Podcast
Questions and Answers
According to the ICF model discussed, how are patients categorized?
According to the ICF model discussed, how are patients categorized?
- Based on impairments and effective treatments, not potential serious disease/injury. (correct)
- Based on the therapists preferred treatment methods.
- Based on the patient's subjective pain complaints.
- Based on serious diseases and injuries.
What is the primary goal when determining the dominant pain mechanism after ruling out red flags?
What is the primary goal when determining the dominant pain mechanism after ruling out red flags?
- Confirming the patient's initial pain assessment.
- Ruling out any psychological contributions to the pain.
- Identifying if the pain originates from joints and muscles.
- Classifying which mechanism is most responsible for the patient's pain. (correct)
Which type of pain is associated with strains, sprains, and inflammation causing activation of nociceptors?
Which type of pain is associated with strains, sprains, and inflammation causing activation of nociceptors?
- Cognitive affective mechanisms
- Nociceptive pain (correct)
- Neurogenic pain
- Central sensitization
What characterizes neurogenic pain?
What characterizes neurogenic pain?
What is central sensitization in the context of pain mechanisms?
What is central sensitization in the context of pain mechanisms?
What does cognitive affective mechanisms refer to in the context of pain?
What does cognitive affective mechanisms refer to in the context of pain?
Compensatory movements that perpetuate pain are categorized under which pain mechanism?
Compensatory movements that perpetuate pain are categorized under which pain mechanism?
What is a potential consequence of treating a patient with a processing problem as if they have an input problem?
What is a potential consequence of treating a patient with a processing problem as if they have an input problem?
What is the typical duration of migraine headaches?
What is the typical duration of migraine headaches?
Which characteristic is most indicative of cervicogenic headaches?
Which characteristic is most indicative of cervicogenic headaches?
What is a red flag symptom that requires serious consideration when assessing headaches?
What is a red flag symptom that requires serious consideration when assessing headaches?
What is a key characteristic of joint mobility examination in patients with cervicogenic headache (CGH)?
What is a key characteristic of joint mobility examination in patients with cervicogenic headache (CGH)?
What finding on the cervical flexion rotation test (CFRT) suggests cervicogenic headache?
What finding on the cervical flexion rotation test (CFRT) suggests cervicogenic headache?
What muscle is NOT typically associated with tightness in cervicogenic headache (CGH)?
What muscle is NOT typically associated with tightness in cervicogenic headache (CGH)?
To ensure effective exercise progression, what must be established before strength training?
To ensure effective exercise progression, what must be established before strength training?
Prior to strength exercises, what other aspect of treatment should be addressed?
Prior to strength exercises, what other aspect of treatment should be addressed?
In the framework for improving motor control, what generally precedes distal mobility for efficient movement?
In the framework for improving motor control, what generally precedes distal mobility for efficient movement?
Passive mobility is a prerequisite for what?
Passive mobility is a prerequisite for what?
What is the definition of stability in the context of motor control?
What is the definition of stability in the context of motor control?
What is the definition of controlled mobility?
What is the definition of controlled mobility?
According to clinical prediction rules, what combination of findings increases the likelihood of responding to mechanical cervical traction?
According to clinical prediction rules, what combination of findings increases the likelihood of responding to mechanical cervical traction?
Which of the following is a potential etiology for temporomandibular joint (TMJ) disorders?
Which of the following is a potential etiology for temporomandibular joint (TMJ) disorders?
Which structure does the posterior region of the articular disc of the TMJ attach to?
Which structure does the posterior region of the articular disc of the TMJ attach to?
If the masseter muscle contracts unilaterally, which action would result?
If the masseter muscle contracts unilaterally, which action would result?
What is the primary biomechanical action that occurs during the early phase of mouth opening?
What is the primary biomechanical action that occurs during the early phase of mouth opening?
When evaluating the TMJ, what indicates a muscle imbalance, muscle incoordination, or anterior disc displacement with reduction?
When evaluating the TMJ, what indicates a muscle imbalance, muscle incoordination, or anterior disc displacement with reduction?
