{"id":9557,"date":"2026-09-21T15:38:57","date_gmt":"2026-09-21T12:38:57","guid":{"rendered":"https:\/\/expertlaser.ro\/?p=9557"},"modified":"2026-09-21T15:46:44","modified_gmt":"2026-09-21T12:46:44","slug":"exercitii-pentru-atm-articulatia-temporo-mandibulara-cand-ajuta-si-de-ce-nu-exista-un-exercitiu-potrivit-pentru-orice-maxilar","status":"publish","type":"post","link":"https:\/\/expertlaser.ro\/en\/expert-laser-center-blog\/exercitii-pentru-atm-articulatia-temporo-mandibulara-cand-ajuta-si-de-ce-nu-exista-un-exercitiu-potrivit-pentru-orice-maxilar\/","title":{"rendered":"TMJ (temporomandibular joint) exercises: when they help and why there is no one-size-fits-all jaw exercise"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"9557\" class=\"elementor elementor-9557\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bd23305 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bd23305\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f8a71eb\" data-id=\"f8a71eb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-538fd30 elementor-widget elementor-widget-text-editor\" data-id=\"538fd30\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Te doare maxilarul diminea\u021ba? Sim\u021bi c\u0103 este \u00eencordat, c\u0103 deviaz\u0103 c\u00e2nd deschizi gura sau c\u0103 nu se mai mi\u0219c\u0103 la fel de liber? Poate ai primit deja sfatul: <strong>\u201eF\u0103 ni\u0219te exerci\u021bii pentru ATM\u201d<\/strong>.<\/p><p>Este un <strong>sfat bun doar pe jum\u0103tate<\/strong>! Exerci\u021biul terapeutic are un loc real \u00een recuperarea disfunc\u021biilor temporo-mandibulare (TMD), iar literatura medical\u0103 sus\u021bine utilizarea lui. Problema apare atunci c\u00e2nd acela\u0219i set de exerci\u021bii este recomandat tuturor pacien\u021bilor, indiferent de cauza durerii.<\/p><p><em><strong>O articula\u021bie care doare nu are neap\u0103rat nevoie de mai mult\u0103 mi\u0219care. Are nevoie, \u00eenainte de toate, s\u0103 \u00een\u021belegem de ce doare.<\/strong><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf483ea elementor-widget elementor-widget-heading\" data-id=\"cf483ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ce spune literatura despre exerci\u021biile pentru ATM?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c2f0c0f elementor-widget elementor-widget-text-editor\" data-id=\"c2f0c0f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>O meta-analiz\u0103 publicat\u0103 \u00een <em>Clinical Rehabilitation<\/em>, care a inclus 16 studii \u0219i 812 pacien\u021bi, a ar\u0103tat c\u0103 exerci\u021biul terapeutic poate reduce durerea \u0219i poate \u00eembun\u0103t\u0103\u021bi at\u00e2t deschiderea activ\u0103, c\u00e2t \u0219i pe cea pasiv\u0103 a gurii.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36263523\/\" target=\"_blank\" rel=\"noopener\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/36263523\/<\/u><\/a><\/p><p>Rezultatele sunt sus\u021binute \u0219i de ghidul clinic publicat \u00een <em>BMJ<\/em> pentru durerea cronic\u0103 asociat\u0103 TMD. Acesta formuleaz\u0103 recomand\u0103ri puternice pentru exerci\u021biul mandibular \u0219i stretchingul supravegheate, exerci\u021biul postural supravegheat \u0219i alte interven\u021bii conservative active. <a href=\"https:\/\/www.bmj.com\/content\/383\/bmj-2023-076227?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><u>https:\/\/www.bmj.com\/content\/383\/bmj-2023-076227?utm_source=chatgpt.com<\/u><\/a><\/p><p>Un review din 2023 ajunge \u00eens\u0103 la o concluzie care merit\u0103 re\u021binut\u0103: exerci\u021biile par eficiente, \u00een special cele de coordonare, dar studiile sunt foarte diferite \u00eentre ele \u0219i \u00eenc\u0103 nu avem parametri universali privind tipul, doza \u0219i frecven\u021ba optim\u0103.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37521175\/\" target=\"_blank\" rel=\"noopener\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/37521175\/<\/u><\/a><\/p><p>Cu alte cuvinte, dovezile sus\u021bin <strong>exerci\u021biul terapeutic<\/strong>, nu o re\u021bet\u0103 universal\u0103 de tip \u201e10 repet\u0103ri de trei ori pe zi pentru orice ATM\u201d.