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Research paper thumbnail of Valoración de la hipermovilidad articular y parafunciones en casos de disfunción temporomandibular

Research paper thumbnail of Biomechanical Relationship of the Cranial, Cervical, and Hyoid Regions

The Journal of cranio-mandibular practice, Jun 1, 1983

The relationship between the cranial, cervical, and hyoid regions can be modified by removable or... more The relationship between the cranial, cervical, and hyoid regions can be modified by removable orthopedic appliances installed by the dentist and by manual orthopedic techniques applied to the cervical spine by the physical therapist. However, each of these disciplines evaluates and treats according to the patient's symptoms and various objective criteria that are primarily limited to that field. The author suggests that these two approaches to normalizing those relationships must be coordinated. He presents an objective method of evaluating x-rays to determine the impact of both disciplines, and suggests that this can help determine the normal biomechanical relationship of these structures. He also discusses the importance of the following points as they relate to this method: 1. The position of the hyoid bone in determining the appropriate curvature of the cervical spine. 2. The distance between the occiput and the atlas and its relevance to the headache syndrome. 3. The angular relationship of the cranium and the cervical spme.

Research paper thumbnail of The Importance of Soft Tissue Mechanics in Stability and Instability of the Cervical Spine: A Functional Diagnosis for Treatment Planning

Cranio-the Journal of Craniomandibular Practice, Apr 1, 1987

This paper outlines the concept of a median vertebral column, a philosophy recognized in the orth... more This paper outlines the concept of a median vertebral column, a philosophy recognized in the orthopedic field. The philosophy presented here is guided by the principles of facet analysis and is based on the fact that the cervical spine must have physiological curvature to maintain its stability. The paper outlines the concept of "tripodism," the major factors to be considered in treatment planning, a study of 44 cases with vertebral slide, and the method and objectives of facet analysis.

Research paper thumbnail of Sindrome del respirador bucal

Research paper thumbnail of Autonomic nerve regulation in joint hypermobility patients with myofascial trigger points by Musculoskeletal Interfiber Counterirritant Stimulation (MICS)

Medical Engineering & Physics

Research paper thumbnail of Author response for "International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study

Research paper thumbnail of The Importance of Soft Tissue Mechanics in Stability and Instability of the Cervical Spine: A Functional Diagnosis for Treatment Planning

CRANIO®, 1987

This paper outlines the concept of a median vertebral column, a philosophy recognized in the orth... more This paper outlines the concept of a median vertebral column, a philosophy recognized in the orthopedic field. The philosophy presented here is guided by the principles of facet analysis and is based on the fact that the cervical spine must have physiological curvature to maintain its stability. The paper outlines the concept of "tripodism," the major factors to be considered in treatment planning, a study of 44 cases with vertebral slide, and the method and objectives of facet analysis.

Research paper thumbnail of Valoración de la hipermovilidad articular y parafunciones en casos de disfunción temporomandibular

Kinesiologia, Dec 1, 1995

Research paper thumbnail of Períodos fundamentales del suelo de la ciudad de Caracas a partir de mediciones de ruido ambiental

Research paper thumbnail of Cabeza y cuello : tratamiento articular / Mariano Rocabado Seaton

Research paper thumbnail of The relationship between malocclusion, benign joint hypermobility syndrome, condylar position and TMD symptoms

Cranio : the journal of craniomandibular practice, 2012

The current study investigated the association between temporomandibular disorders, malocclusion ... more The current study investigated the association between temporomandibular disorders, malocclusion patterns, benign joint hypermobility syndrome and the initial condylar position. One hundred sixty-two subjects were analyzed using the Rocabado Temporomandibular Pain Analysis; Helkimo Index parameters; the Carter-Wilkinson modified test; and a mounting cast with condylar position indicator registration (MPI). The study revealed a significant association between: 1. Delta H, skeletal pattern (p = 0.034); 2. Delta Y, transversal malocclusion (p = 0.04); 3. right and left, Delta Z, right and left posteroinferior synovial pain (p < 0.05); 4. hypermobility scale, gender (p < 0.001), malocclusion pattern (p = 0.021); 5. TMJ function impairment, gender (p = 0.043); 6. sagittal malocclusion pattern, right temporomandibular pain analysis joint (TPAJ) (p = 0.0034); 7. TMJ function impairment, left and right TPAJ (p = 0.007); and 8. mandibular motion, left and right TPAJ (p = 0.035, p = 0.0...

