Beruflich Dokumente
Kultur Dokumente
Physiotherapy: Key
Key to
to
the
the kinetics
kinetics of
of
orofacial
musculature
orofacial musculature
Sodhi A, Nair PK, Hegde S
J Indian Acad Oral Med Radiol
2014;26:419-24.
Dr Sanjana Ravindra
Oral medicine and radiology
Rajarajeswari dental college
DEFINITION
DEFINITION
World Confederation for Physical Therapy (WCPT) defines Physical Therapy
History
Kumar SP, Jim A. Physical therapy in palliative care: From symptom control to quality of life: A critical review. Indian J Palliat Care
THERAPEUTIC APPLICATIONS
CARDIOPULMONARY DISEASES
NEUROLOGICAL DISORDRES
MUSCULOSKETAL INJURIES
ORTHOPAEDIC
Kumar SP, Jim A. Physical therapy in palliative care: From symptom control to quality of life: A critical review. Indian J Palliat Care
THERAPEUTIC APPLICATIONS
IN OROFACIAL CONDITIONS
TMDs
Intracapsular joint disorders
(clicking and clicking-related
jaw incoordination as a
result of disc displacement)
Mandibular mobility
disorders (Hypomobility)
Post-orthognathic surgery
Post-TMJ surgery
Oral submucous fibrosis
Bells palsy
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
TREATMENT MODALITIES IN
PHYSIOTHERAPY
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
PHYSICAL THERAPY
Massage
oDeep tissue massage
oTrigger point therapy
oMyofascial release massage
PHYSICAL THERAPY
Massage
oDeep tissue massage
oTrigger point therapy
oMyofascial release massage
MASSAGE
Clark GT, Adachi NY, Dornan MR. Physical medicine procedures affect temporomandibular disorders: A review. J Am Dent Assoc
1990;121:151-62
BIOMECHANICAL
EFFECTS
Eisensmith L. (2007). Massage therapy decreases frequency and intensity of symptoms related to temporomandibular joint syndrome in patients one
case study. Journal of bodywork and movement therapies. 11: 223-230
BIOMECHANICAL EFFECTS
Eisensmith L. (2007). Massage therapy decreases frequency and intensity of symptoms related to temporomandibular joint syndrome in patients one
case study. Journal of bodywork and movement therapies. 11: 223-230
BIOMECHANICAL EFFECTS
Eisensmith L. (2007). Massage therapy decreases frequency and intensity of symptoms related to temporomandibular joint syndrome in patients one
case study. Journal of bodywork and movement therapies. 11: 223-230
PHYSIOLOGIC EFFECTS
Eisensmith L. (2007). Massage therapy decreases frequency and intensity of symptoms related to temporomandibular joint syndrome in patients one
case study. Journal of bodywork and movement therapies. 11: 223-230
Psychologic Effects
It stimulates
parasympathetic
activity which in turn
reduces stress and
anxiety.