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-01ab1cd elementor-widget elementor-widget-heading\" data-id=\"01ab1cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">De ce nu putem trata toate disfunc\u021biile ATM cu acelea\u0219i exerci\u021bii?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f30571a elementor-widget elementor-widget-text-editor\" data-id=\"f30571a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Pentru c\u0103 <strong>TMD nu reprezint\u0103 o singur\u0103 boal\u0103.<\/strong>\u00a0\u00cen spatele aceleia\u0219i propozi\u021bii \u2014 \u201em\u0103 doare articula\u021bia maxilarului\u201d \u2014 putem g\u0103si o durere predominant muscular\u0103, artralgie, deplasare discal\u0103 cu reducere, deplasare discal\u0103 f\u0103r\u0103 reducere \u0219i limitarea deschiderii, hipermobilitate sau o combina\u021bie a acestora.<\/p><p>\u00cen plus, func\u021bia mandibulei nu depinde exclusiv de articula\u021bie. Sunt implicate musculatura masticatorie, structurile capsulo-ligamentare, discul articular, controlul neuromotor, regiunea cervical\u0103 \u0219i comportamente precum \u00eencle\u0219tarea repetat\u0103 a din\u021bilor.<\/p><p>De aceea, <strong>scopul exerci\u021biului poate fi diferit de la un pacient la altul<\/strong>: relaxare, control motor, mobilitate, coordonare, cre\u0219terea progresiv\u0103 a toleran\u021bei la mi\u0219care sau recuperarea unei func\u021bii pierdute.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e33608 elementor-widget elementor-widget-heading\" data-id=\"6e33608\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">7 exerci\u021bii folosite \u00een recuperarea ATM\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c61d2f2 elementor-widget elementor-widget-text-editor\" data-id=\"c61d2f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Exerci\u021biile de mai jos sunt exemple educa\u021bionale, nu un protocol universal de tratament. Dac\u0103 exist\u0103 blocaj mandibular, traumatism recent, durere important\u0103 sau limitare progresiv\u0103 a deschiderii gurii, este indicat\u0103 evaluarea \u00eenaintea unui program nesupravegheat.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a9b593d elementor-widget elementor-widget-heading\" data-id=\"a9b593d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. \u00cenva\u021b\u0103 pozi\u021bia de repaus a mandibulei\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c681e48 elementor-widget elementor-widget-text-editor\" data-id=\"c681e48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00cen repaus, din\u021bii nu trebuie men\u021binu\u021bi permanent \u00een contact.\u00a0A\u0219az\u0103 u\u0219or limba pe palat, relaxeaz\u0103 mandibula \u0219i las\u0103 arcadele dentare f\u0103r\u0103 contact. Buzele pot r\u0103m\u00e2ne apropiate, f\u0103r\u0103 tensiune.<\/p><p>Pare prea simplu ca s\u0103 conteze?<\/p><p>Pentru persoana care petrece ore \u00eentregi \u00eencle\u0219t\u00e2nd incon\u0219tient din\u021bii, nu este deloc simplu. Reeducarea pozi\u021biei de repaus poate ajuta la reducerea suprasolicit\u0103rii musculare produse de contactul dentar non-func\u021bional repetat.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f1d2f4 elementor-widget elementor-widget-heading\" data-id=\"9f1d2f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. Deschiderea controlat\u0103 \u00een oglind\u0103\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4048d18 elementor-widget elementor-widget-text-editor\" data-id=\"4048d18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Stai \u00een fa\u021ba oglinzii \u0219i deschide lent gura p\u00e2n\u0103 la o amplitudine confortabil\u0103. \u00cenchide la fel de lent.\u00a0Urm\u0103re\u0219te traseul mandibulei. R\u0103m\u00e2ne relativ centrat? Deviaz\u0103? Descrie un traseu \u00een \u201eS\u201d? Apare un salt \u00een momentul clickului?<\/p><p>Oglinda ofer\u0103 feedback vizual. Scopul nu este s\u0103 deschizi gura c\u00e2t mai mult, ci s\u0103 exersezi, atunci c\u00e2nd este indicat, <strong>o mi\u0219care lent\u0103 \u0219i controlat\u0103<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3030e93 elementor-widget elementor-widget-heading\" data-id=\"3030e93\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Deschiderea cu limba pe palat\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-347e15b elementor-widget elementor-widget-text-editor\" data-id=\"347e15b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A\u0219az\u0103 v\u00e2rful limbii pe palat, imediat posterior de incisivii superiori, \u0219i deschide lent mandibula men\u021bin\u00e2nd contactul limbii.