D
ADVANCED
L
MYOFASCIAL
S
TECHNIQUES
r AAMT
NOTE ORGANIZER:
TMJ Excerpts for AAMT (2015)
NOTE ORGANIZER:
TMJ Excerpts for AAMT (2015)
CONTENTS
CONTENTS
BEFORE (and after) YOUR COURSE:
Course Preparation and Supplementary Study...................................................... ii
BEFORE (and after) YOUR COURSE:
Course Preparation and Supplementary Study...................................................... ii
TMJ SLEEVE SEQUENCE.............................................................................. A-01
TMJ Tracking....................................................................................................A-03
TMJ SLEEVE SEQUENCE.............................................................................. A-01
TMJ Tracking....................................................................................................A-03
Sleeve/Core Differentiation: Neck/Jaw............................................................. A-04
Temporalis & Masseter.................................................................................... A-05
Digastric: Anterior Bellies (“Bulldog”)............................................................... A-06
Digastric: Posterior Attachments...................................................................... A-07
Sleeve/Core Differentiation: Neck/Jaw............................................................. A-04
T M J for AAMT
Temporalis & Masseter.................................................................................... A-05
Digastric: Anterior Bellies (“Bulldog”)............................................................... A-06
Digastric: Posterior Attachments...................................................................... A-07
COM
nd Way
26 USA
ngs.com
ngs.com
TMJ CORE SEQUENCE..................................................................................B-01
Mandibular Condyle Tracking...........................................................................B-02
A D VA N C E D - T R A I N I N G S . Masseter
C O M (Intra-oral)......................................................................................... B-03
Medial Pterygoid / Mandible............................................................................. B-04
Lateral Pterygoid.............................................................................................. B-05
SI Release: Anterior/Posterior.......................................................................... B-08
3514 Nyland Way
SUPPLEMENTAL TECHNIQUES (on DVD)................................................... X-01
Lafayette CO 80026
USA Jaw Release....................................................................................... A-08
Bilateral
[email protected]
Ear: External Acoustic Meatus......................................................................... B-06
www.advanced-trainings.com
References & Resources................................................................................. X-18
tel. 303/499-881
Answer Keys.................................................................................................... X-20
TMJ CORE SEQUENCE..................................................................................B-01
Mandibular Condyle Tracking...........................................................................B-02
Masseter (Intra-oral)......................................................................................... B-03
Medial Pterygoid / Mandible............................................................................. B-04
Lateral Pterygoid.............................................................................................. B-05
SI Release: Anterior/Posterior.......................................................................... B-08
SUPPLEMENTAL TECHNIQUES (on DVD)................................................... X-01
Bilateral Jaw Release....................................................................................... A-08
Ear: External Acoustic Meatus......................................................................... B-06
References & Resources................................................................................. X-18
Answer Keys.................................................................................................... X-20
NAME: ________________________________________
______
©5/15 Advanced-Trainings.com
om
© 2015 Advanced-Trainings.com
Adv. Myo. Techs:
p. i
© 2015 Advanced-Trainings.com
Adv. Myo. Techs:
p. i
The Advanced Myofascial Techniques Series
BEFORE YOUR COURSE:
Since 1989, this popular series of seminars presents practicing somatic
Course Preparation and Supplementary Study
ry Study
therapists and qualified students with advanced and little-known
myofascial techniques which can be easily incorporated into existing
personal styles. Drawing on a wide range of disciplines, the focus is on
unusual, interesting, and fresh approaches that will both expand technique
Before your course, please be sure you are familiar with the location and function
repertoire and inspire creativity and innovation. Potential topics include:
of the following anatomical structures:
Anatomy Review List
h the location and function
Muscles:
•
Anterior Digastric
•
Lateral Pterygoid
•
Masseter
•
Medial Pterygoid
•
Posterior Digastric
•
Temporalis
• Specific techniques for common structural and functional complaints
• Relieving pain, restoring lost function, and getting lasting results
• Utilizing both active and passive movement to enhance effectiveness
• Precision in working with specific tissue types and body layers
• Combining indirect or subtle work with deep or direct work
• Tracking subtle psychophysiological and nervous system responses
• Ways to work sensitively, safely, and comfortably at very deep levels.
