Evaluation & Treatment Planning Flashcards
7 cards from real CMT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Evaluation & Treatment Planning flashcards as text
A CMT therapist is evaluating an adult patient who reports neck pain and TMJ clicking. Which myofunctional assessment finding would MOST likely connect these symptoms?
Answer: Bilateral masseter hypertrophy with clenching habit
Masseter hypertrophy from clenching increases joint loading, which can cause TMJ clicking and associated cervical muscle tension.
When evaluating a lingual frenum, which clinical finding would MOST indicate a referral for frenectomy prior to myofunctional therapy?
Answer: Tongue tip cannot reach the palate and 'bowstrings' on protrusion
A frenum that prevents palatal contact and bowstrings on protrusion indicates a significant restriction requiring frenectomy before myofunctional exercises can be effective.
A therapist documents 'interdental lisp' in a pediatric patient during the speech evaluation. Which muscle function is MOST likely contributing to this finding?
Answer: Forward tongue placement during sibilant production
An interdental lisp results from the tongue protruding between the teeth during /s/ and /z/ production, reflecting forward tongue positioning.
Which assessment method provides the MOST objective measure of lip seal strength during a myofunctional evaluation?
Answer: Button pull-test with measured force gauge
The button pull-test using a calibrated force gauge objectively quantifies orbicularis oris strength for pre- and post-treatment comparison.
During treatment planning, a CMT identifies that a patient has both an atypical swallow and a digit-sucking habit. Which issue should be addressed FIRST?
Answer: Digit-sucking habit, because eliminating it reduces the reinforcing stimulus
Eliminating the digit-sucking habit removes the primary causative factor that perpetuates the tongue thrust pattern.
Which breathing assessment finding during a CMT evaluation would MOST prompt a referral to an ENT physician?
Answer: Consistent mouth breathing at rest with nasal congestion unresponsive to allergy treatment
Persistent mouth breathing at rest that does not respond to medical management requires ENT evaluation to rule out structural obstruction.
A treatment plan for an adult with myofunctional disorder should ALWAYS include:
Answer: Collaboration with the patient's dentist or orthodontist to coordinate care
Coordination with the patient's dental team is essential to align myofunctional therapy goals with any structural or orthodontic treatment.