TMJ Differential
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 6 October 2021
⏱️ 19 minutes
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Summary
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Jesse presents to physical therapy with complaints of mild right-sided jaw discomfort. She reports a two-year history of right-sided jaw clicking that accompanied a loss of mouth opening. Upon examination, the patient has no clicking and her mouth opening ROM is 41mm actively and 47mm passively. Which of the following pathologies is MOST likely present?
A. Disc displacement with reduction
B. Capsular fibrosis
C. Disc displacement without reduction
D. Lateral pterygoid muscle spasms
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn, and you'll see the life |
| 0:22.4 | I have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.8 | change lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:56.5 | For this week's clinical file, |
| 1:02.0 | we have Jesse, and Jesse presents to physical therapy with complaints of mild right-sided jaw discomfort. She reports a two-year history of right-sided jaw clicking that accompanied |
| 1:08.4 | a loss of mouth opening. Upon examination, the patient has no clicking, |
| 1:13.3 | and her mouth opening range of motion is 41 millimeters actively and 47 millimeters passively. |
| 1:21.9 | So which are the following pathologies is most likely present? So we have A, disdisplacement |
| 1:27.4 | with reduction, B, capsular fibrosis, |
| 1:31.6 | C, disdisplacement without reduction, and D is lateral teragoid muscle spasms. All right, let's go |
| 1:40.2 | up to the top of this question. I want to thank y'all for being here today because we're |
| 1:45.6 | about to go over a pretty tough concept. And that's the TMJ. This is something that I struggle with |
| 1:52.3 | hard in PT school. It was just one of those joints that we actually didn't spend a ton of time with. |
| 1:58.4 | It was kind of like the hand and the foot. You know, when it came down to those |
| 2:02.8 | extremities, like the hand in the foot and all that stuff, it seemed like that's what we race through. |
... |
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