• Specific techniques for common structural and functional complaints
• Relieving pain, restoring lost function, and getting lasting results
• Utilizing both active and passive movement to enhance effectiveness
• Precision in working with specific tissue types and body layers
• Combining indirect or subtle work with deep or direct work
• Tracking subtle psychophysiological and nervous system responses
• Ways to work sensitively, safely, and comfortably at very deep levels.
Connective Tissue Structures:
•
Cervical Superficial Fascia
•
External Acoustic Meatus of the Ear
•
TMJ Joint Capsule
•
TMJ Articular Disk and Suspensory Ligaments
The Advanced Myofascial Techniques workshop series presents a
comprehensive system for working with the body in its entirety,
encompassing over 20 session sequences and more than 200 techniques,
tests, and procedures.
The Advanced Myofascial Techniques workshop series presents a
comprehensive system for working with the body in its entirety,
encompassing over 20 session sequences and more than 200 techniques,
tests, and procedures.
Bones and Bony Landmarks:
•
Hyoid Bone
•
Mandible
•
Maxillary Process of Temporal Bone
•
Sacroiliac Joints
•
Styloid Process of Temporal Bone
Workshops in the series may be taken individually, or combined in any
order. The five principle courses include:
• Arm, Wrist, & Shoulder
• Legs, Knees, & Feet
• Pelvis, Hip, & Sacrum
• Neck, Jaw, & Head
• Spine, Ribs, & Low Back
Workshops in the series may be taken individually, or combined in any
order. The five principle courses include:
• Arm, Wrist, & Shoulder
• Legs, Knees, & Feet
• Pelvis, Hip, & Sacrum
• Neck, Jaw, & Head
• Spine, Ribs, & Low Back
RECOMMENDED RESOURCES
for Preparation or Review
Specialty courses include:
• Whiplash (2 days)
• Sciatica & Disc Issues
• TMJ
• Myofascial Essentials
• Adv Ilia & Sacrum (2 days)
Specialty courses include:
• Whiplash (2 days)
• Sciatica & Disc Issues
• TMJ
• Myofascial Essentials
• Adv Ilia & Sacrum (2 days)
TMJ Online Study Guide
Free, or for-credit option.
http://a-t.tv/st
TMJ & Jaw Issues DVD
Discounts in class or online at:
http://a-t.tv/tmjdvd
• Scoliosis (2 days)
• Advanced Knee Issues
• Headaches
• Myofascial Mastery
• ...and others.
p. ii
© 2015 Advanced-Trainings.com
• Scoliosis (2 days)
• Advanced Knee Issues
• Headaches
• Myofascial Mastery
• ...and others.
These courses are intended for trained practitioners and students of
hands-on body therapies (for example, Bodyworkers, Physical Therapists,
Rolfers, Chiropractors, Structural Integration Practitioners, Massage
Therapists, Neuro-Muscular Therapists, and other somatic practitioners,
etc.)
These courses are intended for trained practitioners and students of
hands-on body therapies (for example, Bodyworkers, Physical Therapists,
Rolfers, Chiropractors, Structural Integration Practitioners, Massage
Therapists, Neuro-Muscular Therapists, and other somatic practitioners,
etc.)
Completion of the 5 principle courses plus electives leads to optional
Certification in Advanced Myofascial Techniques (CAMT).
Completion of the 5 principle courses plus electives leads to optional
Certification in Advanced Myofascial Techniques (CAMT).
Organizer and In-service inquiries invited
Techs
The Advanced Myofascial Techniques Series
Since 1989, this popular series of seminars presents practicing somatic
therapists and qualified students with advanced and little-known
myofascial techniques which can be easily incorporated into existing
personal styles. Drawing on a wide range of disciplines, the focus is on
unusual, interesting, and fresh approaches that will both expand technique
repertoire and inspire creativity and innovation. Potential topics include:
Adv. Myo. Techs
p. ii
Advanced-Trainings.com
Adv. Myo. Techs
Organizer and In-service inquiries invited
p. iv
Advanced-Trainings.com
Adv. Myo. Techs
p. iv
Intentions / Goals:
A-01
TMJ SLEEVE SEQUENCE
A-01
TMJ SLEEVE SEQUENCE
TMJ 3. _________ or noise; 4. _________ issues
5. ______________ ; Vertigo
6. ______________
Postural issues, especially 7. ______________ posture.
