Slowly bend your low back and tilt your . Supine Clamshell with band | Performance Physical Therapy. This is a hip abduction exercise that activates your glutes and/or strengthen them depending on the tension of the band. The reverse clamshell exercise involves the internal rotation of your hip, meaning your thigh bone twists so the top of your leg rotates toward the center of your pelvis. Lying butterfly (supine clamshell) for inner groin 4. On the left side the phrenic nerve is dissected. Supine; Supine clamshell; Supine arms extended; Trendelenburg; Trendelenburg, reverse; Request Information. Posterior panel incorporates a spinal relief cutout. Stand on one leg and hinge at the hips so the torso is slightly forward. The authors looked at EMG activity of the. The clamshell may not look like much but it is an effective movement that strengthens your glutes, hip adductors, and abductors. hip IR stretches. After 2 weeks went to outpatient therapy for 2 days a week. I even posted specifically about the clamshell exercise. It’s an excellent non-weight bearing exercise to work on hip rotator strength which will directly affect knee stability. Leg Swings Forward/Backward – Standing next to a wall, place one hand on the wall to brace yourself. It also keeps you from twisting side to side. Bring that knee up as far as you can until you start to open up your hips and hold that position for the prescribed amount of time. The clamshell incision: an improved approach to bilateral pulmonary and. Three ports are usually placed on each side in the second, fourth and sixth intercostal spaces. 3 sets of 10. . While keeping your back and pelvis stable and your heels together, lift your knee upward and hold this position. Directions: While lying down with your knees bent, place your hands just inside your front pelvic bones. Lie down on your side with your knees bent and feet planted together. Clamshell Exercise. . This is a hip internal rotation exercise that uses gravity as resistance. Step 2. 80 views, 7 likes, 0 loves, 1 comments, 0 shares, Facebook Watch Videos from Physical Therapy Center of Excellence: Hip External Rotation Variations ♻️. Do each move in order for 45 seconds, resting 15 seconds between moves. prone stretch. Keeping your feet together, squeeze your deep ab. Phase 3: Progress into Single Leg Stance and Functional Loading This phase set up a daily sequence that should focus on muscle activation and mobility along with a progression into single leg stren…The standard anatomical position is considered the reference position for a given organism. . . Start by rotating knees away from each other while maintaining a neutral pelvis/low back. Arm swings - Hug / flap 10. The thoracic straps should be as TIGHT as possible/tolerable; there should be no gaps between the brace and your body. Supine Clamshell – On your back with your knees bent and together, let them gently fall outward, feeling a stretch. Band anchored very low. it on lying on your back (supine). Use the strap to pull your leg up toward your body, feeling a stretch in your . *Lunges -50 rep *Supine Piriformis Stretch/Hip ER -90 seconds each leg *Hamstring Stretch with Multiloop Strap -90 seconds each leg *Bridging -50 rep *Supine Clamshell with band both legs at same time -50 rep *Supine Clamshell with band one leg at a time -50 rep *Monster walk with band -only did 20 seconds as I was sore *Hip Abduction with band. An overview of lung resection, including the types of resection, a comparison of open and minimally invasive techniques, and complications,. SUPINE BRIDGE on 2 legs– lying supine with knees bent ~90 degrees. The patient is positioned in a supine clamshell position. Here is a list of the important clam shell exercise benefits: Prevents Injury: Back injuries happen when your muscles are not strong enough. Step 2: Lay down with your knees pointed forward and bent at a 90 degree angle. Isometric. Hold for five seconds, then lower back to the starting position. For more strengthening exercises visit: side-lying clam exercise strengthe. While sitting, position the band above the knees. Clams in the Solenidae family, of the genera Ensis and Solen, are razor clams. Revised 7/25/2019 Introduction: When a potential lung donor has been identified, the transplant coordinator will notify theExcellent for SI issues!Lay on your back with miniband above your knees. . •Carefully moved patient to supine position and then bumped slightly to left. It does allow your neck to move freely. this exercise will get you to lie down on the floor, on one side, by closing and opening the leg which is on top (it seems to be a clamshell) added with the use of a resistance band. The standing clamshell is a deceptively difficult exercise and a great functional gluteal activation exercise. Gluteus Medius Exercise: The Clam Shell (Two Variations) Start by lying on your left side, with your knees bent and the right leg on top of the left with the feet together. Variation: flex shoulders to 90 so hands are pointing directly to the ceiling. Perform a squat and then step back with your left leg into a reverse lunge on the opposite side. SUPINE CLAMSHELL. The piriformis is a muscle connection between your hip and your butt and stabilizes the hip joint. The “clam shell” (bilateral anterior) thoracotomy described provides excellent exposure of the heart and lower mediastinum. Had out patient procedure, started home therapy 2 days later. Consider resting your head a foam roller or yoga block to help maintain a more comfortable stack position. Bring the knee back to center with control. 