TMJ Trauma and Its Rehabilitation
Richard C. Schafer, DC, PhD, FICC
R. C. Schafer Rehabilitation Monograph Series ~ Chapter 13
This article reviews TMJ anatomy, management electives and manipulative approaches. This is NOT a self-help guide, it is a learned review for the practicing doctor of chiropractic.
Chiropractic Treatment of Temporomandibular Disorders Using the
Activator Adjusting Instrument: A Prospective Case Series
J Manipulative Physiol Ther 2003 (Sep); 26 (7): 421-425
The results of this prospective case series indicated that the TMD symptoms of these participants improved following a course of treatment using the Activator Methods, International protocol. Consequently, further investigation of this type of chiropractic treatment for patients with the articular type of TMD is warranted.
Chiropractic Care of a Patient with Temporomandibular Disorder
and Atlas Subluxation
J Manipulative Physiol Ther 2002 (Jan); 25 (1): 63–70
High-velocity, low-amplitude adjustments (ie, Gonstead technique) were applied to findings of atlas subluxation. The patient's symptoms improved and eventually resolved after 9 visits.
Temporomandibular Dysfunction: Chiropractic Rehabilitation
J Bodywork and Movement Therapies 1997 (Jul): 1 (4): 208–213 ~ FULL TEXT
Orofacial disorders (OFDs) often have histories that reveal predisposing and complicating factors that contribute significantly to the patient’s condition. This seemingly cumulative complexity of presentations observed with OFD
may be explained by Lewit’s reference to compensations often developing ‘upstream’ of joint dysfunction and muscle imbalance (Lewit 1991). This provides possible explanation for epidemiological studies showing a high prevalence of temporomandibular dysfunction (TMD) signs (90%) with approximately half of these presenting with symptoms (Solberg 1979).
Therefore early recognition, particularly in non-cervicocranial disorders of orofacial signs, may be critical in preventing chronic problems from developing. Management versus treating all of a given patient’s complicating factors is the difference between appropriate and poor care for the patient.
The Dental-chiropractic Cotreatment of Structural Disorders
of the Jaw and Temporomandibular Joint Dysfunction
J Manipulative Physiol Ther 1995 (Sep); 18 (7): 476–481
The position of the jaw and head and neck are intricately linked. The acute symptoms experienced during the initial dental treatment phase were caused by the inability of the head and neck to adapt to maxillary and mandibular changes. Chiropractic treatments enabled the body to respond positively to the dental changes. As the mandibular position improved, further improvements were indicated by physical testing and X-rays.
Chiropractic Manipulation of Anteriorly Displaced
Temporomandibular Disc With Adhesion
J Manipulative Physiol Ther 1995 (Feb); 18 (2): 98–104
The patient was treated twice a week for a total of 19 visits. During the baseline period no treatment was given to the TMJ (3 visits) where the patient received cervical manipulation alone. During the experimental period the patient received both cervical spine manipulation and a specific manipulation to the left mandible. There were no physical therapeutic modalities applied to the jaw. The specific TMJ manipulation used requires a very low-amplitude high velocity thrust parallel to the slope of the articular eminence. The results of this study show mandibular opening distance was returned to normal in addition to the abolition of the patient's TMJ pain and clicking.
Review More Abstracts on Chiropractic and TMJ
Review abstracts about chiropractic and a variety of organic and visceral disorders at the wonderful International Chiropractic Pediatric Association (ICPA) website