• Release the larger, more 1. ______________ structures affecting
jaw alignment and balance, in 2. ______________ for deeper work.
Indications:
•
•
•
•
Intentions / Goals:
TMJ 3. _________ or noise; 4. _________ issues
5. ______________ ; Vertigo
6. ______________
Postural issues, especially 7. ______________ posture.
• Release the larger, more 1. ______________ structures affecting
jaw alignment and balance, in 2. ______________ for deeper work.
Indications:
•
•
•
•
Differenzieren von Kern / Hülle: Hals /
Unterkiefer
Sleeve/Core Differentiation: Neck/Jaw
P,D,I
A-04
Gentle friction on superficial (”sleeve”) structures of neck with soft fist.
Instructions / Intentions / Feel or Watch For:
Supporting hand helps head and neck stay aligned along a vertical (to client)
line of rotation.
Work both left and right sides; on side of any jaw deviation, use jaw
movements, feeling for connection and release into superficial structures of
neck.
Active or passive head rotation with jaw depression/elevation,
protrusion/retraction, and/or lateral movements.
Movements / Cues:
Cues:
“Let your head turn slowly to the side.”
“Gently open your jaw.”
“Slowly slide your jaw forward.”
Ida Rolf’s classic neck technique.
Notes:
Use care not to put pressure on deeper structures: stay in superficial layers;
monitor client’s comfort.
+1
303/499-8811
© 09/06
Adv. Myo. Techs: TMJ/Headaches
Illustration courtesy estate of John Lodge, used by permission.
www.advanced-trainings.com
A-04
info@advanced-trainings.com
P,D,I
Advanced-Trainings.com
Sleeve/Core Differentiation: Neck/Jaw
Active or passive head rotation with jaw depression/elevation,
protrusion/retraction, and/or lateral movements.
Movements / Cues:
Cues:
“Let your head turn slowly to the side.”
“Gently open your jaw.”
“Slowly slide your jaw forward.”
Ida Rolf’s classic neck technique.
Notes:
www.advanced-trainings.com
© 09/06
fascia, Temporalis,
Masseter
muscles,
+1
and
303/499-8811
info@advanced-trainings.com
Feel for and release any asymmetrical restrictions or contraction in superficial
Adv. Myo.
Techs:
usually
on same
sideTMJ/Headaches
as deviation.
From straight above client’s head, watch for side-to-side deviation with gentle
opening and closing.
Instructions
/ Feel or
For: used by permission.
Illustration/ Intentions
courtesy estate
of Watch
John Lodge,
Use care not to put pressure on deeper structures: stay in superficial layers;
P,D,I
monitor client’s comfort.
A-03
Work both left and right sides; on side of any jaw deviation, use jaw
movements, feeling for connection and release into superficial structures of
neck.
Supporting hand helps head and neck stay aligned along a vertical (to client)
line of rotation.
Gentle friction on superficial (”sleeve”) structures of neck with soft fist.
Instructions / Intentions / Feel or Watch For:
Differenzieren von Kern / Hülle: Hals /
Unterkiefer
TMJ Tracking
dem TMJ nachspüren
Advanced-Trainings.com
Gentle opening and closing of jaw; protrusion/retraction.
Movements / Cues:
Difference between supine and seated or standing tests indicates role of
postural issues.
Notes:
If deviation persists, check and release:
a.
opposite-side Lateral Pterygoid (particularly if deviation
happens upon initiation of movement);
opposite-side Medial Pterygoid;
same-side Digastric.
b.
c.
Adv. Myo. Techs: TMJ/Headaches
Deviation in protrusion: work any/all of above, particularly same-side Digastric
and posterior Temporalis (since horizontal fibers help retract jaw).
© 09/06
A-03
+1
303/499-8811
P,D,I
www.advanced-trainings.com
info@advanced-trainings.com
TMJ Tracking
Advanced-Trainings.com
dem TMJ nachspüren
From straight above client’s head, watch for side-to-side deviation with gentle
opening and closing.
