89 (153)

4.2.2.    Specific technique to increase side-

to-side glide of thc mandible. Inabil-ity to opert the mouth.

Starting Position: P: Sitting or supine. T: Standing oblique behind P to P’s right.

Grip: T's left forearm and hand grip P’s head, hand against P's forehead. T stabilizes P's head between his/her left hand. arm and chest. T’s right hand is under P’s right .zygomatic arch with T's thenar eminence on the ramus of P’s mandible.

Fig. 71 a. Starting Position.

Procedurę: Using this grip, T gradually and fully pushes medially to move the right head of P’s mandible medially (inwards) at the TM joint.

Stimulation of Antagonists: T reverses grip, inter-changing relative positions of right and left hands, and then asks P to look to the left and move the mandible to the left. T resists that movement to stimulate P’s antagonists.

Notes: During this procedurę, the left head of P's mandible is moved laterally (outwards).

To mobilize the mandible in the opposite direc-tion, this treatment may be repeated on P’s opposite side.

Fig. 71 b. Finał Position.

89