Physical Therapy in Craniomandibular Disorders.Hansson TL, Minor CAC See Consumer Advisory Council. , Taylor DLW DLW Doubly Labeled Water DLW Delaware, Lackawanna, and Western Railroad DLW Deutsche Linoleumwerke (German Flooring Factory) DLW Diversity of the Lepidoptera in the World (Centre for Entomological Studies Ankara project) . Carol Stream, IL 60188-9982, Quintessence Publishing Co Inc, 1992, hardback, 80 pp, illus, $32. The authors want this book to be taken as a practical guide for physical therapists and dentists who treat craniomandibular disorders (CMD CMD cerebromacular degeneration. ). They want to standardize management of and stimulate research on CMD. The section on evaluation includes examination of cervical, upper-extremity, and temporomandibular joint areas. The major role of posture and head position in patients with CMD is clearly described and is illustrated with photographs of patients with postural disorders. In addition to postural assessment, active and passive (noting quality of end feel) range of motion, strength, and response to palpation palpation /pal·pa·tion/ (pal-pa´shun) the act of feeling with the hand; the application of the fingers with light pressure to the surface of the body for the purpose of determining the condition of the parts beneath in physical diagnosis. are noted. The conditions reported to respond successfully to treatment are hypermobility, hypomobility, bruxism Bruxism Definition Bruxism is the habit of clenching and grinding the teeth. It most often occurs at night during sleep, but it may also occur during the day. It is an unconscious behavior, perhaps performed to release anxiety, aggression, or anger. , and abused protrusion protrusion /pro·tru·sion/ (-troo´zhun) 1. extension beyond the usual limits, or above a plane surface. 2. the state of being thrust forward or laterally, as in masticatory movements of the mandible. . Treatment goals and guidelines for these problems are given both in the text and through pictures of patients performing the techniques. Craniomandibular disorders that require specific dental treatment, especially until inflammation is controlled, are discussed. Recent studies about the use of infrared lasers for reducing inflammation are cited. Only 11 of the book's 80 pages are devoted to text. The rest of the pages are photographs, evaluation forms, and references. The treatment follows current thought for CMD, such as that of Rocabado, offered in his many courses, and by Morrone and Makofsky in the April 1992 issue of Clinical Management. Even though electromyography electromyography Process of graphically recording the electrical activity of muscle, which normally generates an electric current only when contracting or when its nerve is stimulated. is mentioned in the introduction, it is not given as part of an evaluation or treatment. The authors succeed in providing material that can benefit dentists and physical therapy professionals. The photographs will also be helpful to patients during explanations of dysfunction and of treatment programs. Physical therapists who have studied CMD in depth and treated many such cases, however, will not need to add this book to their library. |
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