E-LEARNING TRAINING
Temporomandibular Disorder
About
Temporomandibular disorders are common pathologies. According to the authors, between 70% and 80% of the population suffers from DTM at some point in their lives. This pathology is the main reason for maxillofacial consultations. The symptoms affect the patient's quality of life. According to the HAS recommendations, treatment should initially be as minimally invasive as possible The effectiveness of rehabilitative management in these pathologies is well established. The most satisfactory results are obtained with protocols that combine manual therapy, correction of orofacial dyspraxia, and postural correction. The EBP-based protocol presented in this course considers all etiologies amenable to rehabilitation. It encourages patients to take responsibility for their own rehabilitation in order to limit recurrences.
Objectives of the Course
The objectives of the Temporomandibular disorders training are :
- Objective 1 - Transformation of practices: update knowledge/update practices/know the H.A.S. recommendations.
- Objective 2 - Mastery of assessments: Identify etiologies accessible to rehabilitation.
- Objective 3 - Process Transformation: Build the rehabilitation program based on EBP and according to the patient's expectations and environment.
- Objective 4 - Consider the psycho-socio-environmental dimension.
- Objective 5 - Raise the patient's awareness of therapeutic education, moving towards the empowerment of the subject to maintain the benefits of physiotherapy and avoid relapses.
Methodology and Pedagogy
- Theoretical sequences.
- Assessments.
- Expositive methods with 3D and 2D animations.
- Practical sessions.
- FAQ.
Prerequisites
There are no prerequisites for this training. However, our courses are designed by and for healthcare professionals. Therefore, it is highly recommended that you have the skills of the following professions: physiotherapist, speech therapist, orthodontist or odontologist.
Training Program
Quiz: Test your knowledge
INTRODUCTION
- Introduction 3:40
REMINDERS
You will be able to conceptualize the problems of dysfunction through a review of the anatomy and biomechanics of the temporomandibular joint. Normality and dyspraxia of facial functions (breathing, swallowing, and mastication) are also covered.
- Anatomy 20:13
- Reference Positions 3:12
- Biomechanics 37:12
- Facial functions 7:47
GENERALITIES
This chapter deals with the frequency of this pathology. Temporomandibular disorders are the most common reason for consultation in maxillofacial rehabilitation. Understanding the physiopathology and etiology of these disorders will enable you to explain to patients their pathology and the goals of rehabilitation. By mastering the different therapeutic options, you can optimize the patient's therapeutic choices.
- Epidemiology 2:18
- Physiopathologie 10:56
- Etiology 17:06
- Treatment 5:57
REVIEWS
The TMD assessment is detailed: general context, psycho-behavioral context, pain, functions, postural para-functions, kinetic disorders. The patient is asked about his expectations. The aim of the summary is to determine the priority treatment objectives according to the predominant axis: mechanical, biological or psycho-behavioral.
- Context 2:55
- Interrogations 17:34
- Pain assessment 14:51
- Para-Functions assessment 2:47
- Assessment of associated disorders 2:59
- Joint Noise Assessment 3:56
- Functional impairment assessment 1:10
- Assessment of the cervico-cephalic posture 3:29
- Occlusal assessment 1:58
- Functional Assessment : Dyspraxias Research 11:45
- Palpation 24:26
- Joint assessment 7:09
- Muscular assessment 3:14
- Conclusion of reviews 2:28
REHABILITATION
The first goal of rehabilitation is to meet the patient's expectations regarding the resolution of symptoms. The second is to maintain the results by eliminating or minimizing the etiologies accessible to rehabilitation. The third is to empower the patient in the management of their pathology.
- Introduction 8:49
- Symptomatological treatment 1:07:57
- Specific muscle treatment manual therapy 36:34
- Secure the result 15:48
- Empower the patient 5:16
- Prescription and pace of the sessions 1:07
FREQUENTLY ASKED QUESTIONS
- Frequently asked questions 14:20
CONCLUSION
- Conclusion 6:46
Quiz : reevaluate your knowledge.
- Post-training test Evaluate your progression after the training course with a multiple choice test.
Courses downloads & documentation
Course Material
.Scientific References
- BONNEAU D, VAUTRAVERS P, HÉRISSON C. Sphère odonto-gnatique et thérapies manuelles, Montpellier, Sauramps médical, 2010,
- Breton-Torres I, Fournier M. Rééducation du temps buccal de la déglutition salivaire et des dyspraxies orofaciales. Bilan et rééducation. EMC - Médecine buccale 2016;0(0):1-14 [Article 28-650-A-20].
- Breton-Torres I, Frapier L. Rééducation du temps buccal de la déglutition salivaire et des dyspraxies orofaciales. Physiologie. EMC - Médecine buccale 2016;0(0):1-7 [Article 28-650-A-10].
- BRETON-TORRES I., LEFEBVRE C., GOUDOT P. Technologie rééducative appliquée et dysfonctions de l’appareil manducateur
- Breton-Torres I.; Bousquet A.; Lefebvre C.; Jammet P. Dysfonction de l'appareil manducateur. KS n° 572, 2016. p. 13-35
- C. Lefebvre, I Breton-Torres. Dysfonction de l’appareil manducateur : bilans spécifiques. KS n°544 juin 2013.
- C. Lefebvre, I Breton-Torres. Dysfonction de l’appareil manducateur : rééducation..KS n° 572, 2016. p. 17-22
- Chaubet V.; Breton-Torres I.; Vantieghem K. Dysfonction de l'appareil manducateur chez les séniors : Etude cas témoins. .KS n° 572-Janvier 2016 Livres
- Encyclopédie Médico Chirurgicale I. Breton, L. Frapier, JH Torres. Temps buccal de la déglutition salivaire. Physiologie et principes de rééducation. EMC Médecine buccale - 28-165-M-10
- G, Orthlieb J-D. Le bruxisme tout simplement. Paris: Espace ID presse édition multimédia; 2015. (Tout simplement).
- HERISSON C., GOUDOT P., Pathologie de l'articulation temporomandibulaire., Masson, 2003 Revue de stomatology
- I. Breton-Torres, S. Trichot, J. Yachouh, P. Jammet ; Dysfonction de l’appareil manducateur : approches rééducative et posturale ; Rev Stomatol Chir Maxillofac Chir Orale 2016;117:217-222 2213-6533/ _ 2016 Elsevier Masson SASOrthodontie française
- I. Breton-Torres, S. Trichot, P. Jammet, P. Goudot. Prise en charge kinésithérapique postopératoire en chirurgie maxillofaciale et stomatologie. EMC - Chirurgie orale et maxillo-faciale 2016;0(0):1-6 [Article 22-091-P-10]. Kinésithérapie Scientifique
- Isabelle BRETON-TORRES, Manon SERRE, Patrick JAMMET, Jacques YACHOUH ; Dysfonction de l’appareil manducateur : apport de la prise en charge rééducative ; Orthod Fr 2016;87:1–11 c_ EDP Sciences, SFODF, 2016 DOI: 10.1051/orthodfr/201603ceDuminil