Rocabados 6x6 Exercise Program Rocabado advocates the instruction of
six fundamental components of activity for treatment of TMJ dysfunction.
He recommends that patients complete each activity 6x/session and 6x/day.
The activities are as follows: (dapat nakaupong straight (use a mirror) at hindi nakayuko)
1) Tongue Clucking making a clucking sound positions the tongue
against the hard palate in the correct resting position for appropriate nasal
and diaphragmatic breathing. Once the activity is practiced, the patient is
to attempt to maintain appropriate tongue / jaw resting position throughout
normal activity. (parang ginagaya mo yung tiktik ng butiki)
2) Controlled TMJ Rotation on Opening Patients are taught to maintain
their tongue on the hard palate while opening and closing the jaw. This
position limits opening to rotational portions only and prevents excessive
protrusion of the mandible. This range of motion is to also be utilized
during chewing, to control hypermobility. (habang nakadikit ang dulo ng dila sa likod ng ngipin, i-open and close ang bibig nang 6 na beses. Dapat ma-maintain na nakadikit ang dila. )
3) Mandibular Rhythmic Stabilization Patients apply resistance to opening,
closing, and lateral deviation with the jaw in a resting position. The goal
is to promote normal positioning of the jaw while maintaining appropriate
postural alignment.
4) Upper Cervical Distraction Patient performs upper cervical flexion while
stabilizing the cervical spine with a hand-collar. The goal is to relieve
neurovascular compression in the upper cervical spine by distracting the
occiput from the atlas. (mas maganda kung ipahawak sa iba ang iyong leeg. Ididikit mo ang baba (chin) sa Adam's apple(pinakamalapit na translation na kaya ko))
5) Axial Extension of the Cervical Spine Patients perform cervical
retraction movements, effecting upper cervical flexion at the same time as
lower cervical extension. The goal is to normalize forward head posture
and to normalize the mechanical relationship of the head, neck, and jaw. (dalhin ang ulo papunta sa likod, habang dumidikit ang baba sa Adam's apple. Dapat hindi tumungo ang ulo)
6) Shoulder Girdle Retraction Patients perform retraction and depression of
the scapulae in relation to the rib cage. The goal is to normalize upper
quarter posture and mechanical relationships. (sabay na ibaba ang magkabilang balikat at ituro sa likod ang mga kamay)
Kaya 6x6 ang tawag sa mga exercise na ito kasi ginagawa ang bawat isa nang anim na ulit. Ang isang set ng exercises ay ginagawa upang mabawasan ang sakit na dulot ng stress sa joint sa panga (jaw) na maaaring kumalat sa ngipin, leeg, balikat at ulo.
