Cranio
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The article introduces an alternative method for manipulation and reduction of acute closed locks. The method is described as the Assisted Lateral Reduction Technique (ALRT). The authors have used the ALRT on more than 150 patients and found it more effective and easier to administer than the more common manipulation and reduction techniques (MRT) in the management of acute closed locks which have been extensively documented in the literature. Both techniques are highlighted, compared, and discussed in the article.
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Because the concept of whiplash as a causative factor for temporomandibular disorders (TMD) is highly controversial, we decided to do a retrospective analysis of patients treated in our office who had sustained whiplash injuries and were treated for cervical and temporomandibular disorders. The records of 300 patients with TMD preceded by a motor vehicle accident were examined retrospectively. ⋯ The most common TMD diagnoses were: masseter trigger points, closing jaw muscle hyperactivity, TMJ synovitis, opening jaw muscle hyperactivity, and advanced TMJ disk derangement. Based primarily on the physical examination, we concluded that the TMJ and surrounding musculature should be examined similarly to other joints, with no preconceived notion that TMD pathology after whiplash is unlikely.
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Randomized Controlled Trial Clinical Trial
Effect of parafunctional clenching on temporomandibular disorder pain and proprioceptive awareness.
This study tested the hypothesis that parafunctional clenching increases pain, can lead to a diagnosis of temporomandibular disorder (TMD) pain, and can produce reductions in proprioceptive awareness. Twenty individuals participated in EMG biofeedback training sessions on the left and right temporalis and masseter muscles. No subjects had TMD prior to training. ⋯ Three subjects assigned to the Increase group and no subjects assigned to the Decrease group were diagnosed with TMD pain following training. Self-reported pain post-training was significantly higher for the Increase group. Parafunctional clenching did not affect performance in the proprioceptive test.