Rolling

  1. Home
  2. Exercise Library
  3. 2 Movement Tests Lower Quarter
  4. Rolling

Side Lying Reach and Roll

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Upper Quarter, Pectoralis Minor/Posterior Capsule, Rolling, Self Stretch, Self-mobilization, Shoulder Circle

Side Lying Reach and Roll

To restore thoracic rotation to the left:

  • The patient is lying on their right side with both hands out in front of them at arms length.
  • Ask the patient to reach forward with their left hand past their right hand and turn the thumb down to internally rotate the arm.
  • Instruct the patient to initiate the movement from the shoulder then shoulder blade, upper ribs, segmentally down to the lower ribs and finally move the left hip and knee forward.
  • To reverse this movement ask the patient to rotate back from below up so that the hip and knee move back first, then they bring the lower ribs back segmentally to the upper ribs and finally the shoulder blade and arm until the left elbow touches the floor behind them.
  • The goal is for the patient to be able to extend their elbow and lie the back of their hand on the floor with the palm of the hand facing the ceiling. If the patient is unable to fully extend their elbow initially they can just touch the elbow to the floor then reverse direction.
  • Instruct the patient to repeat the whole sequence 5-6 times then switch and repeat lying on their L side.

Side Lying Rib Cage Self-Mobs

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Upper Quarter, Pectoralis Minor/Posterior Capsule, Rolling, Self-mobilization, Shoulder Abduction, Shoulder Circle

Side Lying Rib Cage Self-Mobs

Self mobs to restore thoracic rotation to the left:

  • The patient is lying on their right side with the hips flexed to between 45-60º with their left hand placed underneath the lower right side of the rib cage.
  • Instruct the patient to roll back to the left and with your left hand pull the right lower rib cage into left rotation. They repeat 3-4 times moving their hand slightly superior with each rotation.
  • Moving up to the xiphoid process have the patient place the fingertips of their left hand on the left side of the rib cage, just off the sternum and lateral to the xiphoid process.
  • Instruct the patient to rotate back to the left and use their left hand to pull the ribs back towards the floor.
  • After the patient returns to the midline they move their fingers up to the next rib and they repeat the rotation drawing the next rib back to the floor.
  • The patient should always start from below, approximately the 7th or 8th rib, and work their way up until they reach the collarbone.
  • The patient is instructed to rotate back approximately 7 times moving their hand up approximately 1 inch each time to draw back a new rib. To enhance the stretch, the patient takes a deep breath in, then exhales as they draw the rib back further.

Side Lying Thoracic Rotation

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Upper Quarter, Pectoralis Minor/Posterior Capsule, Rolling, Self Stretch, Self-mobilization, Shoulder Circle

Side Lying Thoracic Rotation

To increase thoracic spinal rotation to the left:

  • The patient is side lying on their right side with both hips flexed below 90º.
  • Have the patient place their left hand behind the head with their right arm straight out in front of them.
  • Instruct the patient to rotate back to the left as far as they can then return to midline and repeat again 5 times.
  • Then have them flex both hips to 90º and rotate back again 5 times.
  • Finally, have the patient flex both hips above 90º and rotate back 5 times.
  • As they flex their hips higher they move the focus of the rotation higher up their spine.
  • They repeat the exercise 5 times in each position to the opposite side, with the hips flexed below, at and above 90º.

Prone to Supine Leading with the Upper Body

in 3 Movement Tests Upper Quarter, All Upper Quarter, Rolling

Prone to Supine Leading with the Upper Body

How to Perform

  • Patient is lying prone with arms and legs straight and slightly abducted and head is in neutral.
  • Ask the patient to roll over onto her back using the right arm only.
  • The head and neck should extend and rotate to the right as the arm is brought back.
  • The lower body/legs should not contribute to the roll.
  • Evaluate for quality, ease of movement, respiration, synergy and ability to complete the roll without substitution by pushing off with the feet.
  • Repeat to the opposite side initiating the movement from the left arm and compare the two sides.

Supine to Prone Leading with Lower Body

in 3 Movement Tests Upper Quarter, All Upper Quarter, Rolling

Supine to Prone Leading with Lower Body

  • Patient is prone with arms and legs slightly abducted and head in neutral.
  • Ask patient to roll over onto her back using her right leg only.
  • The patient should keep the right leg straight if possible.
  • The upper body should not contribute to the roll.
  • Evaluate for quality, ease of movement, respiration, synergy and ability to complete the roll.
  • Repeat to the opposite side leading with the left leg

Supine to Prone Leading with the Upper Body

in 3 Movement Tests Upper Quarter, All Upper Quarter, Rolling

Supine to Prone Leading with the Upper Body

How to Perform

  • Patient is lying supine with legs extended and slightly abducted and arms flexed overhead and slightly abducted.
  • Head starts in the neutral position.
  • Ask patient to roll onto her stomach by reaching obliquely across with her right arm.
  • The patient’s head should flex and turn towards the left axilla.
  • The lower body should not contribute to the roll, watch for assistance by the legs pushing off.
  • Evaluate for the quality, ease of movement, respiration, synergy and ability to complete the roll using only the right upper body.
  • Repeat by rolling to the right using only the left upper body and compare the two sides.