During a TMJ examination, what finding has the highest positive likelihood ratio for anterior disc displacement with internal derangement?
During a TMJ examination, what finding has the highest positive likelihood ratio for anterior disc displacement with internal derangement?
Which of the following is not a test within the cluster of 7 tests for TMJ disorders?
Which of the following is not a test within the cluster of 7 tests for TMJ disorders?
What is the primary purpose of categorizing patients based on the ICF and Treatment Based Classification systems?
What is the primary purpose of categorizing patients based on the ICF and Treatment Based Classification systems?
According to the classification of dominant pain mechanisms, what is the source of pain in nociceptive pain?
According to the classification of dominant pain mechanisms, what is the source of pain in nociceptive pain?
What is the primary feature of output related pain mechanisms?
What is the primary feature of output related pain mechanisms?
Why is it crucial to accurately identify the dominant pain mechanism in a patient?
Why is it crucial to accurately identify the dominant pain mechanism in a patient?
According to the information provided, what is the typical pain quality of cervicogenic headaches?
According to the information provided, what is the typical pain quality of cervicogenic headaches?
What characteristic differentiates cervicogenic headaches from migraines or tension-type headaches?
What characteristic differentiates cervicogenic headaches from migraines or tension-type headaches?
Which of the following examination findings is consistent with cervicogenic headache (CGH)?
Which of the following examination findings is consistent with cervicogenic headache (CGH)?
A positive cervical flexion-rotation test (CFRT) suggests what in a patient experiencing headaches?
A positive cervical flexion-rotation test (CFRT) suggests what in a patient experiencing headaches?
Why is it considered important to address motor control before focusing purely on strength training?
Why is it considered important to address motor control before focusing purely on strength training?
When is it appropriate to begin postural training in relation to mobility, motor control, and strength?
When is it appropriate to begin postural training in relation to mobility, motor control, and strength?
In the framework for improving motor control, what is the relationship between proximal stability and distal mobility?
In the framework for improving motor control, what is the relationship between proximal stability and distal mobility?
Why is mobility considered a prerequisite for controlled mobility?
Why is mobility considered a prerequisite for controlled mobility?
According to the provided information, what is the definition of stability in the context of motor control?
According to the provided information, what is the definition of stability in the context of motor control?
What is controlled mobility defined as?
What is controlled mobility defined as?
Which anatomical structure does the temporomandibular joint's (TMJ) posterior region of the articular disc attach to?
Which anatomical structure does the temporomandibular joint's (TMJ) posterior region of the articular disc attach to?
Which muscles elevate the mandible?
Which muscles elevate the mandible?
What biomechanical movement primarily occurs during the early phase of mouth opening?
What biomechanical movement primarily occurs during the early phase of mouth opening?
What movement occurs during the late phase of mouth opening?
What movement occurs during the late phase of mouth opening?
During mandibular depression (mouth opening), what type of movement is associated with the condyle sliding together with the disc?
During mandibular depression (mouth opening), what type of movement is associated with the condyle sliding together with the disc?
What is the average range of mandibular depression?
What is the average range of mandibular depression?
What is the average range of lateral excursion?
What is the average range of lateral excursion?
During a TMJ examination, what might an S-shaped curve indicate?
During a TMJ examination, what might an S-shaped curve indicate?
During TMJ range of motion assessment, a C-shaped opening pattern that deflects to one side and does not return to midline indicates what?
During TMJ range of motion assessment, a C-shaped opening pattern that deflects to one side and does not return to midline indicates what?
In a clinical setting, where would you expect to palpate the internal pterygoid during a TMJ examination?
In a clinical setting, where would you expect to palpate the internal pterygoid during a TMJ examination?
C1-C4 spinal nerves fibers have projections that coordinate sensation from what nerves?
C1-C4 spinal nerves fibers have projections that coordinate sensation from what nerves?
What extraoral landmark can be used to identify the temporalis?
What extraoral landmark can be used to identify the temporalis?
