Which intervention focuses on motor control and should be initiated at the first visit for a patient with aberrant jaw motion?

• A. Manual resistance training
• B. Controlled range of motion exercises
• C. Jaw joint distraction techniques
• D. Home stretching exercises

Answer: (B)

Controlled range of motion exercises are particularly effective for addressing aberrant jaw motion because they promote awareness of movement patterns and help restore normal jaw function. This type of intervention can be critical in the early stages of treatment, as it allows the patient to engage in activities that improve motor control without overloading the affected structures. By guiding the patient through specific, controlled movements, these exercises can help reduce discomfort and retrain the neuromuscular system, leading to improved coordination and stability of the jaw.

In contrast, other interventions, such as manual resistance training, may focus on strengthening muscles but might not directly address the immediate need for correcting abnormal motion patterns. Jaw joint distraction techniques are typically used later in the treatment process when there's a need to alleviate joint compression or intra-articular pressure, while home stretching exercises, while beneficial, may not provide the immediate feedback and guidance necessary for motor control that controlled range of motion exercises offer at the outset of treatment. Therefore, initiating controlled range of motion exercises at the first visit is crucial for establishing a foundation for effective rehabilitation.