Chapter 17 Articulatory Techniques

Question 1

Who find articulatory techniques more acceptable than other vigorous direct techniques?

Answer 1

Post-op pts and elderly

Question 2

Indications?

Answer 2

1) Limited/lost articular motion
2) Need to increase frequency or amplitude of motion of body region
3) Normalized SNS activity

Question 3

Contraindications?

Answer 3

1) Repeated hyper-rotation of upper cervicals when in extension may damage vertebral artery
2) Acutely inflamed joint, such as infection or fracture

Question 4

What is the typical articulatory procedure?

Answer 4

1) Move joint to the restrictive barrier
2) Use respiratory cooperation or ME activation to further increase myofascial stretch
3) Return to neutral
4) Repeat

Question 5

What are 2 common articulatory techniques?

Answer 5

1) Rib raising

2) Spencer’s

Question 6

What is rib raising useful for?

Answer 6

Those pts who have a resistant or noncompliant chest wall (e.g. viral pneumonia)

Question 7

What is Spencer’s useful for?

Answer 7

Adhesive capsulitis

Question 8

What position is the pt in Spencer’s?

Answer 8

Lateral recumbent with dysfunction shoulder up

Question 9

Spencer’s stage 1?

Answer 9

Stretch tissues and pumping fluids with arm extended

Question 10

Spencer’s stage 2?

Answer 10

Shoulder extensioni/flexion with elbow flexed

Question 11

Spencer’s stage 3?

Answer 11

Shoulderf flexion/extension with elbow extended

Question 12

Spencer’s stage 4?

Answer 12

1) Circumduction and slight compression with elbow flexed/extended
2) Circumduction and traction with elbow extended

Question 13

Spencer’s stage 5?

Answer 13

Adduction and external rotation with elbow flexed

Question 14

Spencer’s stage 6?

Answer 14

Abduction with internal rotation with arm behind back

Question 15

Spencer’s stage 7?

Answer 15

Stretching tissues and pumping fluids with arm extended