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TECHNIQUES
TECHNIQUES
3514 Nyland Way
Lafayette CO 80026 USA
[email protected]
www.advanced-trainings.com
© 5/15 Advanced-Trainings.com
NAME: ________________________________________
,
A D VA N C E D - T R A I N I N G S . C O M
©5/15 Advanced-Trainings.com
NAME: ________________________________________
3514 Nyland Way
Lafayette CO 80026 USA
[email protected]
tel. 303/499-881
A D VA N C E D - T R A I N I N G S . C O M
T M J for AAMT
MYOFASCIAL
MYOFASCIAL
TMJ for AAMT
ADVANCED
ADVANCED
p. i
References & Resources................................................................................. X-18
Answer Keys.................................................................................................... X-20
References & Resources................................................................................. X-18
Answer Keys.................................................................................................... X-20
Adv. Myo. Techs:
SUPPLEMENTAL TECHNIQUES (on DVD)................................................... X-01
Bilateral Jaw Release....................................................................................... A-08
Ear: External Acoustic Meatus......................................................................... B-06
SUPPLEMENTAL TECHNIQUES (on DVD)................................................... X-01
Bilateral Jaw Release....................................................................................... A-08
Ear: External Acoustic Meatus......................................................................... B-06
© 2015 Advanced-Trainings.com
TMJ CORE SEQUENCE..................................................................................B-01
Mandibular Condyle Tracking...........................................................................B-02
Masseter (Intra-oral)......................................................................................... B-03
Medial Pterygoid / Mandible............................................................................. B-04
Lateral Pterygoid.............................................................................................. B-05
SI Release: Anterior/Posterior.......................................................................... B-08
TMJ CORE SEQUENCE..................................................................................B-01
Mandibular Condyle Tracking...........................................................................B-02
Masseter (Intra-oral)......................................................................................... B-03
Medial Pterygoid / Mandible............................................................................. B-04
Lateral Pterygoid.............................................................................................. B-05
SI Release: Anterior/Posterior.......................................................................... B-08
p. i
TMJ SLEEVE SEQUENCE.............................................................................. A-01
TMJ Tracking....................................................................................................A-03
Sleeve/Core Differentiation: Neck/Jaw............................................................. A-04
Temporalis & Masseter.................................................................................... A-05
Digastric: Anterior Bellies (“Bulldog”)............................................................... A-06
Digastric: Posterior Attachments...................................................................... A-07
TMJ SLEEVE SEQUENCE.............................................................................. A-01
TMJ Tracking....................................................................................................A-03
Sleeve/Core Differentiation: Neck/Jaw............................................................. A-04
Temporalis & Masseter.................................................................................... A-05
Digastric: Anterior Bellies (“Bulldog”)............................................................... A-06
Digastric: Posterior Attachments...................................................................... A-07
Adv. Myo. Techs:
BEFORE (and after) YOUR COURSE:
Course Preparation and Supplementary Study...................................................... ii
BEFORE (and after) YOUR COURSE:
Course Preparation and Supplementary Study...................................................... ii
CONTENTS
NOTE ORGANIZER:
TMJ Excerpts for AAMT (2015)
CONTENTS
NOTE ORGANIZER:
TMJ Excerpts for AAMT (2015)
RECOMMENDED RESOURCES
for Preparation or Review
RECOMMENDED RESOURCES
for Preparation or Review
TMJ & Jaw Issues DVD
Discounts in class or online at:
http://a-t.tv/tmjdvd
TMJ & Jaw Issues DVD
Discounts in class or online at:
http://a-t.tv/tmjdvd
p. ii
Bones and Bony Landmarks:
•
Hyoid Bone
•
Mandible
•
Maxillary Process of Temporal Bone
•
Sacroiliac Joints
•
Styloid Process of Temporal Bone
Bones and Bony Landmarks:
•
Hyoid Bone
•
Mandible
•
Maxillary Process of Temporal Bone
•
Sacroiliac Joints
•
Styloid Process of Temporal Bone
Adv. Myo. Techs
Connective Tissue Structures:
•
Cervical Superficial Fascia
•
External Acoustic Meatus of the Ear
•
TMJ Joint Capsule
•
TMJ Articular Disk and Suspensory Ligaments
Connective Tissue Structures:
•
Cervical Superficial Fascia
•
External Acoustic Meatus of the Ear
•
TMJ Joint Capsule
•
TMJ Articular Disk and Suspensory Ligaments
p. ii
Muscles:
•
Anterior Digastric
•
Lateral Pterygoid
•
Masseter
•
Medial Pterygoid
•
Posterior Digastric
•
Temporalis
Muscles:
•
Anterior Digastric
•
Lateral Pterygoid
•
Masseter
•
Medial Pterygoid
•
Posterior Digastric
•
Temporalis
Adv. Myo. Techs
Before your course, please be sure you are familiar with the location and function
of the following anatomical structures:
Before your course, please be sure you are familiar with the location and function
of the following anatomical structures:
TMJ Online Study Guide
Free, or for-credit option.