\u00a0Mi\u0219carea este inten\u021bionat limitat\u0103. Exerci\u021biul poate fi utilizat pentru controlul motor al deschiderii, nu pentru ob\u021binerea amplitudinii maxime.<\/p><p>Dac\u0103 apare durere important\u0103 sau blocaj, nu for\u021ba mi\u0219carea.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5ed986 elementor-widget elementor-widget-heading\" data-id=\"f5ed986\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. Izometrie pentru deschidere\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-067907b elementor-widget elementor-widget-text-editor\" data-id=\"067907b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A\u0219az\u0103 u\u0219or m\u00e2na sub b\u0103rbie \u0219i \u00eencearc\u0103 s\u0103 ini\u021biezi deschiderea gurii \u00een timp ce m\u00e2na opune o rezisten\u021b\u0103 mic\u0103. Mandibula se deplaseaz\u0103 foarte pu\u021bin sau deloc.\u00a0Aici vorbim despre o contrac\u021bie izometric\u0103.<\/p><p>Rezisten\u021ba trebuie s\u0103 fie bl\u00e2nd\u0103. Scopul nu este s\u0103 \u201eantren\u0103m maxilarul\u201d cu for\u021b\u0103 maxim\u0103, ci s\u0103 lucr\u0103m controlat asupra func\u021biei neuromusculare.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ed9c75 elementor-widget elementor-widget-heading\" data-id=\"7ed9c75\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">5. Izometrie pentru lateralitate\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3e146c elementor-widget elementor-widget-text-editor\" data-id=\"a3e146c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Aplic\u0103 o rezisten\u021b\u0103 u\u0219oar\u0103 cu m\u00e2na pe partea lateral\u0103 a mandibulei \u0219i \u00eencearc\u0103 delicat deplasarea \u00een acea direc\u021bie, f\u0103r\u0103 s\u0103 produci o mi\u0219care ampl\u0103.\u00a0Se poate lucra bilateral, dac\u0103 diagnosticul permite.<\/p><p>Dac\u0103 apare durere articular\u0103 accentuat\u0103, blocaj sau senza\u021bie de instabilitate, exerci\u021biul se opre\u0219te.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81c4fcf elementor-widget elementor-widget-heading\" data-id=\"81c4fcf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">6. Mi\u0219c\u0103ri controlate dreapta\u2013st\u00e2nga\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f087ed2 elementor-widget elementor-widget-text-editor\" data-id=\"f087ed2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Mandibula nu func\u021bioneaz\u0103 doar vertical. Lateralitatea este esen\u021bial\u0103 pentru mastica\u021bie.\u00a0Mi\u0219c\u0103rile lente dreapta\u2013st\u00e2nga, executate \u00eentr-o amplitudine confortabil\u0103, pot fi integrate \u00een programele de coordonare \u0219i mobilitate.<\/p><p>Din nou, scopul este <strong>calitatea mi\u0219c\u0103rii<\/strong>, nu amplitudinea maxim\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-13d3d8d elementor-widget elementor-widget-heading\" data-id=\"13d3d8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">7. Nu uita de regiunea cervical\u0103\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c87183c elementor-widget elementor-widget-text-editor\" data-id=\"c87183c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Uneori, pacientul vine pentru maxilar \u0219i o parte important\u0103 a evalu\u0103rii se petrece\u2026 la nivelul g\u00e2tului.\u00a0Nu pentru c\u0103 \u201eorice postur\u0103 gre\u0219it\u0103 provoac\u0103 ATM\u201d, ci pentru c\u0103 sistemele cranio-mandibular \u0219i cervical sunt func\u021bional \u0219i neuromuscular interconectate.<\/p><p>Un exerci\u021biu simplu de control cervical poate presupune retragerea u\u0219oar\u0103 a capului posterior, men\u021bin\u00e2nd privirea \u00eenainte, f\u0103r\u0103 flexie sau extensie exagerat\u0103.