Instructions / Intentions / Feel or Watch For:
Feel for and release any asymmetrical restrictions or contraction in superficial
fascia, Temporalis, and Masseter muscles, usually on same side as deviation.
+1
303/499-8811
© 09/06
(Anatomy image © Primal Pictures)
www.advanced-trainings.com
info@advanced-trainings.com
A-06
D
D
A-06
Adv. Myo. Techs: TMJ/Headaches
Use caution around glands: stay on muscle and connective tissue.
Notes:
Variation: add active jaw protraction: “slide your jaw forwards.” Useful for
chronic mandibular retraction (under bite).
“Allow your jaw to fall back.”
Movements / Cues:
Release Anterior Digastric attachments and floor of mouth, working posteriorly
from chin.
Instructions / Intentions / Feel or Watch For:
Digastric: Anterior Bellies (“Bulldog”)
Digastricus: anteriore Bäuche
Advanced-Trainings.com
Digastric: Anterior Bellies (“Bulldog”)
Digastricus: anteriore Bäuche
D
A-05
Release Anterior Digastric attachments and floor of mouth, working posteriorly
from chin.
Instructions / Intentions / Feel or Watch For:
“Allow your jaw to fall back.”
Movements / Cues:
Variation: add active jaw protraction: “slide your jaw forwards.” Useful for
chronic mandibular retraction (under bite).
Notes:
Notes:
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info@advanced-trainings.com
+1
303/499-8811
© 09/06
D
A-05
Adv. Myo. Techs: TMJ/Headaches
Jaw movements: depression/elevation; protrusion/retraction; lateral
movements.
Movements / Cues:
Myo.deviation.
Techs: TMJ/Headaches
to© 09/06
monitor any Adv.
mandible
Generally,
work restrictions on same-side as any deviation.
www.advanced-trainings.com
Use “Jaw Tracking”
+1
3technique
03/499-8811
info@advanced-trainings.com
In combination with client’s movements, use fingertip pressure in both cephalad
and caudal directions. Release local contractions in lateral soft tissue
structures: Temporalis, Masseter, superficial fascia, TMJ capsule, etc.
Instructions / Intentions / Feel or Watch For:
(Anatomy image © Primal Pictures)
Use caution around glands: stay on muscle and connective tissue.
Temporalis & Masseter
Temporalis & Masseter
Advanced-Trainings.com
Advanced-Trainings.com
Instructions / Intentions / Feel or Watch For:
Temporalis & Masseter
Temporalis & Masseter
In combination with client’s movements, use fingertip pressure in both cephalad
and caudal directions. Release local contractions in lateral soft tissue
structures: Temporalis, Masseter, superficial fascia, TMJ capsule, etc.
Use “Jaw Tracking” technique to monitor any mandible deviation. Generally,
work restrictions on same-side as any deviation.
Intentions / Goals:
B-01
B-01
TMJ CORE SEQUENCE
© 09/06
D
A-07
Adv. Myo. Techs: TMJ/Headaches
D
A-07
TMJ CORE SEQUENCE
• Release and 1. _____________ the functioning of local
and intra-oral structures affecting the jaw;
• 2. _____________ and 3. _____________ deeper work.
• (Same as Sequence A).
Indications:
Intentions / Goals:
• Release and 1. _____________ the functioning of local
and intra-oral structures affecting the jaw;
• 2. _____________ and 3. _____________ deeper work.
• (Same as Sequence A).
Indications:
Notes:
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info@advanced-trainings.com
+1
303/499-8811
Jaw depression/elevation; protrusion/retraction; lateral movements.
Movements / Cues:
Gentle pressure into attachments of posterior Digastric bellies on the anteriomedial aspect of the Mastoid Processes.
Instructions / Intentions / Feel or Watch For:
Digastric: Posterior Attachments
Digastricus: posteriore Anheftungen
Advanced-Trainings.com
Digastric: Posterior Attachments
Digastricus: posteriore Anheftungen
Gentle pressure into attachments of posterior Digastric bellies on the anteriomedial aspect of the Mastoid Processes.
