Temporomandibular Disorders and Physical Therapy InterventionsBrittany Annis, Physical Therapy StudentIthaca College, February 2009Temporomandibular isorders!T"s#$i%%erent pathologies a%%ecting the masticatory muscles, the temporomandibular &oint !T"'#, and related structures$A%%ects more than 2() o% the population$90) o% those see*ing treatment are +omenSigns,Symptoms$Facial pains,"uscle spasms$Pain,tenderness in the muscles o% mastication and &oint$'oint sounds !popping, clic*ing#$-imited &a+ motion$'a+ loc*ing open or closed$.eadaches$Teeth grinding$Abnormal s+allo+ing$/ncom%ortable 0o%%1 bite$Inability to com%ortably open,close mouth$i22iness,3ertigo$4inging in the ears$5isual disturbances$Insomnia$Tingling in hands,%ingers$e3iation o% &a+ to one sideAdditional Symptoms$People +ith temporomandibular dys%unctions %re6uently report symptoms o% depression, a%%ected sleep 6uality, and a decrease in energy7$It may also inter%ere +ith personal relationships and normal social acti3ities7Causes$Trauma$89cessi3e stress$Arthritis o% the T"'$:hiplash in&ury$Postural abnormality$-igamentous la9ity$Psychosocial distress !stresses#$Bru9ism$ !teeth grinding#$/naligned teeth$Congenital$'a+ abnormalities$Prolonged mouth breathing$Thumb suc*ingT"' Anatomy$;sseous Anatomy