Articulatory

Question 1

Joint play

Answer 1

Small movements at synovial joints that are not controlled by voluntary muscle

Question 2

Theories of joint dysfunction

Answer 2

Alteration in the relationship of opposing joint surfaces

Articular capsule problems

Neural control mechanisms

Question 3

Dysfunctional segment theory reasoning

Answer 3

External/internal forces cause local segment irritation and focal edema

Hypertonicity of muscles crossing dysfunctional joint

Decreased ROM

Question 4

Secondary effects of Articulatory techniques

Answer 4

Alter length and tone of fascia

Fix inappropriate compression of blood and lymph vessels

Remove compression of nerves

Question 5

Articulatory method specifics

Answer 5

Direct joint focus techniques

Use LVHA movements

Carries the body region through the restrictive barrier passively (often “springing” towards barrier)

Question 6

Indications of articulatory

Answer 6

Joint restriction due to somatic dysfunction

Question 7

Absolute contraindications of articulatory treatment

Answer 7

Fracture/dislocation

Malignancy

Neurological entrapment syndromes

Localized infections

Bleeding disorders

Question 8

Relative contraindications of articulatory treatment

Answer 8

Acute IVD herniation

dont excessively repeat extension and rotation to avoid compression of arteries

Question 9

Signs of barrier in articulatory techniques

Answer 9

Solid impediment to motion

tethering effect that restricts motion

*barrier is 3D

Question 10

Long lever

Answer 10

Fulcrum placed and uses part of the patient body to apply a force into the body

Question 11

Short lever

Answer 11

Fulcrum is placed and the force introduced directly from the short lever is independent of the patient body

Question 12

Short lever technique

Answer 12

Force is imparted through your body which is close to dysfunctional joint and imparting the corrective forces

Question 13

Long lever technique

Answer 13

Force is imparted through your body which is far away from the dysfunctional joint and imparting the corrective forces

Question 14

General benefits of articulatory techniques

Answer 14

Decreases tissue tension

Promotes lymphatic drainage

Stretches contracted muscles/intrinsic muscles

Increases arterial and venous circulation

Can prepare for direct techniques

Question 15

Diagnosis of articulatory techniques

Answer 15

Whatever is the ease of motion is the somatic dysfunction.

Whatever is the restriction of motion is the objective

Question 16

Vertebral artery test

Answer 16

Tests for poor circulation in vertebral arteries of patients.

(+) = patient will become dizzy, lightheaded or syncopal

If positive, it is a contraindication for cervical extension technique

“Beauty parlor syndrome”

Question 17

General principles of articulatory

Answer 17

Direct and passive technique

Used to treat specific joint motion restriction

Uses slow, smooth, passive and rhythmic motions to “Spring towards” the restrictive barrier

Question 18

Flexion and extension axis and plane

Answer 18

Sagittal plane, transverse axis

Question 19

Rotation plane and axis

Answer 19

Transverse plane and vertical axis

Question 20

Side-bending plane and axis

Answer 20

Coronal/frontal plane and A-P axis