http://a-t.tv/st
Anatomy Review List
Anatomy Review List
TMJ Online Study Guide
Free, or for-credit option.
http://a-t.tv/st
BEFORE YOUR COURSE:
Course Preparation and Supplementary Study
BEFORE YOUR COURSE:
Course Preparation and Supplementary Study
• Specific techniques for common structural and functional complaints
• Relieving pain, restoring lost function, and getting lasting results
• Utilizing both active and passive movement to enhance effectiveness
• Precision in working with specific tissue types and body layers
• Combining indirect or subtle work with deep or direct work
• Tracking subtle psychophysiological and nervous system responses
• Ways to work sensitively, safely, and comfortably at very deep levels.
The Advanced Myofascial Techniques workshop series presents a
comprehensive system for working with the body in its entirety,
encompassing over 20 session sequences and more than 200 techniques,
tests, and procedures.
Workshops in the series may be taken individually, or combined in any
order. The five principle courses include:
• Arm, Wrist, & Shoulder
• Legs, Knees, & Feet
• Pelvis, Hip, & Sacrum
• Neck, Jaw, & Head
• Spine, Ribs, & Low Back
Specialty courses include:
• Whiplash (2 days)
• Sciatica & Disc Issues
• TMJ
• Myofascial Essentials
• Adv Ilia & Sacrum (2 days)
• Specific techniques for common structural and functional complaints
• Relieving pain, restoring lost function, and getting lasting results
• Utilizing both active and passive movement to enhance effectiveness
• Precision in working with specific tissue types and body layers
• Combining indirect or subtle work with deep or direct work
• Tracking subtle psychophysiological and nervous system responses
• Ways to work sensitively, safely, and comfortably at very deep levels.
The Advanced Myofascial Techniques workshop series presents a
comprehensive system for working with the body in its entirety,
encompassing over 20 session sequences and more than 200 techniques,
tests, and procedures.
Workshops in the series may be taken individually, or combined in any
order. The five principle courses include:
• Arm, Wrist, & Shoulder
• Legs, Knees, & Feet
• Pelvis, Hip, & Sacrum
• Neck, Jaw, & Head
• Spine, Ribs, & Low Back
Specialty courses include:
• Whiplash (2 days)
• Sciatica & Disc Issues
• TMJ
• Myofascial Essentials
• Adv Ilia & Sacrum (2 days)
Advanced-Trainings.com
Adv. Myo. Techs
p. iv
Adv. Myo. Techs
Organizer and In-service inquiries invited
p. iv
Completion of the 5 principle courses plus electives leads to optional
Certification in Advanced Myofascial Techniques (CAMT).
Completion of the 5 principle courses plus electives leads to optional
Certification in Advanced Myofascial Techniques (CAMT).
Organizer and In-service inquiries invited
These courses are intended for trained practitioners and students of
hands-on body therapies (for example, Bodyworkers, Physical Therapists,
Rolfers, Chiropractors, Structural Integration Practitioners, Massage
Therapists, Neuro-Muscular Therapists, and other somatic practitioners,
etc.)
These courses are intended for trained practitioners and students of
hands-on body therapies (for example, Bodyworkers, Physical Therapists,
Rolfers, Chiropractors, Structural Integration Practitioners, Massage
Therapists, Neuro-Muscular Therapists, and other somatic practitioners,
etc.)
