A patient with TMD is unable to open her mouth to more than…

A patient with TMD is unable to open her mouth to more than 20 mm of motion. The physical therapist notes the mandible deviates to the patient’s left side until it returns back to closing. When assessing lateral deviation, the PT notes the patient has full 10 mm + motion to the left side, and limitations to the right side at only 4 mm.  Which manual therapy joint mobilization would be address the above impairment?

Question 7. The athlete comes to a follow-up appointment the…

Question 7. The athlete comes to a follow-up appointment the next day.  He feels better than that of yesterday.  The objective exam shows a 15% restriction of lumbar AROM in forward bending and right bending, both of which cause increased right low back and lower extremity pain.  Passive SLR is 60° on the right, limited by right lower extremity pain, and 80° on the left, limited by hamstring tightness.  Palpation reveals trigger point tenderness to the right lower paraspinal muscle.  You decide to apply LASAER to the right lower paraspinal muscle.  

Question 8. Following application of LASER, progress one cor…

Question 8. Following application of LASER, progress one core stability/strengthening exercise from that of yesterday’s you would prescribe in this session.  Explain to the athlete why this exercise is indicated and how to perform it correctly.  Monitor the athlete as they perform the exercise. Provide rationale for the number of sets and reps you advise.