TMD and how affects Kinetic Chain and balance
March 06th, 2013
UBC 2nd year Physiotherapy students are researching a TMD technique I have devised relating to TM Joints affecting weight transferance and balance. The research is being done in conjunction with their professor and biomechanics labatory.
Also along with Physiotherapy Association of BC, I am running a TMD day course at UBC for physiotherapists in April, I am excited to encourage more health professionals to be aware of the complexities around Jaw/neck biomechanics.
Did you know that “The TM Joints and Cervico/mandibular regions are both influencers of, and are influenced by, postural stresses, degenerative changes and dysfunctions that are often unrecognized by pain management clinicians” David Rubenstein PHD of Tufts Dental Medical School
As Physiotherapists treating pain we know that where the pain is felt by patient is often not the source.It may be the Jaw affecting the recovery of any lower quadrant injuries! Who knew…not enough health care professionals learn at school and as a reult concentrate on treating everywhere else, never considering the jaw!
Travell and Simons who are world authority on Myofascial pain and dysfunction described articular dysfunction in the foot “produces imbalances that may cause pain in locations ranging from the feet to the head and neck. Think about all the times you “go over on your ankle”
Next time get the jaw tested, to see it is the primary culprit not the lower back!
Physiotherapists work globally and locally to be effective in treating injuries.
For example this study proves this point
Did you know that “The Toes provide a stabilizing effect to the muscles in the rest of the kinetic chain by recruitment of the leg and trunk muscles.
A study done by Dr Rubenstein shows a direct correlation of the muscles controlling the toes and arches and their affect on the muscles of the Cranio-facial area.He measured the maximun incisal opening (MIO) in a standing neutral posture and compared the same meaurement while the toes were in deliberate plantar flexion.
A notable increase in MIO of 4-8mm was measured with an average increase of 6mm. They also noted improvements in upright posture during plantar flexion. Using the visual analogue scale patients reported 86% decrease in pain to the cervical spine,Temporalis and Masseter Muscle regions.
Another study showed a significant effect of different occlusal positions and how they affected postural activity while using a wobble board!
As mentioned in my February blog at www.cathymrussell.com, I encourage my TMD patients to massage their feet with a small ball as part of improving posture and balance globally.
Locally, I test their balance using a Motor reflex test This helps determine if the TMD /upper cervical area is primary source of inflammation affecting kinetic chain and undermining posture. Once this has been establishesd a temporary splint called an Aqualizer is worn to reduce inflammation in the area. +More on this in my March blog +
Maria’sTestimonial: I was pleasantly surprised when I started to wear the aqualizer splint.
My facial muscles feel less sore after wearing it for 8 hours a day fduring the week. My jaw has been a problem for years in form of headaches, pain in joints, shoulder pain, tight upper trapezuis muscles, lower back and Hamstrings.During yoga I noticed that my jaw did not click, move out of place or get stuck.
I wish I had know about the aqualizer and Cathy’s approach to TMD years ago.