Flashcards in Chapter 17 Articulatory Techniques Deck (15):
Who find articulatory techniques more acceptable than other vigorous direct techniques?
Post-op pts and elderly
1) Limited/lost articular motion
2) Need to increase frequency or amplitude of motion of body region
3) Normalized SNS activity
1) Repeated hyper-rotation of upper cervicals when in extension may damage vertebral artery
2) Acutely inflamed joint, such as infection or fracture
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
What are 2 common articulatory techniques?
1) Rib raising
What is rib raising useful for?
Those pts who have a resistant or noncompliant chest wall (e.g. viral pneumonia)
What is Spencer's useful for?
What position is the pt in Spencer's?
Lateral recumbent with dysfunction shoulder up
Spencer's stage 1?
Stretch tissues and pumping fluids with arm extended
Spencer's stage 2?
Shoulder extensioni/flexion with elbow flexed
Spencer's stage 3?
Shoulderf flexion/extension with elbow extended
Spencer's stage 4?
1) Circumduction and slight compression with elbow flexed/extended
2) Circumduction and traction with elbow extended
Spencer's stage 5?
Adduction and external rotation with elbow flexed
Spencer's stage 6?
Abduction with internal rotation with arm behind back