<\/p><p>Exist\u0103 \u0219i suport \u0219tiin\u021bific pentru abordarea cervical\u0103 \u00een anumite TMD. O meta-analiz\u0103 din 2024 a g\u0103sit efecte favorabile pe termen scurt ale interven\u021biilor de recuperare cervical\u0103 asupra durerii la adul\u021bii cu TMD miogen, de\u0219i autorii subliniaz\u0103 necesitatea unor date mai bune privind rezultatele pe termen lung.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38454576\/\" target=\"_blank\" rel=\"noopener\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/38454576\/<\/u><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f03117f elementor-widget elementor-widget-image\" data-id=\"f03117f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"605\" height=\"445\" src=\"https:\/\/expertlaser.ro\/wp-content\/uploads\/2026\/09\/exercitii-pentru-atm.webp\" class=\"attachment-large size-large wp-image-9563\" alt=\"exercitii pentru atm\" srcset=\"https:\/\/expertlaser.ro\/wp-content\/uploads\/2026\/09\/exercitii-pentru-atm.webp 605w, https:\/\/expertlaser.ro\/wp-content\/uploads\/2026\/09\/exercitii-pentru-atm-300x221.webp 300w, https:\/\/expertlaser.ro\/wp-content\/uploads\/2026\/09\/exercitii-pentru-atm-16x12.webp 16w\" sizes=\"(max-width: 605px) 100vw, 605px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-63a25f9 elementor-widget elementor-widget-heading\" data-id=\"63a25f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">C\u00e2te repet\u0103ri trebuie s\u0103 faci?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-756c739 elementor-widget elementor-widget-text-editor\" data-id=\"756c739\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Aici r\u0103spunsul medical este mai pu\u021bin spectaculos dec\u00e2t cel de pe social media:\u00a0<strong>depinde.<\/strong>\u00a0Nu exist\u0103 o doz\u0103 universal\u0103 validat\u0103 pentru toate TMD. Literatura utilizeaz\u0103 protocoale diferite, iar heterogenitatea studiilor de fizioterapie r\u0103m\u00e2ne o problem\u0103 important\u0103.\u00a0Doza trebuie adaptat\u0103 diagnosticului, iritabilit\u0103\u021bii \u021besuturilor, durerii, amplitudinii disponibile \u0219i obiectivului urm\u0103rit.<\/p><p>Un pacient cu limitare de mobilitate nu are automat acela\u0219i program ca unul cu hipermobilitate. Iar un pacient cu durere miofascial\u0103 nu trebuie tratat automat ca unul cu patologie intraarticular\u0103.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-24eb5e0 elementor-widget elementor-widget-heading\" data-id=\"24eb5e0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dac\u0103 pocne\u0219te ATM-ul, exerci\u021biile trebuie s\u0103 fac\u0103 clickul s\u0103 dispar\u0103?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c8b8575 elementor-widget elementor-widget-text-editor\" data-id=\"c8b8575\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nu.<\/p><p>Un click poate ap\u0103rea, printre altele, \u00een deplasarea discului articular cu reducere. Dar sunetul articular, luat izolat, nu stabile\u0219te necesitatea tratamentului \u0219i nici tipul acestuia.\u00a0Conteaz\u0103 dac\u0103 exist\u0103 durere, blocaje, limitare func\u021bional\u0103 \u0219i ce diagnostic clinic explic\u0103 simptomele.<\/p><p><strong>Scopul tratamentului nu este s\u0103 v\u00e2n\u0103m orice zgomot articular. Scopul este s\u0103 recuper\u0103m func\u021bia \u0219i s\u0103 control\u0103m simptomele relevante clinic.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c7f1a1 elementor-widget elementor-widget-heading\" data-id=\"5c7f1a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">C\u00e2nd NU ar trebui s\u0103 \u00eencepi singur exerci\u021bii pentru ATM?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-08b9d16 elementor-widget elementor-widget-text-editor\" data-id=\"08b9d16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un maxilar care se blocheaz\u0103 brusc nu este momentul potrivit pentru a testa toate exerci\u021biile g\u0103site online.\u00a0Este indicat\u0103 evaluarea dac\u0103 apare o reducere important\u0103 sau progresiv\u0103 a deschiderii gurii, durere sever\u0103 ori \u00een cre\u0219tere, traumatism recent, luxa\u021bie sau senza\u021bie de instabilitate, tumefac\u021bie, febr\u0103 ori alte semne inflamatorii importante sau simptome neurologice asociate.<\/p><p>\u00cen aceste situa\u021bii, \u00eentrebarea corect\u0103 nu este \u201eCe exerci\u021biu s\u0103 fac?