• Scoliosis (2 days)
• Advanced Knee Issues
• Headaches
• Myofascial Mastery
• ...and others.
Since 1989, this popular series of seminars presents practicing somatic
therapists and qualified students with advanced and little-known
myofascial techniques which can be easily incorporated into existing
personal styles. Drawing on a wide range of disciplines, the focus is on
unusual, interesting, and fresh approaches that will both expand technique
repertoire and inspire creativity and innovation. Potential topics include:
Since 1989, this popular series of seminars presents practicing somatic
therapists and qualified students with advanced and little-known
myofascial techniques which can be easily incorporated into existing
personal styles. Drawing on a wide range of disciplines, the focus is on
unusual, interesting, and fresh approaches that will both expand technique
repertoire and inspire creativity and innovation. Potential topics include:
• Scoliosis (2 days)
• Advanced Knee Issues
• Headaches
• Myofascial Mastery
• ...and others.
The Advanced Myofascial Techniques Series
The Advanced Myofascial Techniques Series
A-01
TMJ SLEEVE SEQUENCE
Intentions / Goals:
• Release the larger, more 1. ______________ structures affecting
jaw alignment and balance, in 2. ______________ for deeper work.
Indications:
•
•
•
•
TMJ 3. _________ or noise; 4. _________ issues
5. ______________ ; Vertigo
6. ______________
Postural issues, especially 7. ______________ posture.
A-01
TMJ SLEEVE SEQUENCE
Intentions / Goals:
• Release the larger, more 1. ______________ structures affecting
jaw alignment and balance, in 2. ______________ for deeper work.
Indications:
•
•
•
•
TMJ 3. _________ or noise; 4. _________ issues
5. ______________ ; Vertigo
6. ______________
Postural issues, especially 7. ______________ posture.
A-03
TMJ Tracking
dem TMJ nachspüren
P,D,I
Instructions / Intentions / Feel or Watch For:
From straight above client’s head, watch for side-to-side deviation with gentle
opening and closing.
Feel for and release any asymmetrical restrictions or contraction in superficial
fascia, Temporalis, and Masseter muscles, usually on same side as deviation.
Movements / Cues:
Gentle opening and closing of jaw; protrusion/retraction.
Difference between supine and seated or standing tests indicates role of
postural issues.
Notes:
If deviation persists, check and release:
a.
opposite-side Lateral Pterygoid (particularly if deviation
happens upon initiation of movement);
b.
opposite-side Medial Pterygoid;
c.
same-side Digastric.
Deviation in protrusion: work any/all of above, particularly same-side Digastric
and posterior Temporalis (since horizontal fibers help retract jaw).
info@advanced-trainings.com
+1
303/499-8811
© 09/06
Adv. Myo. Techs: TMJ/Headaches
A-03
TMJ Tracking
dem TMJ nachspüren
P,D,I
From straight above client’s head, watch for side-to-side deviation with gentle
opening and closing.
Feel for and release any asymmetrical restrictions or contraction in superficial
fascia, Temporalis, and Masseter muscles, usually on same side as deviation.
Movements / Cues:
Gentle opening and closing of jaw; protrusion/retraction.
Difference between supine and seated or standing tests indicates role of
postural issues.
Notes:
If deviation persists, check and release:
a.
opposite-side Lateral Pterygoid (particularly if deviation
happens upon initiation of movement);
b.
opposite-side Medial Pterygoid;
c.
same-side Digastric.
Deviation in protrusion: work any/all of above, particularly same-side Digastric
and posterior Temporalis (since horizontal fibers help retract jaw).
+1
303/499-8811
© 09/06
A-04
Sleeve/Core Differentiation: Neck/Jaw
Differenzieren von Kern / Hülle: Hals /
Unterkiefer
P,D,I
Gentle friction on superficial (”sleeve”) structures of neck with soft fist.
Supporting hand helps head and neck stay aligned along a vertical (to client)
line of rotation.
Work both left and right sides; on side of any jaw deviation, use jaw
movements, feeling for connection and release into superficial structures of
neck.
