|
|
Term
| purpose of the cervical muscles for efficient TMJ mvmt |
|
Definition
|
|
Term
| muscles of the TMJ are innervated primarily by what |
|
Definition
|
|
Term
|
Definition
temporalis
masster
Lateral/medial pterygoids
digastric
geniohyoid
mylohyoid
stylohyoid |
|
|
Term
| function of the temporalis (3) |
|
Definition
elevate the mandbile
ipsilateral deviation
retrusion/protrusion |
|
|
Term
| function of the masseter (2) |
|
Definition
elevate the mandible
ipsilateral lateral deviation |
|
|
Term
| function of the medial (internal) pterygoid (2) |
|
Definition
elevate the mandible
protrusion |
|
|
Term
| function of the lateral pterygoid upper head |
|
Definition
| closing to affect disc/condyle relationship |
|
|
Term
| function of the lateral pterygoid lower head (2) |
|
Definition
| protrudes and deviates the mandible to opposite side |
|
|
Term
| digastric/geniohyiod, mylohyoid/stylohyoid function |
|
Definition
|
|
Term
|
Definition
| position where all of the teeth are fully interdigitated |
|
|
Term
| centric position of the TMJ |
|
Definition
unstrained position of the mandbielf rom which lateral movement occur
most balanced
should coincide with medial occlusal position |
|
|
Term
|
Definition
opening/closing
protrusion
retrusion
lateral deviations |
|
|
Term
| maximal opening of the jaw |
|
Definition
|
|
Term
| fuctional opening of the jaw |
|
Definition
40 mm
3 fingers of nondominant hand |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| lateral deviation normal range |
|
Definition
approx 8 mm
1/4 of normal opening |
|
|
Term
| TMJ Opening/: First 11 mm of opening, what is happening to the disc |
|
Definition
|
|
Term
| TMJ Opening/: First 11 mm of opening, what is happening to the condyle |
|
Definition
|
|
Term
| TMJ Opening: after 11 mm opening what happens to the disc |
|
Definition
translates anterior on the articular eminence
rotates posterior in relation to the condyle |
|
|
Term
| TMJ Opening: after 11 mm opening the disc rotates posterior in relation to the condyle due to what |
|
Definition
| pull of superior retrodiscal lamina |
|
|
Term
| TMJ Opening/closing: after 11 mm opening what happens to the condyle |
|
Definition
| translates anterior on teh articular eminence |
|
|
Term
| TMJ Opening: after 11 mm opening what is the purpose of the movement of the disc and condyle |
|
Definition
| maintain articulation with aneural portion of the disc |
|
|
Term
| TMJ closing: what happens to the disc |
|
Definition
translates posterior
rotated anterior relative to the condyle |
|
|
Term
| TMJ closing: how is the disc rotated anterior relative to the condyle |
|
Definition
| contraction of the upper head of the lateral pterygoid |
|
|
Term
| TMJ closing: what happens to the condyle |
|
Definition
|
|
Term
| resting position of the TMJ |
|
Definition
| tongue on roof of mouth and mouth slightly open |
|
|
Term
| close pack position of the TMJ |
|
Definition
| mouth maximally open/closed |
|
|
Term
| TMD common pt complaints (5) |
|
Definition
headache
tinnitus
mandibular pain (clicking, grinding0
depression
neck pain |
|
|
Term
| crepitus with opening/closing would indicate what |
|
Definition
|
|
Term
| hx indicating TMJ dysfunction could include what 3 broad categories |
|
Definition
restricted jaw function
joint noises
orofacial pain |
|
|
Term
| TMJ hx: 2 aspects of restricted jaw function |
|
Definition
generalized tightness
sudden catches or locks |
|
|
Term
| TMJ hx: restricted jaw function as a result of generalized tightness would indicate what |
|
Definition
caspulitis
muscular disorder |
|
|
Term
| TMJ hx: restricted jaw function as a result of sudden catches/lcoks would indicate what |
|
Definition
|
|
Term
| TMJ hx: 2 categories of jt noises |
|
Definition
|
|
Term
| TMJ hx: jt noises involving crepitus would indicate what |
|
Definition
|
|
Term
| TMJ hx: describe crepitus |
|
Definition
| gravely or grating sound throughout range |
|
|
Term
| TMJ hx: describe clicking |
|
Definition
| occurs during different points in range |
|
|
Term
| TMJ hx: clicking jt noises would indicate what |
|
Definition
|
|
Term
| TMJ hx: 50% of TMD cases are related to what type of orofacial pain |
|
Definition
|
|
Term
|
Definition
|
|
Term
| what should be observed for with TMJ dysfunction |
|
Definition
jaw position
symmetry between upper and lower teeth
tooth wear or fracture |
|
|
Term
| if a pt presents with malaligned jaw or teeth what should the PT do |
|
Definition
| attempt to passively correct malalignment and assess effect on symptoms |
|
|
Term
| tooth wear or fracture could be a result of what |
|
Definition
abrasive diet
bruxism
teeth clenching |
|
|
Term
| postural changes affect what in relation to TMJ function (4) |
|
Definition
path of closing
resting position
activity of mm of masticaiton
forward head posture encourages a posteiror postition of the mandibualr head |
|
|
Term
| 2 categories of pathologies of the TMJ |
|
Definition
developmental abnormalities
diseases |
|
|
Term
| example diseases that would affect the TMJ (5) |
|
Definition
DJD
RA
psoriatic arthritis
osteochondritis
infections |
|
|
Term
| 4 categories of dysfunction of the TMJ |
|
Definition
discogenic
arthrogenic
