PROTOCOLLOESERCIZISINDROMEATMPazientiintrattamentomanipolativoosteopatico

ClaudioCivitilloDO

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PROTOCOLLOESERCIZIATMinpazientiincuraOsteopatica

IsometriaArticolazioneATM–Apertura

Aprilaboccaquantopiùampiopossibile.• chiudere laboccamentresi resistedelicatamenteaquestomovimentocon leditausandounaparicontroforzasulmento.•Noncidovrebbeessereilmovimentodellamascella.•Mantenerelacontrazioneper3‐5secondi,epoirilassarelamascella.•Mentreèancoradisteso,aprirelamandibolaunpòinpiùconleditasulmento.Ripetere_____volteper_____serieognigiorno.‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

IsometriaArticolazioneATM­Movimentolaterale

Aprire leggermente la bocca e muovere la mascella a sinistra, per quanto è possibilecomodamente.•Inserireleditadellamanodestrasullavostradestrasulmascellainferiore.• Resistere al movimento della mascella a destra con le dita utilizzando una controforzauguale.•Noncidovrebberoesseremovimentidellamandibola.•Mantenerelacontrazioneper3‐5secondi,poirilassarelamascella.• Mentre è ancora disteso, spingere lentamente la mandibola un ulteriormente verso lasinistraconlamanodestra.•Ripeterel'interoeserciziosullatoopposto.Ripetere_____volteper_____serieognigiorno.‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

Isometric Stretch of the TMJ – Opening

! Open your mouth as wide as you can.

! Attempt to close your mouth while you gently

resist this movement with your fingers using equal

counterforce on your chin.

! There should be no jaw movement.

! Maintain the contraction for 3-5 seconds, and then

relax your jaw.

! While still relaxed, open your jaw a little further

with the fingers on your chin.

Repeat _____ times. Do _____ sets daily.

Isometric Stretch of the TMJ – Lateral Movement

! Open your mouth slightly and move your jaw to the left as far as you can

comfortably.

! Place the fingers of your right hand on your right

lower jaw.

! Resist jaw movement to the right with your fingers

using equal counterforce.

! There should be no jaw movement..

! Maintain the contraction for 3-5 seconds, then relax

your jaw.

! While still relaxed, slowly push your jaw a little

further towards the left with your right hand.

! Repeat this entire exercise on the opposite side.

Repeat _____ times to each side. Do _____ sets daily.

Isometric Stretch of the TMJ – Opening

! Open your mouth as wide as you can.

! Attempt to close your mouth while you gently

resist this movement with your fingers using equal

counterforce on your chin.

! There should be no jaw movement.

! Maintain the contraction for 3-5 seconds, and then

relax your jaw.

! While still relaxed, open your jaw a little further

with the fingers on your chin.

Repeat _____ times. Do _____ sets daily.

Isometric Stretch of the TMJ – Lateral Movement

! Open your mouth slightly and move your jaw to the left as far as you can

comfortably.

! Place the fingers of your right hand on your right

lower jaw.

! Resist jaw movement to the right with your fingers

using equal counterforce.

! There should be no jaw movement..

! Maintain the contraction for 3-5 seconds, then relax

your jaw.

! While still relaxed, slowly push your jaw a little

further towards the left with your right hand.

! Repeat this entire exercise on the opposite side.

Repeat _____ times to each side. Do _____ sets daily.

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Esercizioperaumentarel'avanzamentoearretramentodellamandibola

PosizionediriposoCon la bocca leggermente aperta, spingere la mandibola in avanti per quanto si puòcomodamente.Mantenetelaposizioneper_____secondi.Rilassarelamascella.Ripetere_____volte.per_____serieognigiorno.‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐

Exercise for Increasing the Forward and Backward Movement of the Jaw

Resting position

With your mouth slightly open, push your jaw forward as far as you can comfortably.

Hold for _____ seconds. Relax your jaw.

Repeat _____ times. Do _____ sets daily.