General information
-
Academic year:
- 2025
-
Description:
- This subject aims to study the anatomical, functional and relational background concerning the temporomandibular joint, within the framework of considering the organism as a whole. Pathology. Habits. Diagnosis through the image. Basic treatment in TMA disorders. Interdisciplinary work for handling temporo-mandibular joint injuries.
-
ECTS credits:
- 3
-
Course coordinator:
- Santiago-Jorge Crucci Vázquez
Groups
Group
A
-
Duration:
- One-semester, 1st semester
-
Teaching staff:
- Santiago-Jorge Crucci Vázquez
-
Language of the classes:
- English (100%)
Competences
- Comunicar-se de mode efectiu i clar
- Tenir la capacitat d'aprenentatge autònom
- Resoldre problemes
- Tenir capacitat de gestió d'informació
- Aprendre a aprendre (aprendre de manera autònoma, actualitzar-se i poder aprofundir en coneixements permanentment)
- Resoldre problemes complexos de forma efectiva en el camp de la Fisioteràpia.
- Aplicar pensament crític, lògic i creatiu, mostrant dots d'innovació.
- Treballar de forma autònoma amb responsabilitat i iniciativa.
- Adquirir l'experiència clínica adequada que proporcioni habilitats intel·lectuals i destreses tècniques i manuals; que facilitin la incorporació de valors ètics i professionals; i que desenvolupi la capacitat d'integració dels coneixements adquirits, de manera que, al final dels estudis, els estudiants sàpiguen aplicar-los tant a casos clínics concrets en el medi hospitalari i extrahospitalari, com a actuacions en l'atenció primària i comunitària.
- Valorar l'estat funcional del pacient, considerant els aspectes físics, psicològics i socials.
- Dissenyar el pla d'intervenció en fisioteràpia, atenent a criteris d'adequació, validesa i eficiència.
- Executar, dirigir i coordinar el pla d'intervenció de Fisioteràpia, utilitzant les eines terapèutiques pròpies i atenent a la individualitat de l'usuari.
- Avaluar l'evolució dels resultats obtinguts amb el tractament en relació amb els objectius marcats.
- Proporcionar una atenció de fisioteràpia eficaç, atorgant una assistència integral als pacients.
- Saber treballar en equips professionals com a unitat bàsica en què s'estructuren de forma uni o multidisciplinària i interdisciplinària els professionals i altre personal de les organitzacions assistencials.
Syllabus
1. Theory
• Epidemiology, Stomatognatic system, sensitive inervation
• Osteology, the temporal bone and the mandibule
• Periarticular structures; the muscle: temporal, masseter, medial and lateral pterigoid, suprahyoid muscle (digastric)
• Articular structures: capsule, synovial m., bilaminar zone, disc, temporomandibular ligament
• Biomechanics: artro and osteocinematic of the TMJ. Protraction, retraction, lateral movement, protrution, retrution. Overbite and overjet
• Pathology: disc displacement, hypermovility
• Cervical spine: biomechanical and neurophysiological relation between cervical spine and TMJ. Stabilization
• Relationship TMJ ~ Global Body Posture
2. Practice
• Muscular palpation: intra and extraoral palpation
• Articular palpation: intra and extra articular palpation
• Measurement of the different mandibular movements
• Treatment: passive movilization, intra and extraoral techniques. PA, AP, transversal lateral and medial movement, longitudinal caudal movement, compression
• Muscle treatment
• Differential diagnostic between cervical and TMJ
• Cervical movilization, accesory and physiological movement off upper cervical spine
• Cervical stabilization
Activities
|
Activity type
|
Hours with a teacher
|
Hours without a teacher
|
Virtual hours with a teacher
|
Total
|
| Analysis / case study |
4,00 |
0
|
0
|
4,00 |
| Assessment test |
2,00 |
0
|
0
|
2,00 |
| Theory class |
10,00 |
25,00 |
0
|
35,00 |
| Hands-on class |
12,00 |
0
|
0
|
12,00 |
| Teamwork |
1,00 |
18,00 |
0
|
19,00 |
|
Total
|
29,00 |
43,00 |
0
|
72 |
Bibliography
- Jeffrey P. Okeson (2013). Management of Temporomandibular Disorders and Occlusion. Mosby.
- Peter E. Dawson (2007). Functional Occlusion: From TMJ to Smile Design. Mosby.
- Cesar Fernandez de las Peñas; Juan Mesa Jimenez (2018). Temporomandibular Disorders. Handspring Publishing.
Assessment and Grading
Assessment activities:
|
Description of the activity
|
Assessment Activity
|
% |
Remediable subject
|
| Final Theorical Exam |
Theoretical exam |
40 |
Yes |
| Assessment during practical lessons |
assessment during practical lessons |
25 |
No |
| Written Group work |
Paper analysis presentation |
10 |
No |
| Questionnaires during theoretical lessons |
Questionnaires during theoretical lessons |
25 |
No |
Grading
The student will be assessed by means of a Final Exam; the minimal mark to pass will be 5.00 out of 10.
Specific criteria for the "No show" grade:
Students not attending to neither the continuous assessment nor the final assessment will be marked with a 'not attended' for the corresponding evaluation.
Single Assessment:
The evaluation system in EUSES - UdG is based, in general, in the continuous assessment. If the student wishes to take part in the unique pathway, he / she will need to request it in writing to the lecturer of the subject and the degree coordinator during the first two weeks of the Semester.
Practical and theorical exam. 100% of the final mark
Minimum requirements to pass:
A minimum grade of 5.0 will be required to pass the subject
Mentorship
The tutorials will be carried out in person in enabled classrooms, and also virtually.
Communication and interaction with students
Communication and interaction with the students will be done in person and virtually throughout the forum of Moodle, video-conferencing means and email.
Remarks
Learning outcomes:
- Identifying the anatomical structures of the temporo-mandibular Joint as a knowledge base to establish dynamic relationships with the functional organisation.
- Knowing the physiological and structural changes at the local joint and global level of the body occuring as a result of the application of Physiotherapy.
- Identifying the most appropriate physiotherapeutic treatment in the different alteration processes, health prevention and promotion as well as in the growth and development processes.
- Identifying the situation of the patient/user through a diagnosis of physiotherapy care, planning interventions and effectiveness evaluations in a cooperative work environment with other professionals in health sciences.
- Knowing and applying the guidelines for good clinical practice.
Design Amendment
Amendment of activities:
On line teaching activities. Video conferences, clinical reasoning, case analysis, scientific papers analysis
Amendment of the assessment:
According to public health restrictions, in which we won't be able to do the evaluation process in person, the theoretical exam will be carry out by Moodle and the practical exam will be assessed by a video recording provided by the students according to the guidelines indicated by the professor
Mentoring and communication:
On-line modality