myogenous pain
macrotrauma |
|
|
Term
| arthrogenic dysfunctnio of the TMJ (2) |
|
Definition
capsular tightness
subluxation/hypermobility |
|
|
Term
| most common TMJ disc derangment |
|
Definition
| anterior disc dislocaiton that reduces |
|
|
Term
| reducible anterior disc dislocation: with teeth together where is the disc |
|
Definition
|
|
Term
| reducible anterior disc dislocation: signs |
|
Definition
loud click during opening
more subtle click during closing
clicks occur at different points in range |
|
|
Term
| reducible anterior disc dislocation: a loud click during opening indicates what |
|
Definition
|
|
Term
| reducible anterior disc dislocation: a more subtle click during closing is a result of what |
|
Definition
| when disc becomes discplaced anteriorly again |
|
|
Term
| reducible anterior disc dislocation: type of curve when the mouth opens/closes |
|
Definition
|
|
Term
| reducible anterior disc dislocation: what is the only structure capable of repositioning the disc |
|
Definition
|
|
Term
| reducible anterior disc dislocation: why is there an S curve |
|
Definition
lack of dsic mechanisms
may also be associated with a mm imbalance |
|
|
Term
| nonreducible anterior disc dislocation: how will the pt present |
|
Definition
| motion restrictions d/t blockage of mvmt by the disc |
|
|
Term
| nonreducible anterior disc dislocation: if Right disc will not reduce: deviation during opening |
|
Definition
deviation to the R
lmited range |
|
|
Term
| nonreducible anterior disc dislocation: if Right disc will not reduce: deviation during protrusion |
|
Definition
|
|
Term
| nonreducible anterior disc dislocation: if Right disc will not reduce: deviation during lateral mvmts |
|
Definition
| decrease in L lateral mvmts |
|
|
Term
| nonreducible anterior disc dislocation: audible symptoms |
|
Definition
lack of audible clicking
pt may report that their jaw used to click and pop |
|
|
Term
| nonreducible anterior disc dislocation: hx of what |
|
Definition
|
|
Term
| capsular dyfunction: capsule has lost mobility for what possible reasons |
|
Definition
| hx of immobilization, trauma, post surgical |
|
|
Term
| capsular pattern of the TMJ |
|
Definition
bilateral limited opening
unilateral limited opening |
|
|
Term
| Unilateral capsular pattern: deviation with opening |
|
Definition
|
|
Term
| Unilateral capsular pattern: opening range of motion |
|
Definition
|
|
Term
| Unilateral capsular pattern: deviation during protrusion |
|
Definition
|
|
Term
| Unilateral capsular pattern: lateral movements |
|
Definition
| decreased mvmts to unaffected side |
|
|
Term
| when a click is replaced by a grinding sensation, what should be suspected |
|
Definition
|
|
Term
| when a click is repalced by a grinding sensation, degenerative changes should be susepcted and possible ... |
|
Definition
|
|
Term
| sublux/hypermob: what is happening anatomically |
|
Definition
| condyle translates too far anteriorly onto the articular tubercle and then back onto the articular eminence |
|
|
Term
| sublux/hypermob: exam findings ROM |
|
Definition
|
|
Term
| sublux/hypermob: exam findings observations |
|
Definition
| quick deviation at beginning of opening |
|
|
Term
| sublux/hypermob: exam findings palpation |
|
Definition
| palpation of the lateral poles, excessive anterior translation felt |
|
|
Term
| sublux/hypermob: exam findings: jt noises |
|
Definition
| no jt noises on opening but a clunking at beginning of closing |
|
|
Term
| sublux/hypermob: exam findings: often related to what |
|
Definition
|
|
Term
| Myogenous pain can be associated with what (4) |
|
Definition
stress
anxiety
bruxism
clenching |
|
|
Term
| how does myogenous pain often present |
|
Definition
|
|
Term
| how to confirm presence of myogenousp ain |
|
Definition
mm palpation and resisted testing
elminiation of contributing factors |
|
|
Term
| tx of TMJ issues is based on what |
|
Definition
| stage of injury (irritable vs stable) |
|
|
Term
| comprehensive treatment program of TMJ issues involves what (5) |
|
Definition
physical agents
manual therapy
muscle stretching/myofascial techniques
postural education
patient education |
|
|
Term
| physical agents used for TMJ (5) |
|
Definition
ultrasound
e stim
iontophoresis
heat
ice |
|
|
Term
| purpose of manual therapy for the TMJ |
|
Definition
| improve mechanics of the TMJ and upper cervical segment |
|
|
Term
| purpose of muscle stretching and myofascial technqiues to the TMJ |
|
Definition
| address mm imbalance and trigger pts of the cervical and TMJ jts |
|
|
Term
| types of pt education for TMJ issues (7) |
|
Definition
avoid wide yawning
small bites of food
avoid prone sleeping
soft food diets during acute stage of mgmt
avoidance of gum chewing
nail biting
braching/splints for grinding at night |
|
|
Term
|
Definition
Upper cervical flexion
Axial neck extension (retraction)
Clucking with tongue resting position
Controlled TMJ opening
Shoulder retraction (W with the arms)
Rythmic stabilization (in resting position) |
|
|
Term
| Other interventions for TMJ (7) |
|
Definition
cork exercise
tongue depression
Self PROM
Self distraction mobs
Occulsal appliance therapy
Surgery
psychotherapy |
|
|
