Juvenile Idiopathic Arthritis (JIA) is the most common rheumatic disease in childhood and adolescence with a prevalence of .07 to 4.01 per 1,000 children (Keller, 2015). Unfortunately, detection of temporomandibular joint (TMJ) arthritis in children with JIA is difficult as early signs and symptoms are not often present (Kuseler, 2005). MRI’s are expensive, time consuming, not available everywhere and the imaging procedure, especially for young children, is demanding (Keller, 2015). Although, the consequences of not detecting TMJ involvement seem to far outweigh the costs of performing screening. Included in this protocol will be maximal incisal opening (MIO), deviation upon opening, condylar translation, and neck mobility. If the patient is determined to have potential TMJ arthritic involvement, then moving forward with referral, further evaluation methods and treatment is warranted. Overall, though research is still limited on the accuracy of clinical exams to determine early involvement of the TMJ in those with JIA, I believe this proposed screening protocol can be a start for future patients.
Doctor of Physical Therapy (DPT)
Jodi Schilz, PhD
TMJ, JIA, screening, protocol
Striedel, Megan L. Ms. "Screening Protocol for TMJ Involvement in those with Juvenile Idiopathic Arthritis." (2018). https://digitalrepository.unm.edu/dpt/138