During a TMJ examination a lateral excursion is performed and is found to be greater than 15mm. This would be considered as an indication of what?
During a TMJ examination a lateral excursion is performed and is found to be greater than 15mm. This would be considered as an indication of what?
Which statement best reflects the relationship between anterior translation of the condyle and capsular mobility in the TMJ?
Which statement best reflects the relationship between anterior translation of the condyle and capsular mobility in the TMJ?
What is a component of the cluster of 7 tests for diagnosing temporomandibular joint disorders?
What is a component of the cluster of 7 tests for diagnosing temporomandibular joint disorders?
Flashcards
Patient Categorization
Patient Categorization
Categories defined by the ICF based on impairments, and the Treatment Based Classification system based on effective treatments.
Nociceptive Pain
Nociceptive Pain
Strains, sprains, and inflammation of tissue that cause firing of nociceptors, resulting in achy, sharp pain.
Neurogenic Pain
Neurogenic Pain
Injury to a nerve that causes the nerve itself to become a source of pain, often presenting with pins and needles.
Central Sensitization
Central Sensitization
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Cognitive Affective Mechanisms
Cognitive Affective Mechanisms
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Output Pain
Output Pain
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Acute Subarachnoid Hemorrhage
Acute Subarachnoid Hemorrhage
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Cervicogenic Headache
Cervicogenic Headache
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Cervical Flexion Rotation Test (CFRT)
Cervical Flexion Rotation Test (CFRT)
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Mobility (Motor Control)
Mobility (Motor Control)
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Stability
Stability
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Controlled Mobility
Controlled Mobility
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Static-Dynamic Control
Static-Dynamic Control
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Skill (Motor Control)
Skill (Motor Control)
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Temporomandibular Disorder (TMD)
Temporomandibular Disorder (TMD)
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C-shaped Deviation
C-shaped Deviation
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Deflection (Jaw)
Deflection (Jaw)
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Protrusion (TMJ)
Protrusion (TMJ)
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The dental stick test
The dental stick test
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ADDwR
ADDwR
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Dominant Pain Mechanism Categories
Dominant Pain Mechanism Categories
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Headache 'Red Flag'
Headache 'Red Flag'
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Vomiting and Seizures with headache
Vomiting and Seizures with headache
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CGH Joint Mobility Examination
CGH Joint Mobility Examination
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Muscle Dysfunction in CGH
Muscle Dysfunction in CGH
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Inflammation First
Inflammation First
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Establish Motor Control
Establish Motor Control
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What is Posture Built On?
What is Posture Built On?
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Prescriptive Designs
Prescriptive Designs
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PROM arthrokinematic
PROM arthrokinematic
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Cervical extension < 30
Cervical extension < 30
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TMD Prevalence
TMD Prevalence
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TMD Etiology
TMD Etiology
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TMJ Predisposing Factors
TMJ Predisposing Factors
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Muscles of Mastication
Muscles of Mastication
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Biomechanics translational Slides
Biomechanics translational Slides
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TMJ Special Tests
TMJ Special Tests
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Reciprocal Clicking
Reciprocal Clicking
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Capsulitis
Capsulitis
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7 tests
7 tests
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Study Notes
Muscle Function During Mastication
- Suprahyoids aid in mandibular opening.
TMJ Movement and Depression
- During rotational movement, the mandibular condyle rolls relative to the inferior surface of the disc.
- During translational movement the mandibular condyle and disc slide together on the fossa.
Clinical Examination of the TMJ
- AROM (Active Range of Motion) is considered a good reliability
- A patient should be able to fit 2-3 fingers in the mouth
TMJ opening abnormalties
- S-shaped opening during opening without pain may indicate muscle imbalance or some anterior disc displacement and muscular and skeletal dysfunctions.
- Pain and dysfunction can become limited due to disc involvement.
- C-shaped deviations happen during opening and the jaw will deviate to one side.
Capsular Mobility Testing
- OA, AA lower cervical spinal conditions is important.
Exam treatment models for TMJ
- Follow opening and closing practices to establish what is required as an assessment guide
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