Chapter 17 Articulatory Techniques Flashcards Preview

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Flashcards in Chapter 17 Articulatory Techniques Deck (15):
1

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

Post-op pts and elderly

2

Indications?

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

3

Contraindications?

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

4

What is the typical articulatory procedure?

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

5

What are 2 common articulatory techniques?

1) Rib raising
2) Spencer's

6

What is rib raising useful for?

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

7

What is Spencer's useful for?

Adhesive capsulitis

8

What position is the pt in Spencer's?

Lateral recumbent with dysfunction shoulder up

9

Spencer's stage 1?

Stretch tissues and pumping fluids with arm extended

10

Spencer's stage 2?

Shoulder extensioni/flexion with elbow flexed

11

Spencer's stage 3?

Shoulderf flexion/extension with elbow extended

12

Spencer's stage 4?

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

13

Spencer's stage 5?

Adduction and external rotation with elbow flexed

14

Spencer's stage 6?

Abduction with internal rotation with arm behind back

15

Spencer's stage 7?

Stretching tissues and pumping fluids with arm extended