Research paper thumbnail of The Influence of Cranio-cervical Posture on Maximal Mouth Opening and Pressure Pain Threshold in Patients With Myofascial Temporomandibular Pain Disorders

The Clinical Journal of Pain, 2011

The aim of this study was to assess the influence of cranio-cervical posture on the maximal mouth... more The aim of this study was to assess the influence of cranio-cervical posture on the maximal mouth opening (MMO) and pressure pain threshold (PPT) in patients with myofascial temporomandibular pain disorders. Materials and Methods: A total of 29 patients (19 females and 10 males) with myofascial temporomandibular pain disorders, aged 19 to 59 years participated in the study (mean years±SD; 34.69±10.83 y). MMO and the PPT (on the right side) of patients in neutral, retracted, and forward head postures were measured. A 1-way repeated measures analysis of variance followed by 3 pairwise comparisons were used to determine differences. Results: Comparisons indicated significant differences in PPT at 3 points within the trigeminal innervated musculature [masseter (M1 and M2) and anterior temporalis (T1)] among the 3 head postures [M1 (F=117.78; P<0.001), M2 (F=129.04; P<0.001), and T1 (F=195.44; P<0.001)]. There were also significant differences in MMO among the 3 head postures (F=208.06; P<0.001). The intrarater reliability on a given day-today basis was good with the interclass correlation coefficient ranging from 0.89 to 0.94 and 0.92 to 0.94 for PPT and MMO, respectively, among the different head postures. Conclusions: The results of this study shows that the experimental induction of different cranio-cervical postures influences the MMO and PPT values of the temporomandibular joint and muscles of mastication that receive motor and sensory innervation by the trigeminal nerve. Our results provide data that supports the biomechanical relationship between the cranio-cervical region and the dynamics of the temporomandibular joint, as well as trigeminal nociceptive processing in different cranio-cervical postures.

Research paper thumbnail of Exercise for total well being mobilization-stabilization

... para imprimir. experimental, Documentos relacionados. Id: 144120. Autor: Rocabado, Mariano; A... more ... para imprimir. experimental, Documentos relacionados. Id: 144120. Autor: Rocabado, Mariano; Antoniotti, Terri. Título: Exercise for total well being mobilization-stabilization. Fonte: Santiago de Chile; International Fundamental Rocabado Center; 1994. 103 p. ilus. Idioma: En. ...

Research paper thumbnail of International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study

Journal of Oral Rehabilitation, 2020

Objective: To identify assessment tools used to evaluate patients with temporomandibular disorder... more Objective: To identify assessment tools used to evaluate patients with temporomandibular disorders (TMD) considered to be clinically most useful by a panel of international experts in TMD physical therapy (PT). Methods: A Delphi survey method administered to a panel of international experts in TMD PT was conducted over three rounds from October 2017 to June 2018. The initial contact was made by email. Participation was voluntary. An e-survey, according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), was posted using SurveyMonkey for each round. Percentages of responses were analysed for each question from each round of the Delphi survey administrations. Results: Twenty-three experts (completion rate: 23/25) completed all three rounds of the survey for three clinical test categories: 1) questionnaires, 2) pain screening tools and 3) physical examination tests. The following was the consensus-based decision regarding the identification of the clinically most useful assessments. (1) Four of 9 questionnaires were identified: Jaw Functional Limitation (JFL-8), Mandibular Function Impairment Questionnaire (MFIQ), Tampa Scale for Kinesiophobia for Temporomandibular disorders (TSK/TMD) and the neck disability index (NDI). (2) Three of 8 identified pain screening tests: visual analog scale (VAS), numeric pain rating scale (NRS) and pain during mandibular movements. (3) Eight of 18 identified physical examination tests: physiological temporomandibular joint (TMJ) movements, trigger point (TrP) palpation of the masticatory muscles, TrP palpation away from the masticatory system, accessory movements, articular palpation, noise detection during movement, manual screening of the cervical spine and the Neck Flexor Muscle Endurance Test. Conclusion: After three rounds in this Delphi survey, the results of the most used assessment tools by TMD PT experts were established. They proved to be founded on test construct, test psychometric properties (reliability/validity) and expert preference for test clusters. A concordance with the screening tools of the diagnostic criteria of TMD consortium was noted. Findings may be used to guide policymaking purposes and future diagnostic research.

