CHAPTER 3 TEMPOROMANDIBULAR JOINT Selected Movements Active Movements Functional Opening (Knuckle) Test Resisted Isometric Movements Précis of the Temporomandibular Joint Assessment* History Observation Examination Active movements Neck flexion Neck extension Neck side flexion (left and right) Neck rotation (left and right) Extend neck by opening mouth Assess functional opening (knuckle test) Assess freeway space Open mouth Closed mouth (occlusion) Measure protrusion of mandible Measure retrusion of mandible Measure lateral deviation of mandible (left and right) Measure mandibular length Swallowing and tongue position Cranial nerve testing (if necessary) Passive movements (as in active movements, if necessary) Resisted isometric movements Open mouth Closed mouth (occlusion) Lateral deviation of jaw Special tests Reflexes and cutaneous distribution Joint play movements Palpation Diagnostic imaging *The entire assessment usually is done with the patient sitting. After any examination, the patient should be warned that symptoms may be exacerbated as a result of the assessment. SELECTED MOVEMENTS ACTIVE MOVEMENTS1 Figure 3-1 Active opening of the mouth. A, Anteroposterior view. B, Side view. PURPOSE These movements assess the mobility and motion of the temporomandibular joint (TMJ). SUSPECTED INJURY Temporomandibular joint dysfunction PATIENT POSITION The patient is sitting. EXAMINER POSITION The examiner stands or sits in front of the patient so as to observe mouth motion and range. Mouth Opening and Closing TEST PROCEDURE The patient is asked to open the mouth as far as possible. The first phase of opening is rotation while maintaining the tongue against the roof (hard palate) of the mouth. The second phase is translation and rotation as the condyles move along the slope of the eminence; this phase begins when the tongue loses contact with the roof of the mouth. INDICATIONS OF A POSITIVE TEST Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: THORACIC SPINE ELBOW KNEE HIP FOREARM, WRIST, AND HAND CERVICAL SPINE Stay updated, free articles. Join our Telegram channel Join Tags: Orthopedic Physical Assessment Atlas and Video Selected Special Jun 7, 2016 | Posted by admin in ORTHOPEDIC | Comments Off on TEMPOROMANDIBULAR JOINT Full access? Get Clinical Tree Get Clinical Tree app for offline access Get Clinical Tree app for offline access
CHAPTER 3 TEMPOROMANDIBULAR JOINT Selected Movements Active Movements Functional Opening (Knuckle) Test Resisted Isometric Movements Précis of the Temporomandibular Joint Assessment* History Observation Examination Active movements Neck flexion Neck extension Neck side flexion (left and right) Neck rotation (left and right) Extend neck by opening mouth Assess functional opening (knuckle test) Assess freeway space Open mouth Closed mouth (occlusion) Measure protrusion of mandible Measure retrusion of mandible Measure lateral deviation of mandible (left and right) Measure mandibular length Swallowing and tongue position Cranial nerve testing (if necessary) Passive movements (as in active movements, if necessary) Resisted isometric movements Open mouth Closed mouth (occlusion) Lateral deviation of jaw Special tests Reflexes and cutaneous distribution Joint play movements Palpation Diagnostic imaging *The entire assessment usually is done with the patient sitting. After any examination, the patient should be warned that symptoms may be exacerbated as a result of the assessment. SELECTED MOVEMENTS ACTIVE MOVEMENTS1 Figure 3-1 Active opening of the mouth. A, Anteroposterior view. B, Side view. PURPOSE These movements assess the mobility and motion of the temporomandibular joint (TMJ). SUSPECTED INJURY Temporomandibular joint dysfunction PATIENT POSITION The patient is sitting. EXAMINER POSITION The examiner stands or sits in front of the patient so as to observe mouth motion and range. Mouth Opening and Closing TEST PROCEDURE The patient is asked to open the mouth as far as possible. The first phase of opening is rotation while maintaining the tongue against the roof (hard palate) of the mouth. The second phase is translation and rotation as the condyles move along the slope of the eminence; this phase begins when the tongue loses contact with the roof of the mouth. INDICATIONS OF A POSITIVE TEST Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: THORACIC SPINE ELBOW KNEE HIP FOREARM, WRIST, AND HAND CERVICAL SPINE Stay updated, free articles. Join our Telegram channel Join Tags: Orthopedic Physical Assessment Atlas and Video Selected Special Jun 7, 2016 | Posted by admin in ORTHOPEDIC | Comments Off on TEMPOROMANDIBULAR JOINT Full access? Get Clinical Tree