\u201d, ci <strong>\u201eDe ce nu se mai mi\u0219c\u0103 normal mandibula?\u201d<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d301d2 elementor-widget elementor-widget-heading\" data-id=\"7d301d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cum privim exerci\u021biul \u00een recuperarea modern\u0103 a ATM?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1551bcd elementor-widget elementor-widget-text-editor\" data-id=\"1551bcd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Una dintre ideile importante desprinse din literatura actual\u0103 este trecerea de la pacientul tratat exclusiv pasiv la pacientul implicat activ \u00een recuperare.\u00a0Ghidul <em>BMJ<\/em> pentru durerea cronic\u0103 TMD favorizeaz\u0103 mai multe interven\u021bii care \u00eencurajeaz\u0103 mi\u0219carea, activitatea \u0219i autogestionarea, inclusiv exerci\u021biul mandibular supravegheat \u0219i exerci\u021biul postural.\u00a0<a href=\"https:\/\/www.bmj.com\/content\/383\/bmj-2023-076226?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\"><u>https:\/\/www.bmj.com\/content\/383\/bmj-2023-076226?utm_source=chatgpt.com<\/u><\/a><\/p><p>Un review mai recent sugereaz\u0103 c\u0103 at\u00e2t exerci\u021biile specifice mandibulei, c\u00e2t \u0219i unele exerci\u021bii globale pot avea efecte favorabile asupra activit\u0103\u021bii, particip\u0103rii \u0219i calit\u0103\u021bii vie\u021bii. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40490989\/\" target=\"_blank\" rel=\"noopener\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/40490989\/<\/u><\/a><\/p><p><em><strong>A\u0219adar, exerci\u021biile pentru ATM nu sunt \u201egimnastic\u0103 pentru maxilar\u201d<\/strong><\/em><em><strong>, sunt <\/strong><\/em><em><strong>o interven\u021bie terapeutic\u0103 ce trebuie aleas\u0103 \u0219i dozat\u0103 \u00een func\u021bie de problema pe care \u00eencerc\u0103m s\u0103 o rezolv\u0103m.<\/strong><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3eb0a5 elementor-widget elementor-widget-heading\" data-id=\"a3eb0a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-96e9297 elementor-widget elementor-widget-accordion\" data-id=\"96e9297\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1581\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1581\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Exerci\u021biile pot vindeca disfunc\u021bia ATM?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1581\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1581\"><p>Pot reduce durerea \u0219i \u00eembun\u0103t\u0103\u021bi mobilitatea \u0219i func\u021bia \u00een anumite TMD, dar nu exist\u0103 un exerci\u021biu care s\u0103 trateze toate diagnosticele. Meta-analiza disponibil\u0103 sus\u021bine efecte favorabile asupra durerii \u0219i deschiderii gurii.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36263523\/\" target=\"_blank\" rel=\"noopener\"><u>https:\/\/pubmed.ncbi.nlm.nih.gov\/36263523\/<\/u><\/a><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1582\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1582\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Pot face exerci\u021bii dac\u0103 mandibula pocne\u0219te?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1582\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1582\"><p>Uneori, da. Clickul singur nu stabile\u0219te \u00eens\u0103 tratamentul. Dac\u0103 este asociat cu durere, blocaj sau limitare func\u021bional\u0103, este util\u0103 evaluarea \u00eenaintea alegerii programului.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1583\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1583\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Exerci\u021biile trebuie s\u0103 doar\u0103 ca s\u0103 func\u021bioneze?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1583\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1583\"><p>Nu. Durerea intens\u0103, agravarea persistent\u0103 dup\u0103 exerci\u021biu sau apari\u021bia blocajului sunt motive pentru oprirea programului \u0219i reevaluare.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1584\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1584\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Exerci\u021biile pentru g\u00e2t pot ajuta ATM-ul?