Intro - The Orofacial Recovery Collaborative Care Team

1. Define the general scope of practice for various healthcare professions involved in TMJ disorder management.
2. Describe how collaborative, interdisciplinary care improves outcomes for patients with TMJ disorders and identify each provider’s role within that team.
3. Recognize the importance of legal and regulatory differences in intraoral treatment techniques such as intraoral massage, and emphasize the provider’s responsibility to practice within their legal scope and refer appropriately.

Lecture 1: Introductions

1. Summarize the factors, including emotional tension, poor posture, and physical strain, that contribute to trigger point formation in the jaw, face, and neck muscles, and explain their impact on muscle function.  
2. Identify the principles of safe and effective manual therapy, emphasizing the importance of slow, gentle techniques, proper communication, and minimizing discomfort.  
3. Explain the purpose and benefits of micro stretching and techniques like effleurage for relieving tension, improving circulation, and preparing muscles for therapy.  
4. Recognize contraindications, such as skin infections and deep vein thrombosis, and discuss the importance of screening for underlying conditions to ensure safe and appropriate treatment.  
5. Demonstrate an understanding of proper body mechanics, including the necessity for therapists to maintain relaxed muscles to reduce strain and enhance treatment efficacy. 

Lecture 2: Key Terms for Interprofessional Communication

1. Identify and differentiate key terms related to muscle anatomy, including origin, insertion, antagonist, synergist, stabilizer, and agonist muscles.
2. Analyze joint motion characteristics by recognizing the differences between hard and soft end feel and their clinical significance.
3. Define and classify specific pain and muscle-related terminologies, such as hypertonus, hypotonus, atrophy, spasticity, and rigidity, and understand their impact on range of motion (ROM).

Lecture 3: Types of Movement & Technique Overview

1. Understand Types of Range of Motion (ROM): Define and differentiate between Active Range of Motion (AROM), Passive Range of Motion (PROM), and Resistive Range of Motion (RROM).
2. Explain Muscle Contraction Types: Identify and describe isometric, isotonic, concentric, and eccentric contractions, and their applications in rehabilitation.
3. Apply Movement Techniques in Clinical Settings: Understand how different types of movement and techniques (e.g., PIR, Compression, CRAC) are used to improve mobility and reduce discomfort

Lecture 4: Frontalis, Orbicularis Oris, Levator Anguli Oris, Levator Labii Superioris

1.Identify the origins, insertions, synergists, and antagonists of the primary muscles of facial expression. 

2. Explain the functional roles of these muscles in creating facial expressions.
3. Perform hands-on treatment techniques, such as palpation and massage, to assess and address tension or dysfunction in the muscles of facial expression. 
4. Evaluate the clinical relevance of facial muscles in conditions like Bell’s palsy and TMJ disorders and determine appropriate treatment strategies. 

Lecture 5: Zygomatic Major & Minor, Buccinator, Risorius, Depressor Anguli Oris

1. Identify the origin, insertion, action, and innervation of the Zygomatic Major & Minor, Buccinator, Risorius, and Depressor Anguli Oris muscles.
2. Demonstrate how to test the function and strength of these muscles during a clinical evaluation.
3. Explore treatment techniques to address dysfunction or tension in these muscles and their impact on facial expression.

Lecture 6: Depressor Labii Inferioris, Mentalis, and Tying Muscles of Facial Expression Together

1. Describe the anatomy and function of the Depressor Labii Inferioris and Mentalis muscles, including their role in facial expression.
2. Integrate the muscles of facial expression into a cohesive treatment for common dysfunctions.
3. Practice techniques for assessing and treating these muscles in relation to overall facial symmetry and function.

Lecture 7: Extrinsic Muscles of the Tongue

1. Identify the origin, insertion, action, and innervation of the extrinsic muscles of the tongue (Genioglossus, Hyoglossus, Styloglossus, and Palatoglossus).
2. Explain the role of the extrinsic tongue muscles in speech, swallowing, and oral function.
3. Demonstrate assessment and treatment techniques for addressing dysfunction in the extrinsic tongue muscles.

Lecture 8: Intrinsic Muscles of the Tongue

1. Describe the anatomy and function of the intrinsic muscles of the tongue (superior longitudinal, inferior longitudinal, transverse, and vertical muscles).
2. Understand the role of the intrinsic tongue muscles in fine motor control and shaping the tongue.
3. Develop treatment strategies to improve tongue mobility and coordination for speech and swallowing.

