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The Spencer technique (also known as the "7 stages of Spencer") is an articulatory technique used in Osteopathic medicine to help relieve restriction and pain at the shoulder. [1] Although variations exist, normally 7 steps are included. [ 2 ]
The Frozen stage is where the shoulder loses its range of motion and becomes stiff. Lastly, the thawing stage is where pain becomes minimal, and range of motion is restored. Exercise increases blood flow to the muscles affected which enhances blood flow. Regular exercise is a crucial part of the healing stages of adhesive capsulitis.
The tests differ in the rotation of the arm; in the empty can test, the arm is rotated to full internal rotation (thumb down) and in the full can test, the arm is rotated to 45° external rotation, thumb up. [1] Once rotated, the clinician pushes down on either the wrists or the elbow, and the patient is instructed to resist the downward pressure.
American mahjong utilizes racks to hold each player's tiles, jokers, and "Hands and Rules" score cards. It has several distinct gameplay mechanics such as "The Charleston", [1] which is a set of required passes, and optional passing of the tiles. American mahjong is played with four players using mah jongg tiles.
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Milwaukee shoulder syndrome (MSS) (apatite-associated destructive arthritis/Basic calcium phosphate (BCP) crystal arthritis/rapid destructive arthritis of the shoulder) [1] is a rare [2] rheumatological condition similar to pseudogout, associated with periarticular or intra-articular deposition of hydroxyapatite or basic calcium phosphate (BCP) crystals.