Movements / Cues:
Active or passive head rotation with jaw depression/elevation,
protrusion/retraction, and/or lateral movements.
Cues:
“Let your head turn slowly to the side.”
“Gently open your jaw.”
“Slowly slide your jaw forward.”
Notes:
Ida Rolf’s classic neck technique.
Use care not to put pressure on deeper structures: stay in superficial layers;
monitor client’s comfort.
Illustration courtesy estate of John Lodge, used by permission.
+1
303/499-8811
© 09/06
A-04
Sleeve/Core Differentiation: Neck/Jaw
Differenzieren von Kern / Hülle: Hals /
Unterkiefer
P,D,I
Gentle friction on superficial (”sleeve”) structures of neck with soft fist.
Supporting hand helps head and neck stay aligned along a vertical (to client)
line of rotation.
Work both left and right sides; on side of any jaw deviation, use jaw
movements, feeling for connection and release into superficial structures of
neck.
Movements / Cues:
Active or passive head rotation with jaw depression/elevation,
protrusion/retraction, and/or lateral movements.
Cues:
“Let your head turn slowly to the side.”
“Gently open your jaw.”
“Slowly slide your jaw forward.”
Notes:
Ida Rolf’s classic neck technique.
Use care not to put pressure on deeper structures: stay in superficial layers;
monitor client’s comfort.
Illustration courtesy estate of John Lodge, used by permission.
+1
303/499-8811
© 09/06
A-05
Temporalis & Masseter
D
In combination with client’s movements, use fingertip pressure in both cephalad
and caudal directions. Release local contractions in lateral soft tissue
structures: Temporalis, Masseter, superficial fascia, TMJ capsule, etc.
Use “Jaw Tracking” technique to monitor any mandible deviation. Generally,
work restrictions on same-side as any deviation.
Movements / Cues:
Jaw movements: depression/elevation; protrusion/retraction; lateral
movements.
Notes:
+1
303/499-8811
© 09/06
A-05
D
In combination with client’s movements, use fingertip pressure in both cephalad
and caudal directions. Release local contractions in lateral soft tissue
structures: Temporalis, Masseter, superficial fascia, TMJ capsule, etc.
Use “Jaw Tracking” technique to monitor any mandible deviation. Generally,
work restrictions on same-side as any deviation.
Movements / Cues:
Jaw movements: depression/elevation; protrusion/retraction; lateral
movements.
Notes:
+1
303/499-8811
© 09/06
A-06
Digastric: Anterior Bellies (“Bulldog”)
Digastricus: anteriore Bäuche
D
Release Anterior Digastric attachments and floor of mouth, working posteriorly
from chin.
Movements / Cues:
“Allow your jaw to fall back.”
Variation: add active jaw protraction: “slide your jaw forwards.” Useful for
chronic mandibular retraction (under bite).
Notes:
Use caution around glands: stay on muscle and connective tissue.
(Anatomy image © Primal Pictures)
+1
303/499-8811
© 09/06
A-06
Digastric: Anterior Bellies (“Bulldog”)
Digastricus: anteriore Bäuche
D
Release Anterior Digastric attachments and floor of mouth, working posteriorly
from chin.
Movements / Cues:
“Allow your jaw to fall back.”
Variation: add active jaw protraction: “slide your jaw forwards.” Useful for
chronic mandibular retraction (under bite).
Notes:
Use caution around glands: stay on muscle and connective tissue.
(Anatomy image © Primal Pictures)
+1
303/499-8811
© 09/06
A-07
Digastric: Posterior Attachments
Digastricus: posteriore Anheftungen
D
Gentle pressure into attachments of posterior Digastric bellies on the anteriomedial aspect of the Mastoid Processes.
Movements / Cues:
Jaw depression/elevation; protrusion/retraction; lateral movements.
Notes:
+1
303/499-8811
© 09/06
A-07
Digastric: Posterior Attachments
Digastricus: posteriore Anheftungen
D
Gentle pressure into attachments of posterior Digastric bellies on the anteriomedial aspect of the Mastoid Processes.
Movements / Cues:
Jaw depression/elevation; protrusion/retraction; lateral movements.