1) Supine Clamshell Band in Hands VIDEO; 169. . Rotating the bed laterally allows both sides to be done without repositioning. We examined short term outcomes of 71 bilateral lung transplant cases done at Brigham and Women’s Hospital from October 2013 to January 2017, of which 31 were done by clamshell and 40 by sternotomy. Also consider getting a membership at Massage Envy. Take one second to go up and three seconds to come down, keeping your movements slow and controlled. Corpse pose, or final relaxation, is the ultimate supine pose. If you’re coming to see us for a knee, hip or low back injury one of the most. You should do it 3 to 5 times in one sitting. Side Lying Clam with Band Instructions. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. SUPINE definition: If you are supine , you are lying flat on your back. Press your bottom leg into the floor and, with your heels pressed together, squeeze your glutes to raise your top knee toward the ceiling. Roll pelvis posteriorly. BANDED CLAMSHELL. In JOSPT's recent issue, one of the studies reported on the muscle activation pattern in the hip for various angles of clam exercises. Gait training with progression to cane as able and initiate stairs using the surgical leg. Here's how to do a variation on the clamshell exercise: A. This exercise explains how to maintain a neutral spine while performing a hip abduction movement. Do this for both legs. Study with Quizlet and memorize flashcards containing terms like What is the SIJ CPR?, Pts. As students have varying abilities, a given yoga pose may be easy for a particular student but hard for another. Lee Welton is a physical therapist assistant and personal trainer in Southeast Idaho. Seated flexion with elbow bent and arm close to the body d. •Transitioned patient’s breathing from pressure support tocontrolled ventilation, which was well tolerated. hamstrings. Keep your hips level during the movement. . Figure 4: Incision for a right hemi-clamshell (Bains MS et al. Make sure that your back does not rock backward with the motion. Core Breath Constructive Rest Pose Variation 2. I would avoid those. Feet Up Clamshell: Start in your standard clam shell exercise position, and lift both of your feet off of the ground in the elevated clamshell. Spread legs only at knees and hold for 3 seconds. Patient is positioned supine with three safety straps (across the chest, hips, and legs) and test-roll performed to ensure that the table can be tilted safely intraoperatively. Begin by lying on your back with your legs straight and a strap secured on one foot, holding the end in your hands. REVERSE CLAMSHELL. The clamshell (CLAM) activity incorporates open-chain hip abduction and external rotation and often is used very early in rehabilitation when great weakness of the abductors and external rotators exists (Figure 2). Set up in a side lying position with your knees bent and your bottom arm under your head for support. Normal range of motion for hip ER is about 30 degrees with the hip extended and 50 degrees with the hip. You SHOULD NOT feel this in your lower back. Utilization of a double lumen endotracheal tube is necessary. That’s why this exercise is popular by the name of the clamshell. This exercise will provide you complete fitness if you made this exercise your habit. Supine Clamshells for Hip Replacement 3 Dimensional Physical Therapy 2. Compared with supine position exercises (crunch and bent-knee sit-up), prone position exercises (with hip extension, prone bridge on ball, prone bridge on toes) demonstrated. Directions: Lie on your side with your hips and knees bent. Maintain this contraction while dropping your leg out to the side as far as you can before your opposite pelvic bones start to move. Aim for 1 minute. The clamshell exercise is performed in a side-lying position, with the leg to be exercised on top. Lie down and bend your knees upwards. Games & Quizzes; Games & Quizzes. The scoop stretcher (or clamshell, Roberson orthopedic stretcher, or just scoop) is a device used specifically for moving injured people. . Some clamshell braces extend to the upper thigh to provide more support to your lower. 6. Be sure that your heels, hips, shoulders, and neck are all in alignment. Make. Have your patient perform a progressed quadruped isometric exercise emphasizing the G med,. Gently rotate knees out and in limited by pain. Case Report Posterior Mediastinal Mass Resection Requiring Venoarterial and Venovenous Extracorporeal Membrane Oxygenation Support Pingping Song, MD*,1, Nicholas J. Can you straighten 1. OK, get ready for this…Squeeze your core and try to pull your belly button back toward your spine. Deep squat Thomas stretch Hamstring stretch Standing HS SLS pallof SLS IR/ER quad HAB Stand hip hike. