The CRAFTA® Foundations course focuses on the assessment and management of the craniomandibular-facial region and its functional relations. Students will learn about pain mechanisms of the relevant craniomandibular structures, the function of the temporomandibular joint (TMJ) and the neurophysiological, biomechanical, and functional relationships with the cervical spine. Primary topics include the subjective and physical examination and various treatment techniques of the TMJ.
The course includes an up-to-date review of the current neurobiological and anatomical knowledge of the function of the TMJ. In addition, theoretical presentation will include introduction to various clinical syndromes, such as bruxism, clenching, (cervical) headaches, neuralgias, and the otomandibular syndrome. The course includes theoretical and practical sessions.
For the craniofacial region, students will learn to identify and recognize clinical patterns as well as develop clinical skills for the assessment and management of the craniofacial region within a defined clinical reasoning model. This course includes a thorough review of the function, anatomy, biomechanical properties, pathology, examination and treatment of the craniofacial region.
The CRAFTA® Foundations course, students will expand their knowledge in the assessment and treatment of patients with craniofacial pain and dysfunction. Much attention will be paid to pain mechanisms, neuroanatomy, neurodynamics, and the examination and treatment of the cranial nervous system. In addition, the course will highlight specific assessment and management strategies of the neuro- and viscerocranium, and review neuropathic and update neuropathic pain, specific testing, clinical pattern recognition, and pathologies of all cranial nerves.
A mechano-sensitivity classification model will be included with specific cranial nerve tests. When possible, this course features a patient demonstration where the information gained from the course may be applied in a practical manner.
Specific theoretical lectures include:
• Functional neuro-anatomy
• Clinical differential diagnoses
• The function and anatomy of the neuro- and viscerocranium
• Cranial growth models
• Models of cranial movement and management objectives
• The facial skeleton
• Treatment principles
• Update neuropathic-neurogenic pain
• Neuroanatomy of cranial tissue
• Principles of treatment of cranial neurodynamics
• Specific pathologies of cranial nerves
• Syndromes including neuropathies, facial paresis, and phantom pain after tooth extraction, among others.
Specific practical sessions include:
• Palpation of reference points
• The physical examination
• Manual treatment techniques
• Treatment Set-up, general and targeting specific syndromes
• Patient presentations with follow up
• Palpation of the cranial structures
• General and specific examination and treatment techniques of the neuro- and viscera cranium
• Palpation of reference points of cranial nerve tissue
• Physical examination of the 12 cranial nerves: conduction tests, neurodynamic tests, palpation
• Manual treatment techniques
• Treatment parameters in general and for targeting specific syndromes
• Patient presentation with follow up
• General and specific examination and treatment techniques of the mechanical interface (parts of the neuro- and viscerocranium)
• Examine the craniomandibular region
• Formulate a clinical reasoning model for the management of patients with craniomandibular dysfunctions
• Identify clinical patterns and etiological and other contributing factors applicable to the craniomandibular region
• Recognize specific pain patterns and muscle, joint and nerve structures
• Treat patients with craniomandibular dysfunctions using a specific neuromusculoskeletal management approach
• Understand the current knowledge about the neuroanatomy, neurodynamics and pathobiology of the cranial region in relation to pain mechanisms
• Apply a clinical reasoning process based on evidence-informed practice
• Recognize clinical patterns related to the cranial nervous system
• Apply manual skills for the assessment and treatment of cranial nerve tissue
• Assess and treat the neuro-viscerocranium with specific techniques
• Recognize various craniofacial dysfunctions in patients with long term craniofacial dysfunctions and pain
• Assess cranial tissue with conduction-neurodynamic tests and palpation
• Plan a long-term treatment and management strategy for patients with craniofacial tissue dysfunction