Notes:
+1
303/499-8811
© 09/06
B-01
TMJ CORE SEQUENCE
Intentions / Goals:
• Release and 1. _____________ the functioning of local
and intra-oral structures affecting the jaw;
• 2. _____________ and 3. _____________ deeper work.
Indications:
• (Same as Sequence A).
B-01
TMJ CORE SEQUENCE
Intentions / Goals:
• Release and 1. _____________ the functioning of local
• 2. _____________ and 3. _____________ deeper work.
Indications:
B-02
Mandibular Condyle Tracking
den mandibulären Kondylen nachspüren
P,D
With pad of both little fingers facing anteriorly (opposite of photo) just inside the
ear canal, use client’s active jaw movement to feel for symmetrical anterior and
posterior glide of mandibular condyles at the TMJ.
Movements / Cues:
Jaw depression/elevation; protrusion/retraction; lateral movements .
Notes:
See “TMJ Tracking” technique for more detail on structures that affectjaw
tracking.
+1
303/499-8811
© 09/06
B-02
Mandibular Condyle Tracking
den mandibulären Kondylen nachspüren
P,D
With pad of both little fingers facing anteriorly (opposite of photo) just inside the
ear canal, use client’s active jaw movement to feel for symmetrical anterior and
posterior glide of mandibular condyles at the TMJ.
Movements / Cues:
Jaw depression/elevation; protrusion/retraction; lateral movements .
Notes:
See “TMJ Tracking” technique for more detail on structures that affectjaw
tracking.
+1
303/499-8811
© 09/06
B-03
Masseter (Intra-oral)
Masseter (intra-oral)
D
Feel for and release tightness in Masseter belly between inside and outside
fingers. Work throughout Masseter.
Inside finger placement: Finger between Masseter and upper teeth.
Movements / Cues:
Clench and release jaw;
Protrusion/retraction;
Lateral movements of jaw.
Notes:
Lower photo shows use of fifth finger, which is sometimes preferable on smaller
clients. Not visible in lower photo is outer hand, which is releasing outer side of
Masseter, as in upper photo.
+1
303/499-8811
© 09/06
B-03
Masseter (Intra-oral)
Masseter (intra-oral)
D
Feel for and release tightness in Masseter belly between inside and outside
fingers. Work throughout Masseter.
Inside finger placement: Finger between Masseter and upper teeth.
Movements / Cues:
Clench and release jaw;
Protrusion/retraction;
Lateral movements of jaw.
Notes:
Lower photo shows use of fifth finger, which is sometimes preferable on smaller
clients. Not visible in lower photo is outer hand, which is releasing outer side of
Masseter, as in upper photo.
+1
303/499-8811
© 09/06
B-04
Medial Pterygoid / Mandible
Pterygoideus medialis / Mandibula
D
Work:
A. attachments of Medial Pterygoids and
B. floor of mouth
...from both inside and outside the mouth.
Movements / Cues:
A. Jaw elevation/depression, protrusion/retraction, lateral glide.
B. Gentle movement of tongue.
Notes:
Indicated in TMJ pain, as well as for jaw deviation (work Med. Pterygoid on
opposite side of deviation).
The Medial Pterygoid elevates of the mandible; it contributes to lateral mandible
movement to the opposite side; and to protrusive movements.
+1
303/499-8811
© 09/06
B-04
Medial Pterygoid / Mandible
Pterygoideus medialis / Mandibula
D
Work:
A. attachments of Medial Pterygoids and
B. floor of mouth
...from both inside and outside the mouth.
Movements / Cues:
A. Jaw elevation/depression, protrusion/retraction, lateral glide.
B. Gentle movement of tongue.
Notes:
Indicated in TMJ pain, as well as for jaw deviation (work Med. Pterygoid on
opposite side of deviation).
The Medial Pterygoid elevates of the mandible; it contributes to lateral mandible
movement to the opposite side; and to protrusive movements.
+1
303/499-8811
© 09/06
B-05
Lateral Pterygoid
Pterygoideus lateralis
D
Have client laterally deviate jaw to same side to access the lower head of the
Lateral Pterygoid, which is just medial to Temporalis tendon / Coronoid Process
of Mandible.
