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Principles

Articulatory techniques repeatedly carry a joint or tissue toward and through its barrier with small oscillating movements. The force is rhythmic and gradually increasing, promoting tissue relaxation and improved joint play.

Types

TechniqueDescription
SpringingA rhythmic, low-amplitude push into the restrictive barrier
OscillationSmall, repeated movements within or toward the barrier
Articulatory range of motionTaking the joint through its full available range

Indications

  • Restricted joint motion without gross instability.
  • Myofascial hypertonicity.
  • Patients who cannot tolerate high-velocity thrust.
  • Postoperative or elderly patients needing gentle mobilization.

Articulatory techniques are low risk but avoid forcing beyond the anatomic barrier or into acute inflammation.

Q: How do articulatory techniques differ from HVLA?

A: Articulatory techniques use repeated, low-velocity oscillation; HVLA uses a single rapid thrust.

Q: When might you choose articulatory technique over HVLA?

A: In patients with osteoporosis, acute guarding, or when a gentler mobilization is preferred.