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1584\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1584\"><p>La anumite persoane cu TMD miogen, interven\u021biile cervicale pot reduce durerea pe termen scurt. Asta nu \u00eenseamn\u0103 \u00eens\u0103 c\u0103 fiecare disfunc\u021bie ATM provine din coloana cervical\u0103.\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1585\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1585\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Ce fac dac\u0103 maxilarul este blocat?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1585\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1585\"><p>Nu \u00eencerca s\u0103 ob\u021bii deschiderea maxim\u0103 prin for\u021bare repetat\u0103. Blocajul poate avea cauze articulare, musculare sau alte mecanisme, iar tratamentul depinde de diagnostic.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1586\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1586\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><svg class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><svg class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">C\u00e2t timp trebuie f\u0103cute exerci\u021biile?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1586\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1586\"><p>Durata \u0219i frecven\u021ba depind de diagnostic \u0219i de r\u0103spunsul clinic. Literatura nu sus\u021bine o singur\u0103 schem\u0103 de repet\u0103ri valabil\u0103 pentru toate TMD.\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Exerci\\u021biile pot vindeca disfunc\\u021bia ATM?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Pot reduce durerea \\u0219i \\u00eembun\\u0103t\\u0103\\u021bi mobilitatea \\u0219i func\\u021bia \\u00een anumite TMD, dar nu exist\\u0103 un exerci\\u021biu care s\\u0103 trateze toate diagnosticele. Meta-analiza disponibil\\u0103 sus\\u021bine efecte favorabile asupra durerii \\u0219i deschiderii gurii.\\u00a0<a href=\\\"https:\\\/\\\/pubmed.ncbi.nlm.nih.gov\\\/36263523\\\/\\\"><u>https:\\\/\\\/pubmed.ncbi.nlm.nih.gov\\\/36263523\\\/<\\\/u><\\\/a><\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Pot face exerci\\u021bii dac\\u0103 mandibula pocne\\u0219te?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Uneori, da. Clickul singur nu stabile\\u0219te \\u00eens\\u0103 tratamentul. Dac\\u0103 este asociat cu durere, blocaj sau limitare func\\u021bional\\u0103, este util\\u0103 evaluarea \\u00eenaintea alegerii programului.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Exerci\\u021biile trebuie s\\u0103 doar\\u0103 ca s\\u0103 func\\u021bioneze?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Nu. Durerea intens\\u0103, agravarea persistent\\u0103 dup\\u0103 exerci\\u021biu sau apari\\u021bia blocajului sunt motive pentru oprirea programului \\u0219i reevaluare.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Exerci\\u021biile pentru g\\u00e2t pot ajuta ATM-ul?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>La anumite persoane cu TMD miogen, interven\\u021biile cervicale pot reduce durerea pe termen scurt. Asta nu \\u00eenseamn\\u0103 \\u00eens\\u0103 c\\u0103 fiecare disfunc\\u021bie ATM provine din coloana cervical\\u0103.\\u00a0<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"Ce fac dac\\u0103 maxilarul este blocat?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Nu \\u00eencerca s\\u0103 ob\\u021bii deschiderea maxim\\u0103 prin for\\u021bare repetat\\u0103. Blocajul poate avea cauze articulare, musculare sau alte mecanisme, iar tratamentul depinde de diagnostic.<\\\/p>\"}},{\"@type\":\"Question\",\"name\":\"C\\u00e2t timp trebuie f\\u0103cute exerci\\u021biile?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Durata \\u0219i frecven\\u021ba depind de diagnostic \\u0219i de r\\u0103spunsul clinic. Literatura nu sus\\u021bine o singur\\u0103 schem\\u0103 de repet\\u0103ri valabil\\u0103 pentru toate TMD.