Indicated in TMJ pain, and for jaw deviation (to opposite side), especially when
deviation is most obvious upon initiation of opening.
Movements / Cues:
Movements:
1. Lateral deviation to access Lateral Pterygoid;
2. Gentle protrusion, retraction, further lateral deviation to locate and release
Lateral Pterygoid.
Notes:
The Lateral Pterygoid assists in opening the jaw by pulling forwards the
mandibular condyle and the articular disc of the TMJ. It is also involved in
protrusion and in lateral movements of the mandible.
The anterior aspect of the TMJ capsule can sometimes be palpated here. You
may encounter sensitivity, trigger points, or dense tissue from anesthetic
injections in this region.
+1
303/499-8811
© 09/06
B-05
Lateral Pterygoid
Pterygoideus lateralis
D
Have client laterally deviate jaw to same side to access the lower head of the
Lateral Pterygoid, which is just medial to Temporalis tendon / Coronoid Process
of Mandible.
Indicated in TMJ pain, and for jaw deviation (to opposite side), especially when
deviation is most obvious upon initiation of opening.
Movements / Cues:
Movements:
1. Lateral deviation to access Lateral Pterygoid;
2. Gentle protrusion, retraction, further lateral deviation to locate and release
Lateral Pterygoid.
Notes:
The Lateral Pterygoid assists in opening the jaw by pulling forwards the
mandibular condyle and the articular disc of the TMJ. It is also involved in
protrusion and in lateral movements of the mandible.
The anterior aspect of the TMJ capsule can sometimes be palpated here. You
may encounter sensitivity, trigger points, or dense tissue from anesthetic
injections in this region.
+1
303/499-8811
© 09/06
B-08
SI Release: Anterior/Posterior
Lösen der ISG: anterior / posterior
P,D,I
Use Squish Test to determine tighter side.
Lift on one side of sacrum from under client, while applying counter-pressure on
ASIS; feel for anterior/posterior release.
Movements / Cues:
Notes:
+1
303/499-8811
© 06.99
B-08
SI Release: Anterior/Posterior
Lösen der ISG: anterior / posterior
P,D,I
Use Squish Test to determine tighter side.
Lift on one side of sacrum from under client, while applying counter-pressure on
ASIS; feel for anterior/posterior release.
Movements / Cues:
Notes:
+1
303/499-8811
© 06.99
A-08
Bilateral Jaw Release
Bilaterales Lösen des Unterkiefers
P,D,I
Feel for local tissue texture of masseter, temporalis, and for release of jaw
tonus.
Movements / Cues:
Passive depression.
Notes:
+1
303/499-8811
© 09/06
A-08
Bilateral Jaw Release
Bilaterales Lösen des Unterkiefers
P,D,I
Feel for local tissue texture of masseter, temporalis, and for release of jaw
tonus.
Movements / Cues:
Passive depression.
Notes:
+1
303/499-8811
© 09/06
B-06
Ear: External Acoustic Meatus
Ohr: äusserer Gehörgang
D
Using gentle posterior traction of the meatus or concha, feel into the TMJ
capsule. Use jaw protrusion and lateral motion (active or passive) to counterstretch the articular disk’s membranes anteriorly, away from your finger’s
posterior traction.
Movements / Cues:
Use all jaw movements: depression/elevation; protrusion/retraction; lateral
movements (active or passive).
Notes:
Variation: Temporal decompression.
By “hooking” the posterior rim of the meatus, decompress the temporal bones
with steady lateral traction (no active client movement). .
Possible awareness cues: “Allow your head to widen.” “Let your eyes sink back
into this space.” Etc.
+1
303/499-8811
© 09/06
B-06
Ear: External Acoustic Meatus
Ohr: äusserer Gehörgang
D
Using gentle posterior traction of the meatus or concha, feel into the TMJ
capsule. Use jaw protrusion and lateral motion (active or passive) to counterstretch the articular disk’s membranes anteriorly, away from your finger’s
posterior traction.
Movements / Cues:
Use all jaw movements: depression/elevation; protrusion/retraction; lateral
movements (active or passive).
