CPA 2 Flashcards
GH Articulatory Tx: Spencer’s Technique
Stage 4: Traction Circumduction

GH Articulatory Tx: Spencer’s Technique
Stage 1: Extension

Anterior Fibular Head SD MET/ART

Cross Arm Adduction Test

Plantar Glide SD MET (Navicular, Cuboid, Cuneiform)

Dorsal/Plantar Glide SD ART (Cuneiform - Metatarsal Joint)
Patient: Supine/seated
Physician: Sitting at foot of table
Isolate joint between fingers. Engage barrier, alternating between restrictive barrier and ease of motion until normal physiologic motion is restored

SC Elevated/Adducted SD: MET

GH Articulatory Tx: Spencer’s Technique
Stage 3: Compression Circumduction

Elbow Abduction SD MET/ART

Hip Abduction SD/ITB Hypertonicity MET/ART

Wrist (Radiocarpal) Abduction SD MET/ART

Figure 8 Wrist Articulation

Plantarflexed Talus SD MET

AC Joint IR/ER Evaluation
ER of Humerus –> ER of Clavicle at AC Joint
IR of Humerus –> IR of Clavicle at AC Joint
Abduct and Flex to approximately 45 to maximally engage AC component of GH rotation

Clavicle Anterior & Superior Glide (Extended and Adducted SD) ART

GH Joint IR/ER SD: MET

GH Articulatory Tx: Spencer’s Technique
Stage 2: Flexion

SC Horizontal Extension SD: MET

Anterior (Supinated) Radial Head SD MET

Knee (Tibiofemoral) IR SD MET/ART

Posterior Distal Fibula SD ART

Hip Extension SD MET/ART (Gluteus Maximus)

GH Joint AB/ADduction SD: MET

Hip Extension SD MET/ART (Hamstring Hypertonicity)

MCP Joint SD ART

Knee (Tibiofemoral) Flexion SD MET/ART

Elbow ROM
Flexion
Extension
Supination
Pronation
Ulnohumeral Adduction
Ulnohumeral Abduction
140-150
0 - (-5)
90
90
5
5
AC Joint ER SD: MET

GH Articulatory Tx: Spencer’s Technique
Stage 6: Internal Rotation

Shoulder ROM
Flexion
Extension
Horizontal Adduction
Horizontal Abduction
Abduction
Internal/External Rotation
180
60
130-140
40-55
180
90
AC Joint IR SD: MET

Elbow Adduction SD MET/ART

SC Elevated/Adducted SD: ART
Neck flexed against table

Knee (Tibiofemoral) ER SD MET/ART

Talus Eversion w/ Anteromedial Glide & Talus Inversion with Posteromedial Glide SD ART (Subtalar Joint)

Posterior (Pronated) Radial Head SD MET

GH Articulatory Tx: Spencer’s Technique
Elephants Fart Constantly To Annoy Intelligent People

Wrist (Radiocarpal) Adduction SD MET/ART

Hip Adduction SD (Short Adductors) MET/ART

Knee (Tibiofemoral) Extension SD MET/ART

GH Articulatory Tx: Spencer’s Technique
Stage 7: Traction with Inferior Glide

AC-Superior Clavicle ART

SC Joint ABduction/ADduction Dx
Scapular Elevation (Shoulder Shrug) –> SC ABduction (SC joint inferior movement)
Scapular Depression (Lowering Shoulder) –> SC ADduction (SC joint superior movement)

Wrist Isotonic MET

AC Joint Dx
Reference point
Inspect for asymmetry
Palpate
Motion Screen
Assess glides springing inferiorly on distal clavicle
Distal end of clavicle
Look for shifted clavicle: Superior/Inferior, “Step-Off”
Clavicle on Acromion for “Step-Off” or Tenderness/TTA
Cross-Arm Adduction Test (Positive = Pain or Increased TTA)
Resistant to springing inferiorly (Clavicle Superior); Presence of springing inferiorly (Clavicle Inferior); (Ant/Post) - Springing Ant/Post
Wrist (Radiocarpal) Extension SD MET/ART

Elbow Extension SD MET/ART

Knee ROM
Flexion
Extension
IR
ER
145-150
0
10
10
GH Joint Flexion/Extension SD: MET

PIP/DIP Joint SD ART

Hip ROM
Flexion
Extension
IR
ER
Abduction
Adduction
90 (extended knee) & 120-135 (flexed knee)
15-30
30-40
40-60
45-50
20-30
Knee (Tibiofemoral) Adduction/Abduction SD MET/ART

Posterior Fibular Head SD MET/ART

GH Articulatory Tx: Spencer’s Technique
Stage 5A: Adduction and External Rotation

Anterior Distal Fibula SD ART

Hip IR/ER SD MET/ART

GH Articulatory Tx: Spencer’s Technique
Stage 5B: Abduction

Dorsiflexed Talus SD MET

Hip Adduction SD (Long Adductors) MET/ART

Wrist ROM
Flexion
Extension
Adduction
Abduction
80-90
70
30-40
20-30
SC Joint Flexion/Extension Dx
Protraction of Scapula –> SC Flexion (SC Joint Posterior Glide)
Retraction of Scapula –> SC Extension (SC Joint Anterior Glide)

Elbow Flexion SD MET/ART

Ankle ROM
Dorsiflexion
Plantarflexion
Inversion
Eversion
Subtalar Inversion
Subtalar Eversion
Forefoot Adduction
Forefoot Abduction
1st MP Flexion
1st MP Extension
15-20
55-65
20
10-20
5
5
20
10
45
70-90
Hip Flexion SD MET/ART

Wrist (Radiocarpal) Flexion SD MET/ART

Scapulothoracic SD MFR
Elevation/Depression
Abduction/Adduction
Downward Rotation/Upward Rotation