Research paper thumbnail of Neural Basis of Etiopathogenesis and Treatment of Cervicogenic Orofacial Pain

Medicina

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Arthrokinematics of the Temporomandibular Joint

Dental Clinics of North America

Research paper thumbnail of Case report: Anterior open bite correction treatment by dental treatment and physical therapy through craniocervical mandibular and occlusal stabilization

CRANIO®, 2021

BACKGROUND The opinion on whether a patient with an anterior open bite should be treated surgical... more BACKGROUND The opinion on whether a patient with an anterior open bite should be treated surgically or not is controversial. These patients generally suffer from associated discomfort due to their occlusal instability and musculoskeletal pain. CLINICAL PRESENTATION A 60-year-old woman visited the clinic with dental mobility of her upper central incisors as her chief complaint. She had a severe anterior open bite, with a history of continuous grinding and multiple dental restorations in poor condition. Additionally, she suffered neck pain with movement restrictions. CONCLUSION Dentists can evaluate and treat patients with an anterior open bite using this integrative model (physical therapy/dentistry) as a possible alternative as part of the treatment for anterior open bite patients.

Research paper thumbnail of Orofacial, Nasal Respiratory and Lower-Quarter Symptoms in a Complex Presentation With Dental Malocclusion and Facial Scoliosis

Clinical Reasoning in Musculoskeletal Practice, 2019

Research paper thumbnail of Musculoskeletal Approach to Maxillofacial Pain

Research paper thumbnail of Biomechanical Relationship of the Cranial, Cervical, and Hyoid Regions

Journal of Craniomandibular Practice, 1983

The relationship between the cranial, cervical, and hyoid regions can be modified by removable or... more The relationship between the cranial, cervical, and hyoid regions can be modified by removable orthopedic appliances installed by the dentist and by manual orthopedic techniques applied to the cervical spine by the physical therapist. However, each of these disciplines evaluates and treats according to the patient's symptoms and various objective criteria that are primarily limited to that field. The author suggests that these two approaches to normalizing those relationships must be coordinated. He presents an objective method of evaluating x-rays to determine the impact of both disciplines, and suggests that this can help determine the normal biomechanical relationship of these structures. He also discusses the importance of the following points as they relate to this method: 1. The position of the hyoid bone in determining the appropriate curvature of the cervical spine. 2. The distance between the occiput and the atlas and its relevance to the headache syndrome. 3. The angular relationship of the cranium and the cervical spme.

Research paper thumbnail of Valoración de la hipermovilidad articular y parafunciones en casos de disfunción temporomandibular

Research paper thumbnail of Biomechanical Relationship of the Cranial, Cervical, and Hyoid Regions

The Journal of cranio-mandibular practice, Jun 1, 1983

The relationship between the cranial, cervical, and hyoid regions can be modified by removable or... more The relationship between the cranial, cervical, and hyoid regions can be modified by removable orthopedic appliances installed by the dentist and by manual orthopedic techniques applied to the cervical spine by the physical therapist. However, each of these disciplines evaluates and treats according to the patient's symptoms and various objective criteria that are primarily limited to that field. The author suggests that these two approaches to normalizing those relationships must be coordinated. He presents an objective method of evaluating x-rays to determine the impact of both disciplines, and suggests that this can help determine the normal biomechanical relationship of these structures. He also discusses the importance of the following points as they relate to this method: 1. The position of the hyoid bone in determining the appropriate curvature of the cervical spine. 2. The distance between the occiput and the atlas and its relevance to the headache syndrome. 3. The angular relationship of the cranium and the cervical spme.

Research paper thumbnail of The Importance of Soft Tissue Mechanics in Stability and Instability of the Cervical Spine: A Functional Diagnosis for Treatment Planning

Cranio-the Journal of Craniomandibular Practice, Apr 1, 1987

This paper outlines the concept of a median vertebral column, a philosophy recognized in the orth... more This paper outlines the concept of a median vertebral column, a philosophy recognized in the orthopedic field. The philosophy presented here is guided by the principles of facet analysis and is based on the fact that the cervical spine must have physiological curvature to maintain its stability. The paper outlines the concept of "tripodism," the major factors to be considered in treatment planning, a study of 44 cases with vertebral slide, and the method and objectives of facet analysis.

