Articulatory, thrusting techniques

CHAPTER 88 ARTICULATORY THRUSTING TECHNIQUES FOR THE UPPER EXTREMITIES... 

There are two direct methods used to move the rib articulations rib-raising techniques, which are articulatory, and thrusting techniques, which are generally high-velocity, low-amplitude. Each has its own special applications as described here. 

The two major goals of osteopathic manipulation of the upper extremity are to restore function and to prevent motion loss. The upper extremity is generally considered one unit when treating with articulatory or thrusting techniques. Each restricted joint must be returned to normal function. 

Articulatory techniques are direct, passive techniques in which no thrusting force is used. They can be considered low-velocity and low-amph-tude. They are generally performed within the physiologic range of motion of any given joint and tend to be repetitive to free all planes of motion within the joint. 

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