Open AccessPostarthroscopy Physical Therapy Management of a Patient with Temporomandibular Joint Dysfunction
Author(s) -
Bruce R. Wilk,
Jeffrey T. Stenback,
Joseph P. McCain
Publication year - 1993
Publication title -
the journal of orthopaedic and sports physical therapy/journal of orthopaedic and sports physical therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.367
H-Index - 121
eISSN - 1938-1344
pISSN - 0190-6011
DOI - 10.2519/jospt.1993.18.3.473
Subject(s) - medicine , temporomandibular joint , range of motion , rehabilitation , arthroscopy , headaches , physical therapy , stage (stratigraphy) , physical examination , manual therapy , surgery , orthodontics , paleontology , alternative medicine , pathology , biology
Arthroscopy of the temporomandibular joint (TMJ) is a new, relatively noninvasive surgical procedure for treating patients with TMJ dysfunction beyond nonsurgical management. The purpose of this commentary is to introduce a four-stage rehabilitation protocol currently used by the authors in the physical therapy management of a postarthroscopy TMJ patient with a diagnosis of bilateral capsular impingement and adhesions. The patient underwent diagnostic TMJ arthroscopy and the four-stage rehabilitation protocol. Stage I exercises to maintain mandibular mobility began in the recovery room. Stage II exercises consisted of hands-on and take-home stretching exercises. Stage III and IV exercises were completed to improve muscular function. The patient was discharged from physical therapy in a month with full range of motion and diminished pain and headaches. At 1-year follow-up, the patient demonstrated full range of motion without pain, further treatment, or medications.