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If you want to make your own point of view about this subject, we advise you to visit the padlet of our friends from the group 28. Follow the link just below : http://es.padlet.com/fontan_sandra65/qczbts80hudk

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Other articles - for your general knowledge :

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Other articles - for your general knowledge :

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Gonzalez-Perez LM, Infante-Cossio P, Granados-Nunez M, Urresti-Lopez FJ, Lopez-Martos R, Ruiz-Canela-Mendez P. Deep dry needling of trigger points located in the lateral pterygoid muscle: Efficacy and safety of treatment for management of myofascial pain and temporomandibular dysfunction. Med Oral Patol Oral Cir Bucal. 2015 May 1;20(3):e326-33 Kalamir A, Graham PL, Vitiello AL, Bonello R, Pollard H. Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial. Chiropr Man Therap. 2013 Jun 5;21:17 Fernández-Carnero J, La Touche R, Ortega-Santiago R, Galan-del-Rio F, Pesquera J, Ge HY, Fernández-de-Las-Peñas C. Short-term effects of dry needling of active myofascial trigger points in the masseter muscle in patients with temporomandibular disorders. J Orofac Pain. 2010 Winter;24(1):106-12

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Treatment of temporomandibular myofascial pain with deep dry needling :

The Temporomandibular joint (TMJ) is commonly victim of disorder and pain-dysfunction syndrome characterized by pain in the pre auricular area and alterations in the dynamic of open-close mouth movements. Painful hypersensitivity is often observed in the masticatory muscles as origin of myofascial pain syndrome, being the external pterygoid muscle one of the most frequently affected.

Consequently, the therapeutic intervention studied in this article deals with the external pterygoid muscle.

Indeed, the purpose of the article «Treatment of temporomandibular myofascial pain with deep dry needling » is : - to determine the importance of myofascial trigger points in temporomandibular pathology - evaluate the usefulness of the deep dry needling in the treatment of myofascial pain of the external pterygoid muscle.

Dry needling uses a needle (as in acupuncture) inserted perpendicularly through the skin taking into account the relationship between the muscle and trigger points with the surrounding anatomical structures.

Moreover, the treatment by deep dry needling of 36 patients studied (30women/6men) shows a statistically significant relationship between therapeutic intervention and the improvement of pain and jaw movements, which continued up to 6 months after treatment. Pain reduction was greater the higher was the intensity of pain at baseline.

To conclude, deep dry needling in the trigger point in the external pterygoid muscle can be an effective manual therapy in the treatment of patients with myofascial pain located in that muscle and patients with temporomandibular disorder or TMJ pain-dysfunction syndrome.

Gonzalez-Perez LM, Infante-Cossio P, Granados-Nuñez M, Urresti-Lopez FJ. Treatment of temporomandibular myofascial pain with deep dry needling. Med Oral Patol Oral Cir Bucal. 2012 Sep 1;17(5):e781-5

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If you want to learn more about the treatments of a temporo-mandibular dysfunction, here is an exemple :

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New technic of the temper mandibular joints :

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New technic of the temper mandibular joints :

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The technic not explained in class that we have chosen is a massage of the temper mandibular joint in relation with the scientific article that you can read at the bottom of this padlet.

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They are used to preserve the integrity of the mobilized structures (avoid necrosis, ...) when the patient can't mobilize them by himself : in the case of a paralysis, ...

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Treatment of temporomandibular myofascial pain with deep dry needling

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Botox for Teeth Grinding | North Carolina

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Dr. Anthony Lombardi Hamilton Back Clinic

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Physical Therapy for Craniofacial Pain. Technique to be performed by a licensed physical therapist.

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The ligaments of the vertebral spine join the vertebrae between each other, to allow the column to support mechanical charges and important forces of shearing, and limit the range of movement. The ligaments are divided in : those which join the vertebral bodies and those which join the vertebral arches.

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The PSM, lateral and medial gliding of the TMJ:

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The PSM, lateral and medial gliding of the TMJ:

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Presentation and PSM, traction in the TMJ

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Presentation and PSM, traction in the TMJ

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The PSM in Protraction/Retraction in the LCS:

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The PSM in Protraction/Retraction in the LCS:

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The PSM in the side bending of the UCS :

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The PSM in the side bending of the UCS :

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2. The Transverse ligament of the Atlas test :

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2. The Transverse ligament of the Atlas test :

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2/2

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1/2

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The 7 vertebrae of the cervical column have a morphology very different as those of the others vertebrae. They are specialized in supporting the weight of the head and allow that the neck moves in every directions.

C1 and C2 are called atlas and axis. C7 is denominated prominent vertebra because of its long and palpable spinous process.

In the cervical spine, (from the top to lower) :

- There is the upper cervical spine composed by CO-C1 (occipital-atlas) that follows a convex rule for flexion/extension, and C1-C2 (atlas-axis) with a concave rule for rotation.

The resting position of the upper compartment is lordosis.

- Then, the medial cervical spine with C2-C6 that follows a concave rule. It is the most mobile part, with C3-C4-C5.

- And finally, the lower cervical spine: C7-D3 is the most fixated part of the cervical spine. It's physiological curve in lordosis.

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The condyle of (or head) of the mandible is articulated with the mandibular fosa is the ATM. During the first 15º of the mandibular decrease (opening of the mouth), the head stays into the mandibular fosa. When we pass the 15º, the condyle of the mandible slips forwards in the joint tuberc

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The PSM in Flexion of the middle and LCS :

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The PSM in Flexion of the middle and LCS :

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The specific traction of the UCS C1-C2 :

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The specific traction of the UCS C1-C2 :

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The global traction C2 to C5 of the UCS :

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The global traction C2 to C5 of the UCS :

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The movilizations of the middle and lower cervical spine (or, LCS) :

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The movilizations of the middle and lower cervical spine (or, LCS) :

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There is : - The PSM : in flexion, extension, side bendings, rotations, and protraction/retraction ; - The tractions : between C2-C5 or C5-D3, and the zygoapophyseal traction.

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The movilizations of the Upper Cervical Spine (or, UCS) :

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The movilizations of the Upper Cervical Spine (or, UCS) :

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You have : - The passive simple movilizations (or PSM) : in flexion, extension, lateral bendings and rotations ; - The tractions : global or in specific segments (for example, between C0 and C1).

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In this padlet, you'll find all the informations necessaries to know everything about the cervical spine and the temporo-mandibular joint, and their movilizations. Each video and post describe a manipulation or a structure of these anatomical regions. Don't hesitate to complete your knowledge ! Learn, and enjoy !
If you want to contact us, for any doubt or comment, please send us an email at :

group27.padlet@gmail.com

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Before to manipulate the cervical spine, you have to do these 3 tests to see if your patient is healthy : - the Alar ligament test ; - the Transverse ligament of the atlas test ; - and, the Vertebral artery test. Caution : If one of these tests is positive, send inmediately your patient to a GP !