Research paper thumbnail of Sindrome del respirador bucal

Research paper thumbnail of Autonomic nerve regulation in joint hypermobility patients with myofascial trigger points by Musculoskeletal Interfiber Counterirritant Stimulation (MICS)

Medical Engineering & Physics

Research paper thumbnail of Author response for "International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study

Research paper thumbnail of The Importance of Soft Tissue Mechanics in Stability and Instability of the Cervical Spine: A Functional Diagnosis for Treatment Planning

CRANIO®, 1987

This paper outlines the concept of a median vertebral column, a philosophy recognized in the orth... more This paper outlines the concept of a median vertebral column, a philosophy recognized in the orthopedic field. The philosophy presented here is guided by the principles of facet analysis and is based on the fact that the cervical spine must have physiological curvature to maintain its stability. The paper outlines the concept of "tripodism," the major factors to be considered in treatment planning, a study of 44 cases with vertebral slide, and the method and objectives of facet analysis.

Research paper thumbnail of Valoración de la hipermovilidad articular y parafunciones en casos de disfunción temporomandibular

Kinesiologia, Dec 1, 1995

Research paper thumbnail of Períodos fundamentales del suelo de la ciudad de Caracas a partir de mediciones de ruido ambiental

Research paper thumbnail of Cabeza y cuello : tratamiento articular / Mariano Rocabado Seaton

Research paper thumbnail of The relationship between malocclusion, benign joint hypermobility syndrome, condylar position and TMD symptoms

Cranio : the journal of craniomandibular practice, 2012

The current study investigated the association between temporomandibular disorders, malocclusion ... more The current study investigated the association between temporomandibular disorders, malocclusion patterns, benign joint hypermobility syndrome and the initial condylar position. One hundred sixty-two subjects were analyzed using the Rocabado Temporomandibular Pain Analysis; Helkimo Index parameters; the Carter-Wilkinson modified test; and a mounting cast with condylar position indicator registration (MPI). The study revealed a significant association between: 1. Delta H, skeletal pattern (p = 0.034); 2. Delta Y, transversal malocclusion (p = 0.04); 3. right and left, Delta Z, right and left posteroinferior synovial pain (p < 0.05); 4. hypermobility scale, gender (p < 0.001), malocclusion pattern (p = 0.021); 5. TMJ function impairment, gender (p = 0.043); 6. sagittal malocclusion pattern, right temporomandibular pain analysis joint (TPAJ) (p = 0.0034); 7. TMJ function impairment, left and right TPAJ (p = 0.007); and 8. mandibular motion, left and right TPAJ (p = 0.035, p = 0.0...

Research paper thumbnail of The Influence of Cranio-cervical Posture on Maximal Mouth Opening and Pressure Pain Threshold in Patients With Myofascial Temporomandibular Pain Disorders

The Clinical Journal of Pain, 2011

The aim of this study was to assess the influence of cranio-cervical posture on the maximal mouth... more The aim of this study was to assess the influence of cranio-cervical posture on the maximal mouth opening (MMO) and pressure pain threshold (PPT) in patients with myofascial temporomandibular pain disorders. Materials and Methods: A total of 29 patients (19 females and 10 males) with myofascial temporomandibular pain disorders, aged 19 to 59 years participated in the study (mean years±SD; 34.69±10.83 y). MMO and the PPT (on the right side) of patients in neutral, retracted, and forward head postures were measured. A 1-way repeated measures analysis of variance followed by 3 pairwise comparisons were used to determine differences. Results: Comparisons indicated significant differences in PPT at 3 points within the trigeminal innervated musculature [masseter (M1 and M2) and anterior temporalis (T1)] among the 3 head postures [M1 (F=117.78; P<0.001), M2 (F=129.04; P<0.001), and T1 (F=195.44; P<0.001)]. There were also significant differences in MMO among the 3 head postures (F=208.06; P<0.001). The intrarater reliability on a given day-today basis was good with the interclass correlation coefficient ranging from 0.89 to 0.94 and 0.92 to 0.94 for PPT and MMO, respectively, among the different head postures. Conclusions: The results of this study shows that the experimental induction of different cranio-cervical postures influences the MMO and PPT values of the temporomandibular joint and muscles of mastication that receive motor and sensory innervation by the trigeminal nerve. Our results provide data that supports the biomechanical relationship between the cranio-cervical region and the dynamics of the temporomandibular joint, as well as trigeminal nociceptive processing in different cranio-cervical postures.

Research paper thumbnail of Exercise for total well being mobilization-stabilization

... para imprimir. experimental, Documentos relacionados. Id: 144120. Autor: Rocabado, Mariano; A... more ... para imprimir. experimental, Documentos relacionados. Id: 144120. Autor: Rocabado, Mariano; Antoniotti, Terri. Título: Exercise for total well being mobilization-stabilization. Fonte: Santiago de Chile; International Fundamental Rocabado Center; 1994. 103 p. ilus. Idioma: En. ...

