Range of Motion 0 Flexion 180° 0 Extension 50° 0 Abduction 180° 0 Adduction 50° 0 Internal rotation 90° 0 External rotation 90° 0 Spencer technique has been proven to improve range of motion in those with shoulder dysfunction thus improving ability to perform ADLs
Background 0 The Spencer Technique was developed in 1915 by Charles H. Spencer, D.O. as an articulatory technique to increase ROM at the shoulder. It has been modified and personalized by many physicians through the years and even now there are debates on proper technique.
Uses 0 The Spencer Technique is useful in diagnosing and treating some shoulder conditions 0 Improves shoulder mechanics and range of motion 0 Stretches local tissues, improving lymphatic and circulatory flow 0 Treat adhesive capsulitis, post-operative or post- injury myofascial restriction, bursitis/tendonitis 0 May be performed with the patient lying on his/her side or sitting up.
Utilization 0 The Spencer Technique may be utilized as an articulation or a muscle energy technique. 0 To articulate, gently move shoulder into and out of Spencer position 8-10 times, coming to the barrier each time. This is a passive technique 0 To use muscle energy, move shoulder to the barrier, have patient actively resist, then move into new barrier. Perform 3-5 times. This is an active technique
The Technique 0 Stage 1: shoulder extension with elbow flexion 0 Stage 2: shoulder and elbow extension shoulder and elbow flexion 0 Stage 3: abduct to 90°, stabilize shoulder, move in circumduction with compression toward joint 0 Stage 4: abduct to 90°, stabilize shoulder, move in circumduction with traction 0 Stage 5: abduction 0 Stage 6: test internal rotation by placing pts hand behind back and pulling elbow forward 0 Stage 7: arm traction and deltoid pump. This may also be used to start treatment.
References 0 JoAnn Ryan, D.O. Spencer Technique for Shoulder (Articulation). Lecture notes, October 17, Lori A. Dolinski, D.O./PhD/MSc. Chapter Six: Upper Extremities. Handbook of OMT Review 6 th ed. 2010: ProMedica Publishing Company. Pages Henry M. Seidel, MD et al. Chapter 21 Musculoskeletal System. Mosbys Guide to Physical Examination 6 th Ed. 2006: Mosby Elsevier. Pages JANICE A. KNEBL, DO, MBA et al. Improving functional ability in the elderly via the Spencer technique, an osteopathic manipulative treatment: A randomized, controlled trial. JAOA Vol 102, No 7, July 2002 pp Anthony G. Chila et al. Approach to the Somatic Component. Foundations of Osteopathic Medicine. 2010: Lippincott Williams and Wilkins. Pp