Instructions / Intentions / Feel or Watch For:
info@advanced-trainings.com
www.advanced-trainings.com
+1
303/499-8811
© 09/06
B-03
D
D
B-03
Adv. Myo. Techs: TMJ/Headaches
Lower photo shows use of fifth finger, which is sometimes preferable on smaller
clients. Not visible in lower photo is outer hand, which is releasing outer side of
Masseter, as in upper photo.
Notes:
Clench and release jaw;
Protrusion/retraction;
Lateral movements of jaw.
Movements / Cues:
Inside finger placement: Finger between Masseter and upper teeth.
Feel for and release tightness in Masseter belly between inside and outside
fingers. Work throughout Masseter.
Instructions / Intentions / Feel or Watch For:
Masseter (Intra-oral)
Masseter (intra-oral)
Advanced-Trainings.com
Masseter (Intra-oral)
Masseter (intra-oral)
Feel for and release tightness in Masseter belly between inside and outside
fingers. Work throughout Masseter.
Instructions / Intentions / Feel or Watch For:
Inside finger placement: Finger between Masseter and upper teeth.
Movements / Cues:
Clench and release jaw;
Protrusion/retraction;
Lateral movements of jaw.
Notes:
Masseter, as in upper photo.
P,D
B-02
Lower photo shows use of fifth finger, which is sometimes preferable on smaller
Mandibular Condyleclients.
Tracking
Not visible in lower photo is outer hand, which is releasing outer side of
Instructions / Intentions / Feel or Watch For:
+1
303/499-8811
© 09/06
Adv. Myo. Techs: TMJ/Headaches
With pad of both little fingers facing anteriorly (opposite of photo) just inside the
ear canal, use client’s active jaw movement to feel for symmetrical anterior and
posterior glide of mandibular condyles at the TMJ.
www.advanced-trainings.com
info@advanced-trainings.com
+1
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© 09/06
P,D
B-02
Adv. Myo. Techs: TMJ/Headaches
See “TMJ Tracking” technique for more detail on structures that affectjaw
tracking.
Notes:
Jaw depression/elevation; protrusion/retraction; lateral movements .
Movements / Cues:
www.advanced-trainings.com
info@advanced-trainings.com
den mandibulären Kondylen nachspüren
Advanced-Trainings.com
Advanced-Trainings.com
Instructions / Intentions / Feel or Watch For:
Mandibular Condyle Tracking
den mandibulären Kondylen nachspüren
With pad of both little fingers facing anteriorly (opposite of photo) just inside the
ear canal, use client’s active jaw movement to feel for symmetrical anterior and
posterior glide of mandibular condyles at the TMJ.
Lateral Pterygoid
Pterygoideus lateralis
Advanced-Trainings.com
Lateral Pterygoid
Pterygoideus lateralis
Instructions / Intentions / Feel or Watch For:
B-05
D
Have client laterally deviate jaw to same side to access the lower head of the
Lateral Pterygoid, which is just medial to Temporalis tendon / Coronoid Process
of Mandible.
Indicated in TMJ pain, and for jaw deviation (to opposite side), especially when
deviation is most obvious upon initiation of opening.
Movements / Cues:
Movements:
1. Lateral deviation to access Lateral Pterygoid;
2. Gentle protrusion, retraction, further lateral deviation to locate and release
Lateral Pterygoid.
Notes:
The Lateral Pterygoid assists in opening the jaw by pulling forwards the
mandibular condyle and the articular disc of the TMJ. It is also involved in
protrusion and in lateral movements of the mandible.
+1
303/499-8811
© 09/06
D
B-05
Adv. Myo. Techs: TMJ/Headaches
The anterior aspect of the TMJ capsule can sometimes be palpated here. You
may encounter sensitivity, trigger points, or dense tissue from anesthetic
injections in this region.
www.advanced-trainings.com
info@advanced-trainings.com
Instructions / Intentions / Feel or Watch For:
Have client laterally deviate jaw to same side to access the lower head of the
Lateral Pterygoid, which is just medial to Temporalis tendon / Coronoid Process
of Mandible.
Indicated in TMJ pain, and for jaw deviation (to opposite side), especially when
deviation is most obvious upon initiation of opening.