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Part of the Aspen® Lumbosacral Bracing System™, the Aspen® TLSO is a versatile option that provides a high degree of motion restriction through the patient's mid-thoracic region without compromising comfort. In this video, I demonstrate how to perform the clamshell exercise. Doing the piriformis stretch can ease knee and ankle pain as well, Eisenstadt says. th. • Active hip horizontal abduction with. Phase 2: Progressive Abdominal Control With Activation of Glute and Hamstring This phase will focus on more challenging abdominal activation and ability to control position of lower back as we incr…Study GU flashcards from Chris McClinton's class online, or in Brainscape's iPhone or Android app. Supine lying isometric hip abduction - Lie down next to a wall with the leg closest to the wall bent and the foot planted on the floor - Place a medicine ball or foam roller between your knee and the wall - Press your knee outward into the ball/foam roller without rotating at the hips or arching your lower back The clamshell exercise mainly works your gluteus medius, which is responsible for hip stabilization, balance, and power. Movement. Gait training. Relax as you breathe in. Keeping your top knee lifted (don’t let it drop!), lift the top foot towards the ceiling, rotating your top thigh towards the floor. butterfly & push knees to floor. 2cm), while ensuring that your lower leg. Clam Shell Exercise stock photos are available in a variety of sizes and formats to fit your needs. Spread legs only at knees and hold for. With a corrected workoutSupine Transversus Abdominis Bracing - Hands on Stomach REPS: 10SETS: 1 HOLD: 5DAILY: 2 WEEKLY: 5 Setup Begin lying on your back with your knees bent, feet resting on the floor, and your fingers resting on your stomach just above your hip bones. Keep your feet together. Clam Shell 4 = Same as 3 except the top leg is in extension Clam shell PNHIP0 = pelvis neutral,. Upper Quarter Splints make sure that you can move your upper quarter (s) in all directions. . Lie down on your side and bend your knees. Your feet should be roughly in line with your hips and shoulders with your knees out in front of you. Knees bent and feet flat down. Low-profile corset and panels for increased patient compliance. Keeping your chest lifted, step back with your right foot, bending both knees to 90-degree angles. This exercise explains how to maintain a neutral spine while performing a hip abduction movement. intercostal space, sternum divided •Significant changes in venous return with mass manipulation, likely due toAbout Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. A TLSO is a brace that limits movement in your spine from the thoracic area (mid back) to your sacrum (low back). Normal range of motion for hip ER is about 30 degrees with the hip extended and 50 degrees with the hip. Progressed well til I tried to go back to work at 6 weeks. Slowly raise 1 leg to 100 deg of hip flexion with comfortable knee flexion. office365. Their shells are brittle and gape open. That’s one rep. Lumbar roll SKTC LTR TA activation Glute fire ISO supine/proneIncreased Diversity In HEP Exercises. Supine Hamstring Stretch with a Strap Utilize a belt or strap around your foot to help you perform a hamstring stretch on your affected side. Utilization of a double lumen endotracheal tube is necessary. If you have a problem with your back that requires it to be kept in a neutral position while. To perform this exercise, a person can: Lie on one side, keeping the knees together and bending them to a 45 degree angle. Clam shells with theraband is a great Gluteus Medius and Maximus Isolation exercise. Clam Exercises – It was done with 45 degrees of hip flexion and 90 degrees of knee flexion. Utilization of a double lumen endotracheal tube is necessary. Bend your right knee at an angle just less than 90 degrees, bringing the leg toward your torso. Start in your “open clamshell” position: lying on your side, hip bones pointing forwards, feet on the floor, knees bent and open so your legs are opening like a clam. Phase 4: Return to Functional Lifting and Progression of Agility/Pre Running Drills if Necessary This phase is meant to update your daily and strength sequences to progress into more difficult appl…Detailed description of Supine Toe Taps Flow Hands Behind Head (Supta Pada Anguli Vinyasa Hasta Sirsa) with benefits, yoga sequencing ideas with pictures, contraindications, modifications, variations, and breathing techniques. This is a hip abduction exercise that you can use to activate your glutes and/or strengthen them depending on the tension of the band. SIDELYING CLAMSHELL - CLAM SHELL Tighten your stomach While lying on your side with your knees bent, draw up the top knee while keeping contact of your feet together. Gmed: Supine with hip abduction at 10 ° and pressing the knees outwards against a rigid