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4.2.1.

Specific technique to increase ven-tral glide of the mandible (j)rotru-sion). Inability to open the mouth.

Starting Position: P: Sitting or supine. T: Standing facing P s left side.

Grip: T’s right forearm and hand grip P’s head from behind, fingers against P’s forehead. T stabilizes P’s head between his/her right hand, arm and chest. T’s left hand lies along P's mandible from the right side with fingers behind the angle of the jaw (ramus mandibulae).

Fig. 70 a. Starting Position.

Procedurę: Using this grip, T gradually and maximally pulls ventrally against P’s mandible to produce a ventral glide at the TM-joirtt.

Stimulation of Antagonists: T retains right-hand grip and reverses left-hand grip (to left side of P’s chin). T then asks P to look to the left and then move his/her mandible further in the direction just stretched. T resists that movement to stimulate P’s antagonists.

Notes: During this procedurę P’s mandible should be completely relaxed and P should not attempt to open mouth.

If the restriction of movement is bilateral, the same treatment may be performed on P’s opposite side.

Fig. 70 b. Finał Position.

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