Chapter 17 Articulatory Techniques Flashcards Preview

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

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

A

Post-op pts and elderly

2
Q

Indications?

A

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

3
Q

Contraindications?

A

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

4
Q

What is the typical articulatory procedure?

A

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
Q

What are 2 common articulatory techniques?

A

1) Rib raising

2) Spencer’s

6
Q

What is rib raising useful for?

A

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

7
Q

What is Spencer’s useful for?

A

Adhesive capsulitis

8
Q

What position is the pt in Spencer’s?

A

Lateral recumbent with dysfunction shoulder up

9
Q

Spencer’s stage 1?

A

Stretch tissues and pumping fluids with arm extended

10
Q

Spencer’s stage 2?

A

Shoulder extensioni/flexion with elbow flexed

11
Q

Spencer’s stage 3?

A

Shoulderf flexion/extension with elbow extended

12
Q

Spencer’s stage 4?

A

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

13
Q

Spencer’s stage 5?

A

Adduction and external rotation with elbow flexed

14
Q

Spencer’s stage 6?

A

Abduction with internal rotation with arm behind back

15
Q

Spencer’s stage 7?

A

Stretching tissues and pumping fluids with arm extended