Title: Bone Wizardry / OMM Mastery / 17.Articulatory Techniques
Tags: #BW_OMM::Technique::Articulatory #BW_OMM::Type::Cloze BoneWizardry bonewizardry-free omm omt
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- Practice: Articulatory Techniques QBank
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Q: Articulatory techniques are [...] techniques.
A: direct
Q: What is another name for articulatory techniques?
[...]
A: Springing or low velocity/moderate amplitude
Q: When using articulatory techniques, the physician engages the restrictive barrier and uses gentle [...] forces to increase range of motion within that joint.
A: repetitive
Q: What patient populations find articulatory techniques more acceptable than other vigorous types of direct techniques?
1. [...]
2. [...]
A: Elderly; Post-op
Comment: Also called springing techniques or low velocity/moderate amplitude. The repetitive cycles accumulate ROM that a single thrust cannot safely achieve.
Comment 3: Respiratory cooperation and/or muscle energy activation are frequently added to further stretch tight myofascial structures that may limit articular motion.
Topic: Articulatory Techniques
Bone Wizardry Lock: Articulatory technique uses repetition to coax motion out of a stuck joint. Direct and controlled, but gentle enough for patients who cannot tolerate a thrust.

Q: Indications for Articulatory technique:
1. Limited or lost [...]
2. Increase frequency or amplitude of [...] of a body region
3. Normalize [...]
A: articular motion; motion; sympathetic activity (rib raising technique)
Topic: Articulatory Techniques
Bone Wizardry Lock: Three indications: a joint that has lost range, a body region that needs increased motion frequency or amplitude, and sympathetic normalization via rib raising. Each is a distinct clinical reason to reach for articulatory.

Q: Contraindications of Articulatory technique:
1. Repeated hyper-rotation of the upper cervical spine when positioned in [...]
2. [...]
A: extension; Inflamed joint (infection or fracture)
Topic: Articulatory Techniques
Bone Wizardry Lock: The two contraindications protect against different harms. Inflamed or infected joints worsen with repetitive force. Extended upper cervical hyper-rotation risks vascular compromise. Neither is relative.

Typical articulatory procedure:
1. Find restrictive barrier
2. Apply gentle force against it
3. Use respiratory or ME cooperation
4. Return to neutral
5. Repeat
6. Cease repetition of motion when no further response is achieved
Topic: Articulatory Techniques
Bone Wizardry Lock: Articulatory technique is a cycle, not a single action. The stopping criterion is functional: when the joint no longer responds to the repetition, the technique is complete.

Q: Rib raising is considered an [...] technique.
A: articulatory
Q: Purpose of Rib Raising:
1. Increase [...] motion
2. Normalize [...] activity
3. Improve [...] return
A: chest wall; sympathetic; lymphatic
Q: The thoracic chain ganglia lie directly anterior to the corresponding [...] heads.
A: rib
Comment 3: Rib raising disturbs the chain ganglia lying anterior to the rib heads. That initial burst of sympathetic stimulation gives way to a longer-period inhibitory effect on the same outflow.
Topic: Articulatory Techniques
Bone Wizardry Lock: Rib raising is unique because its systemic target is the thoracic chain ganglia, not just local joint mobility. The initial sympathetic flare is brief. The lasting effect is inhibitory.

Q: What articulatory technique is useful in a patient with pneumonia?
[...]
A: Rib raising
Q: Rib raising can be done in the [...] or [...] position.
A: seated; supine
Comment: Since pneumonia is associated with hypersympathetic activity, rib raising will normalize this sympathetic hyperactivity.
Topic: Articulatory Techniques
Bone Wizardry Lock: Rib raising is the articulatory technique of choice when pneumonia has driven the sympathetics into overdrive. The rhythmic posterior rib motion works directly to normalize that hyperactivity.

Q: The Spencer technique is an [...] technique.
A: articulatory
Q: What articulatory technique is useful in treating a patient with adhesive capsulitis?
[...]
A: Spencer technique
Q: How many steps are there in the Spencer technique?
[...]
A: 7
Q: How do you position a patient to perform the Spencer technique?
[...]
A: Lateral recumbent with side of the dysfunctional shoulder up
Comment 2: Other conditions that the Spencer technique may be used on are a healed rotator cuff tear, or immobilization of the shoulder girdle after a humerus fracture.
Topic: Articulatory Techniques
Bone Wizardry Lock: Spencer's seven steps are the first-line articulatory approach for adhesive capsulitis and post-injury shoulder stiffness. Position the patient lateral with the affected shoulder up.

Spencer technique sequence:
1. Arm extended
2. Elbow flexed
3. Elbow extended
4. Circumduction with slight compression followed by traction
5. Adduction and external rotation
6. Abduction with internal rotation with the arm behind the back
7. Lymphatic pump
Comment: The purpose of this technique is to improve motion in the glenohumeral joint, therefore, it is important that the physician limits motion at the scapula by placing their hand on the top of the patient's shoulder.
Topic: Articulatory Techniques
Bone Wizardry Lock: The physician stabilizes the scapula throughout Spencer so each step targets the glenohumeral joint, not a scapulothoracic substitution. Step 7, the lymphatic pump, finishes the sequence.