Question
how do you select patients for this technique?

Answer
Hi THOMAS,

This is a good question.  Most activator doctors probably just use the technic on everyone that comes in.  They like it, so that's the one.

I do not practice activator as a rule.  Some of the diagnostic methods are questionable to me.  The same can be said for the application of the device by many practitioners that I've seen in action.

All of that being said, the device can mobilize the joint if properly applied.  I use it in two basic situations.  

If someone is very acute, swollen and in spasm.  It is painful and possibly harmful to move the body part to the point of a regular diversified adjustment.  The activator device can get some motion started even in those cases.

Secondly, if someone is aged or restricted by pathology from safely moving to the point where a normal adjustment can be performed.  Severe osteoporosis, recent fracture, arteriosclerosis of the vertebral arteries are a few examples of this type of condition.

Basically, it is a useful tool if used judiciously.

Hope this is helpful.