Notes:
Variation: Temporal decompression.
By “hooking” the posterior rim of the meatus, decompress the temporal bones
with steady lateral traction (no active client movement). .
Possible awareness cues: “Allow your head to widen.” “Let your eyes sink back
into this space.” Etc.
+1
303/499-8811
© 09/06
© Advanced-Trainings.com
p. X-18
Rocabado Seaton, Mariano & Iglarsh, Z. Annette. The
Musculoskeletal Approach to Maxillofacial Pain. NY:
Lippincott Williams & Wilkins, 1990
Rocabado Seaton, Mariano & Iglarsh, Z. Annette. The
Musculoskeletal Approach to Maxillofacial Pain. NY:
Lippincott Williams & Wilkins, 1990
Adv. Myo. Techs
Lippold C, Danesh G, Schilgen M, Derup B Hackenberg L.
Relationship between thoracic, lordotic, and pelvic inclination
and craniofacial morphology in adults. Angle Orthod.
2006;76:779-85.
Lippold C, Danesh G, Schilgen M, Derup B Hackenberg L.
Relationship between thoracic, lordotic, and pelvic inclination
and craniofacial morphology in adults. Angle Orthod.
2006;76:779-85.
p. X-18
“Postural changes of the cervical region can cause TMD, modifying
the orientation of the head and consequently the mandibular
position.35”
“Postural changes of the cervical region can cause TMD, modifying
the orientation of the head and consequently the mandibular
position.35”
Adv. Myo. Techs
“Patients with idiopathic scoliosis show higher frequencies of
malocclusion than control patients.”
“Patients with idiopathic scoliosis show higher frequencies of
malocclusion than control patients.”
Cuccia A, Caradonna C. The relationship between the
stomatognathic system and body posture. Clinics 2009;64
(1):61-6. http://www.scielo.br/pdf/clin/v64n1/a11v64n1.pdf
Cuccia A, Caradonna C. The relationship between the
stomatognathic system and body posture. Clinics 2009;64
(1):61-6. http://www.scielo.br/pdf/clin/v64n1/a11v64n1.pdf
“Several studies have shown that patients with TMD present an
excessively forward head position,26,27 usually associated with the
shortening of the posterior cervical extensor muscles (suboccipital,
semispinalis, splenii, and upper trapezius muscles), as well as
shortening of the SCM.28”
Cailliet, Rene. Neck and Arm Pain (Pain Series). F.A. Davis &
Co, 1991
Cailliet, Rene. Neck and Arm Pain (Pain Series). F.A. Davis &
Co, 1991
“Several studies have shown that patients with TMD present an
excessively forward head position,26,27 usually associated with the
shortening of the posterior cervical extensor muscles (suboccipital,
semispinalis, splenii, and upper trapezius muscles), as well as
shortening of the SCM.28”
REFERENCES & RESOURCES
REFERENCES & RESOURCES
• TMJ 3. pain or noise; 4. bite issues
• 5. Tinnitus; Vertigo
• 6. Headaches
• Postural issues, especially 7. head-forward posture.
TMJ CORE SEQUENCE
Intentions:
• Release and 1. coordinate the functioning of local
• 2. Balance and 3. integrate deeper work.
Indications:
• TMJ 3. pain or noise; 4. bite issues
• 5. Tinnitus; Vertigo
• 6. Headaches
• Postural issues, especially 7. head-forward posture.
TMJ CORE SEQUENCE
Intentions:
• Release and 1. coordinate the functioning of local
• 2. Balance and 3. integrate deeper work.
Indications:
p. X-20
Indications:
Indications:
Adv. Myo. Techs
• Release the larger, more 1. superficial structures affecting
jaw alignment and balance, in 2. preparation for deeper work.
• Release the larger, more 1. superficial structures affecting
jaw alignment and balance, in 2. preparation for deeper work.
p. X-20
Intentions:
Intentions:
Adv. Myo. Techs
TMJ SLEEVE SEQUENCE
ANSWER KEY, TMJ
TMJ SLEEVE SEQUENCE
ANSWER KEY, TMJ

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