Eisensmith L. (2007). Massage therapy decreases frequency and intensity of symptoms related to temporomandibular joint syndrome in patients one
case study. Journal of bodywork and movement therapies. 11: 223-230
Treatment Techniques
Eisensmith L. (2007). Massage therapy decreases frequency and intensity of symptoms related to temporomandibular joint syndrome in patients one
case study. Journal of bodywork and movement therapies. 11: 223-230
Outcome of Massage
Clark GT, Adachi NY, Dornan MR. Physical medicine procedures affect temporomandibular disorders: A review. J Am Dent Assoc
1990;121:151-62
Indications
Contraindications
Clark GT, Adachi NY, Dornan MR. Physical medicine procedures affect temporomandibular disorders: A review. J Am Dent Assoc
1990;121:151-62
PHYSICAL THERAPY
Massage
oDeep tissue massage
oTrigger point therapy
oMyofascial release massage
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
Indication
PHYSICAL THERAPY
Massage
oDeep tissue massage
oTrigger point therapy
oMyofascial release massage
Physical activity
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
Joint mobilization
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
MUSCLE CONDITIONING
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
LIP EXERCISES
BLOW AIR
AND HOLD
OPEN
CLOSE LIPS
TIGTHLY
SMILE
PUCKER
PUCKER
AND MOVE
SIDEWAYS
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
TONGUE EXERCISES
MOVE TO THE
RIGHT
MAKE A
CIRCLE
STRETCH AND
HOLD
TOUCH
UPPER LIP
PUSH CHEEK
WITH TONGUE
MOVE TO THE
LEFT
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
TREATMENT MODALITIES IN
PHYSIOTHERAPY
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
ELECTRODE PLACEMENT
Electrodes may be placed:
On or around the painful area
Over sites where peripheral nerves that innervate the painful area
becomes superficial and can be easily stimulated
Over superficial vascular structures
Over trigger point locations
Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone
11 ed: 259-281
Contraindications for
Electrical Stimulation
Pregnancy
Infection
Malignancy
Pacemaker
Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone
11 ed: 259-281
the gate
Physical
conditions
Medication
Inappropriate activity
level
Counterstimulation,
eg massage
Emotional
Conditions
Anxiety or worry
Positive emotions
Tension
Relaxation
Depression
Rest
Mental
conditions
Boredom
Intense concentration
or distraction
Involvement and
interest in life
activities
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
ELECTROGALVANIC STIMULATION
THERAPY
Electrogalvanic Stimulation Therapy (EGS)
uses a high-voltage, low-amperage
mesomorphic current of varied frequency.
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
ELECTROACUPUNCTUR
E
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
Diathermy
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
Indications
Contraindications
Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone
11 ed: 259-281
ULTRASOUN
D
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
High frequency
electrical
generator
connected
through an
oscillator circuit
and a transformer
via a coaxial
cable to a
transducer
housed within an
Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone
11 ed: 259-281
Frequency
to 3.3 MHz
Frequency
second
Most
Depth
Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone
11 ed: 259-281
Non-Thermal Effects of
Ultrasound
collagen
extensibility
Increased
Increased
Increased
Increased
blood flow
Decreased
Reduction
of muscle spasm
Decreased
Reduction
pain
joint stiffness
of chronic
inflammation
fibroblastic
activity
Tissue
regeneration
Reduction
Bone
Pain
protein synthesis
of edema
healing
modulation
Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone
11 ed: 259-281
indications
Contraindications
of decreased
temperature sensation
Pregnancy
Vascular
Malignancy
Areas
Eyes
insufficiency
Pacemaker
Infection
Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone
11 ed: 259-281
Laser
Light Amplification by the Stimulated
Emission of Radiation
laser
He
Neon
stimulation at acupoints is as
effective as EA and has the
advantage of being practically
painless
Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone 11 ed: 259-281
IONTOPHORESI
S
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
TREATMENT MODALITIES
IN PHYSIOTHERAPY
Sodhi A, Nair PK, Hegde S. Physiotherapy: Key to the kinetics of orofacial musculature. J Indian Acad Oral Med Radiol
HOT
APPLICATION
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
Cold application
Cold application is the application of a cold agent cooler than skin either in
a moist or dry form, on the surface of the skin. Cold encourages relaxation
of muscles that are in spasm and thus relieves associated pain
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
Descriptio Temperatur
n
e
Very cold
Cold
Cool
Tepid
Warm
Hot
Below 15C
C 15-18
C 27 18
C 37 27
C 40 37
C 46 40
Very Hot
Above 46 C
Application
Ice bag
Cold packs
Cold compresses
Alcohol sponge bath
Warm bath
Hot soak, hot
compresses
Hot water bag for
adult
PHYSIOLOGICAL EFFECTS
HOT APPLICATION
COLD APPLICATION
Peripheral Vasodilatation
Peripheral Vasoconstriction
Decreased capillary
permeability
Decreased motility of
leucocytes
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
CONTRAINDICATION
S
HOT APPLICATIONS
Malignancies
Acutely inflammed areas
With paralysis
Open wounds
Edema associated with
venous or lymphatic
diseases
Headache
With very high temperature
Cold APPLICATIONS
State of shock &
collapse
Edema
impaired circulation
Muscle spasm
Decreased sensation
With very low
temperature
Cold hypersensitivity
or intolerance
Raynauds Disease
Regenerating Nerves
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
COMPLICATIONS
HOT APPLICATIONS
Pain
Burns
Redness of the
skin
Edema
Hyperthermia
COLD APPLICATIONS
Pain
Blisters and skin
breakdown
Grey or bluish
discoloration
Thrombus
formation
Redness
Hypothermia
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
HOT PACKS
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
PARAFFIN wax
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
Ice PACKS
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
ICE CUBE
MASSAGE
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
fomentation
Definition: The alternate application of hot and cold fomentation to a
local area.
