{"id":2795,"date":"2025-11-30T16:20:09","date_gmt":"2025-11-30T08:20:09","guid":{"rendered":"https:\/\/redefinedphysio.com\/?page_id=2795"},"modified":"2025-11-30T16:43:40","modified_gmt":"2025-11-30T08:43:40","slug":"tmj","status":"publish","type":"page","link":"https:\/\/redefinedphysio.com\/index.php\/tmj\/","title":{"rendered":"TMJ"},"content":{"rendered":"\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"TMJ\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tWhatsapp<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tGoogle Map Icon<\/span>\n\t\t\t\t\t\t<\/path><\/path><\/path><\/path><\/path><\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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TMJ Assessment<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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3 Functional tests :<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  1. Mouth opening<\/strong>
    – Instruct patient to do active mouth opening and observe if the chin takes initiative in the beginning (+ve for a protrusion of chin) : indicative of TMJ hypo\/hyper mobility ; tension of masseter and \/or lateral pteryoid muscles.
    – Observe for limitation in ROM: +ve if mouth opening less than 3 fingers, 45-48mm.

    <\/li>
  2. TMJ mobility<\/strong>
    – Palpate condyle\/disc complex (anterior to tragus of ear).
    – Palpate for asymmetry in the final translatory position of mandible.

    – If test +ve indicative of TMJ hypomobility , soft tissue hypermobility.<\/p><\/li>

  3. Hyoid mobility <\/b>

    – Passive lateral to medial direction of hyoid, feel end feel and spring back of the hyoid.
    – +ve test: if little or no spring (indicative of ipsilateral digastricus tension).<\/p><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Treatment Techniques:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    1. Treatment for a +ve mouth opening test (to relax lateral pterygoid muscle)<\/strong>
    – Hold relax technique: therapist passively opens the patient\u2019s mouth;
    Hold:<\/b> resist patient attempt to poke chin.
    Relax:<\/b> passive chin to posterior direction.<\/p>

    – Lateral pterygoid release:
    Contact:<\/b> intraoral, finger to last molar and as close to TMJ.
    Direction:<\/b> patient actively bite down, when relax, therapist goes to the next barrier.

    – Masseter muscle hold relax technique: therapist passively position mouth opening in retrusion; contact lower incisor and patient instructed to gently close the jaw.
    <\/span>Hold:<\/b><\/span> hold against jaw closing; patient inhale and yawn.
    <\/span>Relax:<\/strong> During yawn, bring mandible to next barrier.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    2. Treatment for a +ve Hyoid test<\/strong>
    -Hold relax: load hyoid to restriction, position mouth open and chin in retrusion.
    Hold:<\/strong> Therapist attempt to close patient\u2019s mouth as patient resist by trying to open.
    Relax:<\/strong> release Hyoid and load to next barrier.<\/p>

    \u00a0-Hyoid release
    Contact:<\/strong> Web space of 1st and 2nd fingers grip on hyoid gently , other hand under neck.
    Direction:<\/strong> induce to position of ease then add tension.<\/p>

    -Omohyoid release
    Step 1:<\/strong> Contact: hyoid bone with contralateral hand. Mobility: lateral glide away.
    Step 2:<\/strong> Contact: as above for hyoid, ipsilateral hand palpate for insertion of omohyoid medial to suprascapular notch. Direction: induce stretch caudally on insertion and lateral glide away hyoid.<\/p>

    3. Treatment for a +ve TMJ mobility test<\/strong>
    – Identify side of less translation.
    – Contact: contralateral thumb on lower molar of the treatment side; ipsilateral hand palpate TMJ.
    – Direction: caudal long axis distraction; clockwise rotation of medial condyle\/disc; counterclockwise for lateral.
    – TMJ mobilisation with movements (MVMs, Mulligan).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

    Whatsapp Google Map Icon TMJ Assessment 3 Functional tests : Mouth opening – Instruct patient to do active mouth opening and observe if the chin takes initiative in the beginning (+ve for a protrusion of chin) : indicative of TMJ hypo\/hyper mobility ; tension of masseter and \/or lateral pteryoid muscles. – Observe for limitation …<\/p>\n

    TMJ<\/span> Read More »<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"class_list":["post-2795","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t