5Range of Motion Flexion 180° Extension 50° Abduction 180° Adduction 50°Internal rotation 90°External rotation 90°Spencer technique has been proven to improve range of motion in those with shoulder dysfunction thus improving ability to perform ADLs
6BackgroundThe 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.
7UsesThe Spencer Technique is useful in diagnosing and treating some shoulder conditionsImproves shoulder mechanics and range of motionStretches local tissues, improving lymphatic and circulatory flowTreat adhesive capsulitis, post-operative or post-injury myofascial restriction, bursitis/tendonitisMay be performed with the patient lying on his/her side or sitting up.
8UtilizationThe Spencer Technique may be utilized as an articulation or a muscle energy technique.To articulate, gently move shoulder into and out of Spencer position 8-10 times, coming to the barrier each time. This is a passive techniqueTo 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
9The Technique Stage 1: shoulder extension with elbow flexion Stage 2: shoulder and elbow extensionshoulder and elbow flexionStage 3: abduct to 90°, stabilize shoulder, move in circumduction with compression toward jointStage 4: abduct to 90°, stabilize shoulder, move in circumduction with tractionStage 5: abductionStage 6: test internal rotation by placing pts hand behind back and pulling elbow forwardStage 7: arm traction and deltoid pump. This may also be used to start treatment.
11ReferencesJoAnn Ryan, D.O. “Spencer Technique for Shoulder (Articulation).” Lecture notes, October 17, 2007.Lori A. Dolinski, D.O./PhD/MSc. “Chapter Six: Upper Extremities.” Handbook of OMT Review 6th ed. 2010: ProMedica Publishing Company. Pages 73-81Henry M. Seidel, MD et al. “Chapter 21 Musculoskeletal System.” Mosby’s Guide to Physical Examination 6th Ed. 2006: Mosby Elsevier. PagesJANICE 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 ppAnthony G. Chila et al. “Approach to the Somatic Component.” Foundations of Osteopathic Medicine. 2010: Lippincott Williams and Wilkins. Pp