Rehabilitation of Temporomandibular Joint & Facial Dysfunction

Credit

Handouts/Brochure

Speaker

Payal Sahni, PT, MPT, DPT Related seminars and products

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Payal Sahni, PT, MPT, DPT has been practicing physical therapy for over twenty years with an emphasis in orthopedics. She graduated with her master's in physical therapy in 2000 and completed her transitional DPT in 2012. She is currently practicing as a senior PT at Helen Hayes Hospital in Haverstraw, NY. Dr. Sahni is a Maitland trained certified manual therapist with additional training in IASTM and BFR. Her clinical practice emphasizes her special interests in osteoporosis and TMJ dysfunction.

Payal is a strong proponent of prevention and wellness for health. She has designed various wellness programs including osteoporosis and aquatic wellness, in addition to ergonomics programs for employee health. Dr. Sahni regularly lectures on osteoporosis and serves as the program coordinator of the New York State Osteoporosis Prevention and Education Program through the NYS Department of Health. She has published prior studies on osteoporosis and continues with ongoing research.

Speaker Disclosures:
Financial: Payal Sahni has an employment relationship with Burke Rehabilitation Hospital and is a guest lecturer at Mercy College. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Payal Sahni is an Ambassador for Bone Health and a member of the Global Fragility Fracture Network.

Additional Info

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Objectives

1. Review basic facial and TMJ anatomy.
2. Identify orofacial pain and types of temporomandibular disorders (TMD) and the associated impacts on function.
3. Perform a comprehensive evaluation of TMD and orofacial pain dysfunction.
4. Develop a plan of care using manual therapy, exercise therapy and use of modalities to reduce pain and enhance function for ADLs.
5. Communicate the importance of an effective home exercise program.

Outline

• Predisposing factors: fibromyalgia, IBS, depression, trauma & stress
• Patient history – and why the onset of the problem is a clue

• Visual analog or numeric pain scale
• TMD disability index
• Neck index
• Upper extremity functional scale

• Facial Pain
• Facial & bell’s palsy
• Trigeminal neuralgia
• Clicking
• Limitations in ROM
• Weakness
• Difficulty opening or closing the mouth
• Difficulty swallowing or speaking

• Myofascial trigger point release
• Joint mobilization
• Therapeutic exercise
• Postural strengthening
• Modalities
• Therapeutic HEP

• Sternocleidomastoid
• Digastric
• Upper trapezius
• Upper sub-occipitals
• Lower sub-occipitals
• Temporalis
• Masseter
• Medial pterygoid
• Lateral pterygoids
• Facial muscles

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Chiropractors
• Massage Therapists