Movements / Cues:
Movements:
1. Lateral deviation to access Lateral Pterygoid;
2. Gentle protrusion, retraction, further lateral deviation to locate and release
Lateral Pterygoid.
Notes:
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info@advanced-trainings.com
+1
303/499-8811
+1
303/499-8811
© 09/06
© 09/06
D
Adv. Myo. Techs: TMJ/Headaches
D
B-04
Adv. Myo. Techs: TMJ/Headaches
The Medial Pterygoid elevates of the mandible; it contributes to lateral mandible
movement to the opposite side; and to protrusive movements.
Indicated in TMJ pain, as well as for jaw deviation (work Med. Pterygoid on
opposite side of deviation).
Notes:
A. Jaw elevation/depression, protrusion/retraction, lateral glide.
B. Gentle movement of tongue.
Movements / Cues:
www.advanced-trainings.com
info@advanced-trainings.com
The anterior aspect of the TMJ capsule can sometimes be palpated here. You
Instructions
/ Intentions
/ Feel or
Watch
For: or dense tissue from anesthetic
may encounter
sensitivity,
trigger
points,
Work:
injections
in this region.
A. attachments of Medial Pterygoids and
B. floor of mouth
...from both inside and outside the mouth.
protrusion and in lateral movements of the mandible.
The Lateral Pterygoid assists in opening the jaw by pulling forwards the B-04
Medial Pterygoid / Mandible
mandibular condyle and the articular disc of the TMJ. It is also involved in
Pterygoideus medialis / Mandibula
Advanced-Trainings.com
Advanced-Trainings.com
Instructions / Intentions / Feel or Watch For:
Medial Pterygoid / Mandible
Pterygoideus medialis / Mandibula
Work:
A. attachments of Medial Pterygoids and
B. floor of mouth
...from both inside and outside the mouth.
Lösen der ISG: anterior / posterior
SI Release: Anterior/Posterior
P,D,I
B-08
Use Squish Test to determine tighter side.
Instructions / Intentions / Feel or Watch For:
Adv. Myo. Techs: TMJ/Headaches
Lift on one side of sacrum from under client, while applying counter-pressure on
ASIS; feel for anterior/posterior release.
Movements / Cues:
Notes:
© 06.99
B-08
+1
303/499-8811
P,D,I
www.advanced-trainings.com
info@advanced-trainings.com
SI Release: Anterior/Posterior
Advanced-Trainings.com
Lösen der ISG: anterior / posterior
Use Squish Test to determine tighter side.
Instructions / Intentions / Feel or Watch For:
Lift on one side of sacrum from under client, while applying counter-pressure on
ASIS; feel for anterior/posterior release.
info@advanced-trainings.com
www.advanced-trainings.com
+1
303/499-8811
© 09/06
B-06
D
D
B-06
Adv. Myo. Techs: TMJ/Headaches
Variation: Temporal decompression.
By “hooking” the posterior rim of the meatus, decompress the temporal bones
with steady lateral traction (no active client movement). .
Possible awareness cues: “Allow your head to widen.” “Let your eyes sink back
into this space.” Etc.
Notes:
Use all jaw movements: depression/elevation; protrusion/retraction; lateral
movements (active or passive).
Movements / Cues:
Using gentle posterior traction of the meatus or concha, feel into the TMJ
capsule. Use jaw protrusion and lateral motion (active or passive) to counterstretch the articular disk’s membranes anteriorly, away from your finger’s
posterior traction.
Instructions / Intentions / Feel or Watch For:
Ear: External Acoustic Meatus
Ohr: äusserer Gehörgang
Advanced-Trainings.com
Instructions / Intentions / Feel or Watch For:
Ear: External Acoustic Meatus
Ohr: äusserer Gehörgang
Using gentle posterior traction of the meatus or concha, feel into the TMJ
capsule. Use jaw protrusion and lateral motion (active or passive) to counterstretch the articular disk’s membranes anteriorly, away from your finger’s
posterior traction.
Use all jaw movements: depression/elevation; protrusion/retraction; lateral
movements (active or passive).
Movements / Cues:
Notes:
A-08
Variation: Temporal decompression.