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
Indications
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
Contraindications
McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys
Ther 2006;86:710-25.
Conclusion
Physiotherapy has cured various diseases without
inflicting mental trauma and the pain of undergoing
surgery in medical field.
References
1. Kumar SP, Jim A. Physical therapy in palliative care: From symptom control to quality of life: A critical review. Indian J
Palliat Care 2010;16:138-46.
4. Clark GT, Adachi NY, Dornan MR. Physical medicine procedures affect temporomandibular disorders: A review. J Am
Dent Assoc 1990;121:151-62.
5. Dostalov T, Hlinakova P, Kasparova M, Rehacek A, Vavrickova L, Navrtil L. Effectiveness of physiotherapy and Gas
laser in the management of temporomandibular joint disorders. Photomed Laser Surg 2012;30:275-80.
6. Bush FM, Dolwick MF. Conservative treatment. In: Bush FM, Dolwick MF. The Temporomandibular Joint and Related
Orofacial Disorders. 1st ed. Philadelphia: JB Lippincott Company; 1995. p. 303-56
7. Fulton CL (1994).Physiotherapists in cancer care: A framework for rehabilitation of patients. Physiotherapy 80 (12):
830-34.
8. Fulton CL, Else R (1997) Rehabilitation in palliative care: physiotherapy. in Oxford Textbook of Palliative Medicine.
Doyle D, Hanks GWC, McDonald ed Oxford; Oxford University Press
References
13. Wright EF, North SL. Management and treatment of temporomandibular disorders: A clinical perspective. J Man Manip
Ther 2009;17:247-54.
14. von Piekartz H, Hall T. Orofacial manual therapy improves cervical movement impairment associated with headache and
features of temporomandibular dysfunction: A randomized controlled trial. Man Ther 2013;18:345-50.
15. McNeely ML, Armijo Olivo S, Magee DJ. A systematic review of the effectiveness of physical therapy interventions for
temporomandibular disorders. Phys Ther 2006;86:710-25.
16. Okeson JP. General considerations in managing orofacial pains. In: Okeson JP. Bells Orofacial Pains: The Clinical
Management of Orofacial Pain. 6th ed. Chicago: Quintessence Publishing Co Inc.; 2005. p. 197-242.
17. Kostopoulos, D., Rizopoulos, K., Effect of topical aerosol skin refrigerant (Spray and Stretch technique) on passive and
active stretching. Journal of Bodywork and Movement Therapy (2008), doi:10.1016/j.jbmt.2007.11.005
18. Bellis E, Bazin S, Kitchen S, (2009) .Electrotherapy evidence based practice. Publisher: Churchill Livingstone 11 ed: 259281
19. Carolyn K, Lynn A, (2002) Therapeutic Exercise: Foundations and Techniques Publisher: F. A. Davis Company 4 ed: 55-99.
20. Charted society of physiotherapy.The effectiveness of physiotherapy in the palliative care of older people. may 2010.
21. Cole RP, Lucien B, Scialla SJ (2000). Functional recovery in cancer rehabilitation. Archives of Physical Medicine &
Rehabilitation. 81: 623-627.
22. Eisensmith L. (2007). Massage therapy decreases frequency and intensity of symptoms related to temporomandibular
joint syndrome in patients one case study. Journal of bodywork and movement therapies. 11: 223-230
23. McDonnell ME, Shea B.D. (1993) the role of physical therapy in intensity in patients with metastatic disease to bone.
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