Related

Supine to Prone Leading with Lower Body

in 3 Movement Tests Upper Quarter, All Upper Quarter, Rolling

Supine to Prone Leading with Lower Body

How to Perform

  • Patient is lying supine with arms separated overhead and legs apart, 10 and 2 and 8 and 4 positions.
  • Ask the patient to roll to the prone position starting with the right leg only.
  • The patient should lead with right hip flexion followed by adduction of the extended leg.
  • The upper body should not contribute to the roll.
  • Evaluate for the quality, ease of movement, respiration, synergy and ability to complete the roll without substitution.
  • Repeat with the left leg to assess for symmetry and quality of the movement

Trunk Rotation Over a Swiss Ball

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, Active Trunk Rotation, All Home Exercises, All Lower Quarter, Functional Integration, Hip EXT Firing Pattern, Rolling

Trunk Rotation Over a Swiss Ball

  • The patient begins this exercise by lying on their back with both legs supported over a swiss ball and with the arms abducted to 90 degrees and both palms facing the ceiling. The ball should be right up against the thighs. If the front of the ball were a clock the left leg is positioned at 10 o’clock and the right leg at 2 o’clock to begin this exercise.
  • Instruct the patient to take a deep breath as they slowly lower their legs to the left side, only lowering as far as they can while keeping the right shoulder blade on the ground. Ideally the outside of the left leg should touch the floor.
  • To complete the entire pattern ask the patient to look to the right as they externally rotate the right arm and internally rotate the left arm so that the left palm is now facing the ground.
  • Instruct the patient to exhale and use their abdominals to bring the legs back to the midline.
  • Have them repeat the rotation to the right side ideally touching the outside of the right leg to the floor.
  • The patient is instructed to work slowly back and forth 3 to 5 times initially, coordinating the arm rotations with the lower trunk rotation.
  • The patient increases the number of repetitions as their strength and control improves.

Trunk Rotation

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, Active Trunk Rotation, All Home Exercises, All Lower Quarter, Functional Integration, Hip EXT Firing Pattern, Rolling

Trunk Rotation

  • The patient begins this exercise by lying on their back with both knees bent and feet flat on the floor with the arms abducted to 90 degrees and both palms facing the ceiling.
  • Place a small ball between the patient’s knees and ask them to hold the ball between the knees as they flex the hips up to 90 degrees.
  • Ask the patient to find a neutral lumbar spine with the hips flexed by rotating the pelvis to 6 and 12 o’clock and finding the midpoint.
  • Instruct the patient to take a deep breath as they slowly lower their legs to the left side, only lowering as far as they can while keeping the right shoulder blade on the ground.
  • To complete the entire pattern ask the patient to turn their head to the right, and externally rotate the right arm and internally rotate the left arm so that the left palm is now facing the ground.
  • Instruct the patient to exhale and use their abdominals to bring the legs back to the midline.
  • Have them repeat the rotation to the right side, working slowly back and forth 3 to 5 times coordinating the head and arm rotations with the lower trunk rotation.
  • The patient increases the number of repetitions as their strength and control improves.

Supine Left Hamstring Stretch with a Belt with Hip Adduction and Internal Rotation

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, Rolling, Self Stretch, Self-mobilization

Supine Left Hamstring Stretch with a Belt with Hip Adduction and Internal Rotation

  • The patient is lying supine and places a belt around the ball of the left foot.
  • Starting with the L knee flexed and with the left hip flexed to 90 degrees, instruct the patient to try to straighten the L knee as much as possible while maintaining dorsiflexion at the left ankle using the belt.
  • Then instruct the patient to keep the L knee as straight as possible as they bring the leg across the body into adduction and internal rotation to put an additional stretch on the sciatic nerve and lateral hamstrings.
  • The stretch is held for only 5 seconds and then released by bringing the left leg back to the midline while still maintaining a straight knee and dorsiflexion of the L ankle.
  • Instruct the patient to repeat this on/off stretch 10 times.
  • Then have the patient repeat on the right side.
    Cart