Theresa Schmidt – Hands-on Interventions to Manage Mobility Impairments of the Temporal Mandibular (TMJ) Region with Related Headache

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Exploring the Essential Features of “Theresa Schmidt – Hands-on Interventions to Manage Mobility Impairments of the Temporal Mandibular (TMJ) Region with Related Headache”

Speaker: Theresa A. Schmidt, PT, DPT, MS, OCS, LMT, CEAS

Duration: 2 Hours 09 Minutes

Format: Audio and Video

Copyright: Sep 28, 2022  

Media Type: Digital Seminar

Description

TMJ disorders are complex, common, and often present with related head and neck pain. From pathomechanics to function of the TMJ complex, you will be able to confidently address everyday activities including chewing, talking, yawning, as well as facial, head, neck and even ear pain due to mobility impairments of the jaw joint and cervical spine. Additionally, we will introduce hands-on interventions including myofascial and positional release, craniosacral therapy, joint and soft tissue mobilization and neuromuscular re-education techniques. You will leave with essential skills for immediate application to successfully address this multifaceted diagnosis.

Speaker

Theresa A. Schmidt, PT, DPT, MS, OCS, LMT, CEAS
Educise PC

Dr. Theresa Schmidt is an orthopedic physical therapy specialist and massage therapist integrating traditional and alternative medicine with emphasis on manual therapy, precision exercise, wellness, Reiki, hypnosis, and mindfulness. She presented for NASA/Inomedic, Johns Hopkins, Cleveland Clinic, Vanderbilt Med, Wake Med, and professional associations. She received her doctorate at UNE and served as faculty at Touro PT Programs and CUNY Queens Colleges in NY. She is a published author, Expert Consultant, Reiki Master Instructor, and hypnotherapist in private practice at Educise® in New Hampshire. www.educise.com.

Speaker Disclosures:
Financial: Theresa Schmidt has employment relationships with Educise, United States Department of Veterans Affairs, and Home CEU Connection.com. She receives a speaking honorarium, recording royalties, and a consulting fee from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Theresa Schmidt is a member of American Physical therapy Association, the Academy of Orthopedic Physical Therapy, and the American Massage Therapy Association.

Objectives

1. Investigate signs and symptoms of temporal mandibular joint (TMJ) disorders.
2. Propose key components of TMD examination and functional outcomes measures.
3. Investigate the relationship between movement impairments of the TMJ and cervical spine. 
4. Analyze the role of poor posture in TMD. 
5. Integrate manual therapy into a plan of care to manage mobility impairments of TMD.
6. Develop a therapeutic exercise program to improve mobility and function for people with TMD.

Outline

Anatomy of the TMJ

• Structural and functional aspects of TMJ and cervicocranial complex 
• Osseous and myofascial elements: muscles of mastication, mandibular elevation, depression, TM disc arthrokinematics

Etiology of TMD

• Demographics, statistics, history, medical/dental history, habits, orthotics/braces, work/play history, stress effects, computer work, bruxism, tinnitus, concussion, whiplash, dizziness, breathing issues, neuropathic pain, referred pain, headaches
• Signs and symptoms of TMD and TMD-related headache, ear and neck pain
• Imaging studies

Movement Based Examination

• Tests and measures, functional outcome tools
  • Observation, palpation of craniocervical and upper quarter
  • Location of trigger points
  • Posture: facial symmetry, cervical spine position, tongue position, mobility, teeth/ bite alignment
  • ROM, strength
  • Joint mechanics, chewing, eating, mouth opening
    • Valsalva cough/sneeze
    • Condylar translation, rotation
  • Cervical motions associated with jaw opening/closing

Functional Tools

• TMD Disability Index (Steigerwald Maher TMD Disability Index- 10Q) Neck Pain Disability Index (NDI), CCFT

Interventions

• Indications and Contraindications for manual therapy
• Mobility Impairment Interventions-
  • Soft tissue mobilization, myofascial release, positional release, muscle energy, myofascial trigger points reduction
  • Posture alignment
  • Neuromuscular re-education, correction of condylar rotation, jaw opening/closing correction, craniosacral release, massage, joint mobilization
  • Cervical and scapular mobility considerations
• Basic therapeutic exercise and home programs design review
  • Rocabado 6 x 6 program
  • Kraus’ TMD exercise program

Review, Q&A

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Massage Therapists
• Chiropractors

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