When not to use a Night Guard in combination with a Proprioceptive Insole

Consequences of Using Too Strong of a Proprioceptive Signal or an Incorrect Proprioceptive Signal



This patient has a mixed postural distortional pattern: ascending major (preclinical clubfoot deformity) and descending minor (malocclusion). 

Postural Analysis:

• Using the mouth guard alone improved the position of the auricle relative to the lateral malleolus; however, it also increased the anterior rotation of the innominates and decreased the strength of the abdominal muscles (incorrect proprioceptive signal).
• Using the proprioceptive insole alone decreased the anterior rotation of the innominates and increased the strength of the abdominal muscles, while maintaining the corrected head position.
• Using the combination of the mouth guard and proprioceptive insoles overcorrects the position of the head in a posterior direction (too strong of a proprioceptive signal). 

 

Postural Intervention:

• Use of mouth guard was discontinued
• Use of proprioceptive insole was continued

Comment from a TMJ Specialist:

Professor/Dr. Brian A. Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot
Developer of Rothbart Proprioceptive Therapy
Designer of Rothbart Proprioceptive Insoles
Founder of International Academy of Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain