Positioning Rolls for the control of posture in lying

The rolls assist in the control of posture in lying. They are designed for use by people who have little or no ability to move themselves or alter position.

Correct use of the roll will help in the prevention of contractures, deformity and pressure sores and in the control of spasticity. It is comfortable to use in most cases and may relieve associated back pain.

The T-Roll is used to control position of the body in supine lying (figure 1). Pillows placed laterally along the length of the trunk lend additional support when necessary.

The single roll is used to stabilise posture in side-lying. A pillow tucked in behind the trunk prevents rolling backwards (figure 2).

Size guide

T-Roll

6 inch or 152mm diameter - small adult or child or in cases of significant contracture.

8 inch or 204mm diameter - average adult

10 inch or 254mm diameter - tall adult (over 5 feet 10 inches).

Notes on use

When using the T-Roll always support the feet in order to relieve pressure at the back of the leg.

Failure to do this may result in some swelling of the lower leg.

When using the single roll in side lying ensure a pad or small pillow is placed between the feet to relieve pressures.

The rolls are not designed for use with people who have significant contracture or deformity. In these cases the rolls may be helpful but consult your therapist first.

If discomfort is experienced such as to interrupt sleep, discontinue and consult your therapist.

The rolls are essentially a static means of control and as such are unlikely to be effective when used with restless individuals.

It is sometimes useful to stimulate the effect of the roll by using a firm pillow tightly wrapped in a large towel or small sheet as a preliminary procedure.