Roll Glide Techniques - terapia manualna.pdf - Terapia manualna - tomasz-wloch

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!

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.

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.

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.

Roll Glide Techniques - terapia manualna.pdf

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