Chapter 17 - Articulatory

Question 1

Purpose of articulatory techniques

Answer 1

Increase ROM in a restricted joint

Question 2

Articulatory rib raising - supine - describe

Answer 2

Seated at side, using fingertips on rib angles and forearms on table as lever/fulcrum to move the ribs anterior

Question 3

Uses for Spencer Technique

Answer 3

Fibrosis/restriction of shoulder during inactivity (adhesive capsulitis) after injury (rotator cuff, humerus fracture)

Question 4

Spencer Technique - stages (8)

Answer 4

1. Extend arm, stretch and pump fluids
2. Flex and extend arm w/ elbow flexed
3. Flex and extend arm w/ elbow extended
   4a. Circumduction and compression
   4b. Circumduction and traction
4. ADduction and ER w/ elbow flexed
5. ABduction and IR w/ arm behind back
6. Extend arm, stretch and pump fluids (like step 1)

Question 5

During Spencer’s Technique, what else must the doctor do?

Answer 5

Stabilize the scapula by placing a hand on the top of the patient’s shoulder