Research paper thumbnail of International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study

Journal of Oral Rehabilitation, 2020

Objective: To identify assessment tools used to evaluate patients with temporomandibular disorder... more Objective: To identify assessment tools used to evaluate patients with temporomandibular disorders (TMD) considered to be clinically most useful by a panel of international experts in TMD physical therapy (PT). Methods: A Delphi survey method administered to a panel of international experts in TMD PT was conducted over three rounds from October 2017 to June 2018. The initial contact was made by email. Participation was voluntary. An e-survey, according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), was posted using SurveyMonkey for each round. Percentages of responses were analysed for each question from each round of the Delphi survey administrations. Results: Twenty-three experts (completion rate: 23/25) completed all three rounds of the survey for three clinical test categories: 1) questionnaires, 2) pain screening tools and 3) physical examination tests. The following was the consensus-based decision regarding the identification of the clinically most useful assessments. (1) Four of 9 questionnaires were identified: Jaw Functional Limitation (JFL-8), Mandibular Function Impairment Questionnaire (MFIQ), Tampa Scale for Kinesiophobia for Temporomandibular disorders (TSK/TMD) and the neck disability index (NDI). (2) Three of 8 identified pain screening tests: visual analog scale (VAS), numeric pain rating scale (NRS) and pain during mandibular movements. (3) Eight of 18 identified physical examination tests: physiological temporomandibular joint (TMJ) movements, trigger point (TrP) palpation of the masticatory muscles, TrP palpation away from the masticatory system, accessory movements, articular palpation, noise detection during movement, manual screening of the cervical spine and the Neck Flexor Muscle Endurance Test. Conclusion: After three rounds in this Delphi survey, the results of the most used assessment tools by TMD PT experts were established. They proved to be founded on test construct, test psychometric properties (reliability/validity) and expert preference for test clusters. A concordance with the screening tools of the diagnostic criteria of TMD consortium was noted. Findings may be used to guide policymaking purposes and future diagnostic research.

Research paper thumbnail of Neural Basis of Etiopathogenesis and Treatment of Cervicogenic Orofacial Pain

Medicina

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Research paper thumbnail of Arthrokinematics of the Temporomandibular Joint

Dental Clinics of North America

Research paper thumbnail of Case report: Anterior open bite correction treatment by dental treatment and physical therapy through craniocervical mandibular and occlusal stabilization

CRANIO®, 2021

BACKGROUND The opinion on whether a patient with an anterior open bite should be treated surgical... more BACKGROUND The opinion on whether a patient with an anterior open bite should be treated surgically or not is controversial. These patients generally suffer from associated discomfort due to their occlusal instability and musculoskeletal pain. CLINICAL PRESENTATION A 60-year-old woman visited the clinic with dental mobility of her upper central incisors as her chief complaint. She had a severe anterior open bite, with a history of continuous grinding and multiple dental restorations in poor condition. Additionally, she suffered neck pain with movement restrictions. CONCLUSION Dentists can evaluate and treat patients with an anterior open bite using this integrative model (physical therapy/dentistry) as a possible alternative as part of the treatment for anterior open bite patients.

Research paper thumbnail of Orofacial, Nasal Respiratory and Lower-Quarter Symptoms in a Complex Presentation With Dental Malocclusion and Facial Scoliosis

Clinical Reasoning in Musculoskeletal Practice, 2019

Research paper thumbnail of Musculoskeletal Approach to Maxillofacial Pain

Research paper thumbnail of Biomechanical Relationship of the Cranial, Cervical, and Hyoid Regions

Journal of Craniomandibular Practice, 1983

The relationship between the cranial, cervical, and hyoid regions can be modified by removable or... more The relationship between the cranial, cervical, and hyoid regions can be modified by removable orthopedic appliances installed by the dentist and by manual orthopedic techniques applied to the cervical spine by the physical therapist. However, each of these disciplines evaluates and treats according to the patient's symptoms and various objective criteria that are primarily limited to that field. The author suggests that these two approaches to normalizing those relationships must be coordinated. He presents an objective method of evaluating x-rays to determine the impact of both disciplines, and suggests that this can help determine the normal biomechanical relationship of these structures. He also discusses the importance of the following points as they relate to this method: 1. The position of the hyoid bone in determining the appropriate curvature of the cervical spine. 2. The distance between the occiput and the atlas and its relevance to the headache syndrome. 3. The angular relationship of the cranium and the cervical spme.