Which of the following is always direct?

• A. Articulatory release
• B. Myofascial release
• C. Facilitated positional release
• D. Lymphatic drainage

Answer: (A)

In manual techniques, approaches are described as direct or indirect based on where the practitioner applies force relative to the restriction. Direct techniques engage the restrictive barrier by moving into it and addressing the issue head-on. Indirect techniques move away from the barrier or work with the tissue in a way that allows release without forcing through the restriction.

Articulatory release is inherently direct because it involves precise joint articulation and joint-space movements that actively engage the restricted tissues or joint surfaces in the direction of the barrier to encourage a release. This direct mobilization targets the problem area itself rather than easing tissue tension from a nearby or opposite position.

Myofascial release can be direct (deep, sustained pressure into fascia) or indirect (work along lines of ease or away from the barrier). Facilitated positional release is typically considered indirect, using positioning and muscle inhibition to achieve a release. Lymphatic drainage focuses on promoting lymph flow with light strokes, which exercises indirect effects on tissue tension rather than directly addressing a barrier.

So, the technique that is always direct is articulatory release.