Lecture 9: Tying Muscles of the Tongue Together in Treatment

1. Synthesize knowledge of the extrinsic and intrinsic tongue muscles to create a comprehensive treatment approach.
2. Practice techniques for assessing tongue function in relation to speech, swallowing, and oral health.
3. Explore case studies to apply treatment strategies for tongue-related dysfunctions.

Lecture 10: The Hyoid Bone and Suprahyoid Muscles

1. Identify the anatomy and function of the hyoid bone and suprahyoid muscles (Digastric, Stylohyoid, Mylohyoid, and Geniohyoid).
2. Explain the role of the suprahyoid muscles in swallowing, speech, and jaw movement.
3. Demonstrate assessment and treatment techniques for dysfunction in the suprahyoid muscles.

Lecture 11: Infrahyoid Muscles and Neck Muscles

1. Describe the anatomy and function of the infrahyoid muscles (Sternohyoid, Omohyoid) and their role in stabilizing the hyoid bone. 
2. Describe the anatomy and function of the neck muscles (Longus Coli, SCM, Trapezius, and Platysma ) and their role in trigger points and facial pain. 
3. Understand the relationship between the infrahyoid muscles and neck posture.
4. Develop treatment strategies to address tension or dysfunction in the infrahyoid muscles and surrounding neck structures.

Lecture 12: Muscles of Mastication and Treatment

1. Identify the anatomy and function of the muscles of mastication (Masseter, Temporalis, Medial Pterygoid, and Lateral Pterygoid).
2. Explain the role of these muscles in chewing, jaw movement, and TMJ function.
3. Demonstrate assessment and treatment techniques for addressing dysfunction in the muscles of mastication.

Lecture 13: Muscle Testing

1. Synthesize knowledge of all muscle groups covered in the course to perform a comprehensive evaluation.
2. Develop treatment plans that address multiple muscle groups and their interrelationships.
3. Practice troubleshooting common clinical scenarios and refining treatment techniques

Lecture 14: Testing and Troubleshooting Scenarios for TMJ - Upper Back

1. Understand the role of the trapezius in TMJ-related tension and apply the pin and stretch technique
2. Identify and treat trigger points in the SCM using the pin and stretch technique
3. Evaluate the impact of trapezius trigger points on facial pain and troubleshooting treatment

Lecture 15: Evaluation & Troubleshooting Scenarios for TMJ – Head and Neck 

1.Understand the importance of warming up the muscle before treatment

2.Apply the principle of pausing when pain occurs and observing the patient's response

3.Analyze the technique of cross-fiber friction and its application

Lecture 16: Comprehensive Assessment of TMJ and Cervical Spine Muscle Function Using Diagnostic Tests

1. Understand the purpose and clinical significance of each test.
2. Learn the correct procedure for performing each test.
3. Interpret the results of each test accurately.
4. Differentiate between conditions based on test outcomes.

Lecture 17: Kinesiology Tape and Nerve Flossing

1. Identify the benefits and purposes of kinesiology tape for TMJ relief and nerve flossing techniques for facial and neck nerves.
2. Explain the step-by-step processes for applying kinesiology tape and performing nerve flossing techniques.
3. Demonstrate the correct application of kinesiology tape and execution of nerve flossing exercises to alleviate TMJ discomfort and improve nerve mobility.
4. Assess the effectiveness of kinesiology tape and nerve flossing techniques by monitoring patient feedback and outcomes.

Lecture 18: The Health History, Exam, Treatment Planning and Billing

1. Identify the purpose and components of a comprehensive health history and exam form.
2. Explain how the health history and exam form supports clinical assessments and treatment decisions.
3. Demonstrate the ability to use the health history and exam form to identify red flags or patterns in patient symptoms.
4. Assess the completeness and accuracy of a filled-out health history and exam form to ensure it provides sufficient information for clinical decision-making.
5. Develop a treatment plan for a client with a specific condition (e.g., TMJ pain, Bell’s Palsy) by integrating assessment findings and therapeutic techniques.

Lecture 19: Referral Letter and Communication with Doctors

1. Learn the key components of a professional referral letter, including patient details, findings, and recommendations.
2. Develop effective communication strategies for collaborating with doctors and other healthcare providers.
3. Practice writing referral letters and role-playing conversations with doctors to build confidence.

Lecture 20: Patient Communication and Education

1. Develop skills to explain treatment plans and expected outcomes to patients clearly and effectively.
2. Learn how to handle difficult conversations, such as discussing fees or addressing patient concerns.
3. Practice educating patients on self-care techniques and the benefits of regular therapy.