By “hooking” the posterior rim of the meatus, decompress the temporal bones
with steady lateral traction (no active client movement). .
P,D,I
Possible awareness cues: “Allow your head to widen.” “Let your eyes sink back
into this space.” Etc.
www.advanced-trainings.com
info@advanced-trainings.com
+1
303/499-8811
© 09/06
Adv. Myo. Techs: TMJ/Headaches
Adv. Myo. Techs: TMJ/Headaches
Feel for local tissue texture of masseter, temporalis, and for release of jaw
tonus.
Instructions / Intentions / Feel or Watch For:
Bilateral Jaw Release
Bilaterales Lösen des Unterkiefers
Advanced-Trainings.com
Passive depression.
Movements / Cues:
Notes:
© 09/06
A-08
+1
303/499-8811
P,D,I
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info@advanced-trainings.com
Bilateral Jaw Release
Advanced-Trainings.com
Bilaterales Lösen des Unterkiefers
Feel for local tissue texture of masseter, temporalis, and for release of jaw
tonus.
Instructions / Intentions / Feel or Watch For:
RCES
REFERENCES & RESOURCES
ANSWER KEY, TMJ
ANSWER KEY, TMJ
Series). F.A. Davis &
Cailliet, Rene. Neck and Arm Pain (Pain Series). F.A. Davis &
Co, 1991
TMJ SLEEVE SEQUENCE
between the
. Clinics 2009;64
n1/a11v64n1.pdf
Cuccia A, Caradonna C. The relationship between
Intentions:
the
stomatognathic system and body posture. Clinics 2009;64
(1):61-6. http://www.scielo.br/pdf/clin/v64n1/a11v64n1.pdf
• Release the larger, more 1. superficial structures affecting
jaw alignment and balance, in 2. preparation for deeper work.
h TMD present an
lly associated with the
muscles (suboccipital,
scles), as well as
frequencies of
ause TMD, modifying
the mandibular
B Hackenberg L.
nd pelvic inclination
gle Orthod.
Annette. The
l Pain. NY:
Techs
p. X-18
TMJ SLEEVE SEQUENCE
“Several studies have shown that patients with TMD present an
excessively forward head position,26,27 usually associated
with the
Indications:
shortening of the posterior cervical extensor muscles (suboccipital,
semispinalis, splenii, and upper trapezius muscles), as well as
• TMJ 3. pain or noise; 4. bite issues
shortening of the SCM.28”
Intentions:
• Release the larger, more 1. superficial structures affecting
jaw alignment and balance, in 2. preparation for deeper work.
Indications:
• 5. Tinnitus; Vertigo
“Patients with idiopathic scoliosis show higher frequencies
of
• 6. Headaches
malocclusion than control patients.”
• Postural issues, especially 7. head-forward posture.
• TMJ 3. pain or noise; 4. bite issues
• 5. Tinnitus; Vertigo
• 6. Headaches
• Postural issues, especially 7. head-forward posture.
“Postural changes of the cervical region can cause TMD, modifying
the orientation of the head and consequently the mandibular
TMJ CORE SEQUENCE
position.35”
TMJ CORE SEQUENCE
Lippold C, Danesh G, Schilgen M, Derup B Hackenberg
Intentions: L.
Relationship between thoracic, lordotic, and pelvic inclination
and craniofacial morphology in adults. Angle •Orthod.
Release and 1. coordinate the functioning of local
2006;76:779-85.
and intra-oral structures affecting the jaw;
• 2. Balance and 3. integrate deeper work.
Rocabado Seaton, Mariano & Iglarsh, Z. Annette. The
Musculoskeletal Approach to Maxillofacial Pain.
Indications:
NY:
Lippincott Williams & Wilkins, 1990
• (Same as Sequence A).
© Advanced-Trainings.com
Adv. Myo. Techs
© Advanced-Trainings.com
p. X-18
Adv. Myo. Techs
Intentions:
• Release and 1. coordinate the functioning of local
and intra-oral structures affecting the jaw;
• 2. Balance and 3. integrate deeper work.
Indications:
• (Same as Sequence A).
p. X-20
© Advanced-Trainings.com
Adv. Myo. Techs
p. X-20