\\u00a0<\\\/p>\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c1a6bb3 elementor-widget elementor-widget-heading\" data-id=\"c1a6bb3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Exerci\u021biul potrivit \u00eencepe cu diagnosticul potrivit\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0d9734a elementor-widget elementor-widget-text-editor\" data-id=\"0d9734a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00cen recuperarea disfunc\u021biilor temporo-mandibulare nu ne intereseaz\u0103 doar <strong>c\u00e2t de mult<\/strong> se deschide gura. Ne intereseaz\u0103 cum se mi\u0219c\u0103 mandibula, unde apare durerea, ce structuri sunt implicate \u0219i ce se \u00eent\u00e2mpl\u0103 cu func\u021bia pacientului.<\/p><p>De aceea, uneori prescriem mobilitate. Alteori control motor. Uneori lucr\u0103m musculatura masticatorie \u0219i regiunea cervical\u0103. Iar alteori primul lucru pe care \u00eel facem este s\u0103 <strong>nu for\u021b\u0103m articula\u021bia<\/strong> p\u00e2n\u0103 nu stabilim cauza limit\u0103rii.<\/p><p>La <strong>Expert Laser Center<\/strong>, recuperarea ATM porne\u0219te de la evaluarea func\u021bional\u0103 \u0219i de la diagnosticul clinic, iar programul de exerci\u021bii este ales \u00een func\u021bie de mecanismul disfunc\u021biei \u0219i adaptat pe parcurs \u00een func\u021bie de r\u0103spuns.<\/p><p>Pentru c\u0103 \u00eentrebarea util\u0103 nu este:\u00a0<strong>\u201eCare este cel mai bun exerci\u021biu pentru ATM?\u201d<\/strong>\u00a0Ci:\u00a0<strong>\u201eCare este exerci\u021biul potrivit pentru ATM-ul meu?\u201d<\/strong><\/p><p><strong>Disfunc\u021biile ATM se afl\u0103 la grani\u021ba dintre recuperare medical\u0103 \u0219i medicina dentar\u0103.<\/strong> Atunci c\u00e2nd tabloul clinic necesit\u0103 \u0219i evaluarea componentelor articulare, dentare \u0219i ocluzale, pacientul poate beneficia de o evaluare interdisciplinar\u0103 \u00een cadrul <u><strong>Innovation Medical Center \u2013 evaluare \u0219i tratament ATM<\/strong><\/u><strong>\u2060<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-901dcd1 elementor-widget elementor-widget-text-editor\" data-id=\"901dcd1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\ud83d\udccd <strong>Expert Laser Center \u2013 Bucure\u0219ti<\/strong><br \/>\u00a0\ud83c\udf10\u00a0<strong>Website:<\/strong>\u00a0<a href=\"https:\/\/expertlaser.ro\/\"><u>https:\/\/expertlaser.ro<\/u><\/a><br \/>\u00a0\ud83d\udcde\u00a0<strong>Telefon:<\/strong>\u00a0<strong>+40753666111<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2213ff1 elementor-widget elementor-widget-text-editor\" data-id=\"2213ff1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Autor: Dr. Anca Adam<\/p><p>Medic Specialist in Medicina Fizica si de Reabilitare, compartiment recuperare neurologic\u0103, Competenta Medicina Traditionala Chineza (Tai Yuan China) , Expert Acupunctur\u0103 Laser &amp; Termografie Medical\u0103 (Barcelona, Spania), LSO (Laser Safety Officer) AALZ Aachen Germany<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Te doare maxilarul diminea\u021ba? Sim\u021bi c\u0103 este \u00eencordat, c\u0103 deviaz\u0103 c\u00e2nd deschizi gura sau c\u0103 nu se mai mi\u0219c\u0103 la fel de liber? Poate ai primit deja sfatul: \u201eF\u0103 ni\u0219te exerci\u021bii pentru ATM\u201d. Este un sfat bun doar pe jum\u0103tate! Exerci\u021biul terapeutic are un loc real \u00een recuperarea disfunc\u021biilor temporo-mandibulare (TMD), iar literatura medical\u0103 sus\u021bine [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":9558,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9557","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-expert-laser-center-blog"],"_links":{"self":[{"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/posts\/9557","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/comments?post=9557"}],"version-history":[{"count":7,"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/posts\/9557\/revisions"}],"predecessor-version":[{"id":9566,"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/posts\/9557\/revisions\/9566"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/media\/9558"}],"wp:attachment":[{"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/media?parent=9557"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/categories?post=9557"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/expertlaser.ro\/en\/wp-json\/wp\/v2\/tags?post=9557"}],"curies":[{"name":"WordPress","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}