Spackman began her career at
Bellevue Hospital, New York (1929–1930). In 1931, she worked as an occupational therapist at Jeanes Hospital, Philadelphia and craft teacher at the
Episcopal Academy, Newtown Square.: :5 Spackman was promoted to Director of the Curative Workshop in 1935, replacing
Helen S Willard who was appointed Director of the Philadelphia School. Concurrently, Spackman was Director of the occupational therapy department at the University of Pennsylvania Graduate Hospital. Under her leadership, clinical experience was integral to the academic program: "students learned to address physical and psychosocial aspects of disability in the interventions they practiced at the Curative Workshop".:4 Students applied Spackman's "aim of occupational therapy the treatment of physical disabilities as improving joint motion, muscle strength, developing motor skills, work tolerance and a 'wholesome' psychological reaction" using "exercise, therapeutic equipment like the bicycle saw for knee, hip and back strengthening and increased range of motion". :168 She developed services to support the health of the community and extend occupational therapy into new areas of practice. These included one of the first treatment programmes for children with
cerebral palsy, encouraging self-help and self-care skills through play. Spackman retired in 1970 as Associate Professor at the University of Pennsylvania School of Allied Medical Professions, a position she had held since 1950 when the Philadelphia School merged with the University of Pennsylvania. :7 In 1956, she represented the World Federation of Occupational Therapists at a meeting in New York of the Conference of the World Organizations Interested in the Handicapped. Spackman received the 1965 annual award of the International Society for Rehabilitation of the Disabled's United States Committee for her "meritorious service in the field of international rehabilitation for the physically handicapped".
World Federation of Occupational Therapists Spackman was an internationalist. She was a founding member of, and then served as a Council member representing America in, the World Federation of Occupational Therapists (WFOT). She "took leadership for the United States":251 at the Preparatory Commission which agreed the objectives, constitution and committee structure of the World Federation, held at the Liverpool School of Occupational Therapy in April 1952. She served as the second President of the World Federation (1958–1964) Roll of Honour and was elected Assistant Honorary Secretary–Treasurer and Chair of the Education Committee (1968–1970). In 1960, Spackman and fellow Council member Helen S Willard toured the Western Pacific in their own time and at their own expense, giving advice and assistance in developing occupational therapy in Japan, the Philippines, Hong Kong, Saigon, Bangkok, India, South Africa and Portugal. Their "dedication and unselfish contribution to our profession" was noted. :19 Spackman chaired the Program Committee that organised the third International Congress of the World Federation held in Philadelphia in October 1962. The congress theme "Cultural Patterns Affecting Rehabilitation" blended her interest in rehabilitation and internationalisation. Over 1,500 delegates from 37 countries attended the five-day event that included visits, day study tours, lectures, films, scientific exhibits and social receptions. At the WFOT Business Meeting, Spackman was thanked "for her excellent and untiring work in her own country and in many others".:5 ==Publications==