Roll Glide Techniques - terapia manualna.pdf
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Plaatsman Concept
Roll-Glide techniques.
Roll glide mobilizations are joint-surface techniques using the
arthro-kinematic rules of concavity and convexity.
Concave-Convex rule:
When a convexity moves against a concavity the gliding component
will be opposite to that of the roll component.
When a concavity moves against a convexity the gliding component
will be in the same direction of the roll component.
Roll glide mobilizations can be used by arthrosis deformans of a
joint, instability due to a misbalance of roll-glide components
and capsular stiffness.
Performing of the various techniques:
In general the hand which provides the glide component is placed
as close to the joint itself as possible and pushes the
concavity or convexity in the desired direction.
The second hand is placed far away from the joint and provides
the roll component. The emphasis always lies on the glide
component!
2
The mobilization is performed 10 to 30 times in one session.
Because of the influence upon the trophic situation of the
cartilage the technique will be performed once a week for about
6 times. Note that above the age of 35 the regeneration of
cartilage is not possible anymore therefore our goal will be
repair and restoration of the joint surface, influencing the
capsule shrinkage and the neurophysiologic re-education of the
normal roll glide balance.
Describing of techniques:
•
With every technique shown there is a short instruction of
how to place the hands of the therapist.
•
A description of concave convex is given for the moving bone.
•
When the mouse of the computer is placed on the picture and
the instructions of the computer are being followed, a short
instruction film, showing the technique, will start.
3
Shoulder girdle:
Gleno Humeral joint in Abduction:
The proximal hand is
placed upon the head
of the Humerus just
distally of the
acromion. While the
distal hand is
pulling the arm in
Abduction (roll), the
proximal hand is
pushing the head of
the Humerus in caudal
direction (glide).
Humerus= Convex.
4
Acromio Clavicular joint in Abduction:
The proximal hand is
stabilizing the
clavicula. The distal
hand is on the angulus
inferior of the
scapula and rotates
the scapula laterally
providing the roll
component.
The glide component is
provided by abducting
the arm with the head
of the therapist.
Acromion= Concave.
5
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