band RMS: 500 milliseconds moving window: Standing hip abduction band at ankle load: light (Borg ≤ 2). TA contraction 5 s 10 times (supine) TA with clamshell 10 times Biofeedback with internal sensor including: relaxation/down-training (if needed); pelvicDetaljerad beskrivning av Supine Clam Shell Pose Tune Up Ball Hip Flow med fördelar, yoga sekvenseringsidéer med bilder, kontraindikationer, modifieringar, variationer och andningstekniker. Set up. . . inactive, passive, or inert, esp. 01-25-2019 05:21 PM. rectus femoris stretches. keep your foot straight. Bring the band under and around your. to target the majority of muscles of the hip. In the following video, I demonstrate my preferred method of performing the clamshell exercise in order to insure optimal effectiveness. • Supine iliopsoas stretch: Knee extended, apply manual force to posteriorly tilt pelvis at ASIS. a. Supine arthroscopic view of right hip from anterolateral portal showing clamshell fracture floating above fracture donor site. 1) Wall Sit Clamshell VIDEOThe ‘‘clam shell’’ (bilateral anterior) thoracotomy described provides excellent exposure of the heart and lower medias-tinum. 1. This is a hip abduction exercise that you can use to activate your glutes and/or strengthen them depending on the tension of the band. . Some clamshell braces extend to the upper thigh to provide more support to your lower spine. Methods: This was a prospective laboratory study of healthy adult volunteers to determine total cervical motion in the horizontal, coronal, and sagittal planes in both seated and supine positions. Clamshell. How To Do Clamshells. Conecte-se. Use larger clams for chowder. 347 minutes) were significantly shorter in the sternotomy group (P<0. Registered Office :- 615, Vissco Healthcare Pvt. 6. Start by lying on side with legs bent at a 45-degree angle and feet, ankles, knees, and hips stacked on top of each other. Clams are a strengthening exercise performed with a rubber band for added resistance. Move this leg in and out, sideways, for eight to 10 repetitions. On your inhale, slowly lower your shin and foot. Grab your knee with one hand and your ankle in your other hand. On the left side the phrenic nerve is dissected. These glute muscles are in charge of not only hip stabilization but also of power and balance. 1. Place resistance band around thighs just above knees. Keep your feet together and lift your top knee until it’s parallel with your hip. Cheng, MDy *Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA yDepartment of Surgery, University of. While doing this motion, keep your lower knee on the floor and your hips and pelvis as still as possible. Rest your head on your arm or hand as shown. Supine Clamshell – On your back with your knees bent and together, let them gently fall outward, feeling a stretch. 6-10. Muscle strength was measured under two conditions: 1) ABD and ER with hip flexion and 2) ABD. Rotating the bed laterally allows both sides to be done without repositioning. Clam shells with theraband is a great Gluteus Medius and Maximus Isolation exercise. Clamshells with Progressions. Below we have compiled 8 pose variations of Supine Clam Shell Pose Tune Up Ball Hip Flow at one place to give you ideas to plan your yoga classes as you interact with students of different levels. Lie down on your back with your knees bent. It’s important to avoid adduction and internal rotation while lowering the hip. At this point, you can take up a complete supine posture and remove whatever elevated your legs. On your inhale, release the pillow. Move your knees away from each other creating pension in the band then slowly return to the starting position and repeat make sure to not Arch your low back during the exercise. Slow raise hips up towards the ceiling. 2 Side sit to sideplank Knee Stack with clamshell VIDEO; 168. Utilization of a double lumen endotracheal tube is necessary. Return to starting flexed position. Learn how to do a clamshell with thi. SUPINE CLAMSHELL. . Articulating pubic and sternal pads for increased patient comfort and compliance. Lie on your side with your knees slightly bent and with one leg on top of the other. Standing calf stretch. Jessica Jennings demonstrates an exercise that is easy to. Place an elastic band around your knees and then draw your knees apart. Supine Clam Shell Pose Tune Up Ball Hip Flow. Keeping feet together, lift upper knee up as high as possible while simultaneously raising. TipI had right THR, posterior, Feb 20, 2018. Repeat 1-3 times per day. 3-4 times per week (every other day) Start with 1 set of 10-15 repetitions. Keep hips level. Side Lying Clamshell . Week Six Email feedback from week 5 Unable to do band horizontal abduction due to time constraints 12-15 reps 2 posts single leg stance Supine hamstring curl 12 reps plans to attempt sidelying clam…Phase 3: Progress into Single Leg Stance and Functional Loading This phase set up a daily sequence that should focus on muscle activation and mobility along with a progression into single leg stren…8-1-22 We focused on leg ext drop set from 45lbs to 35lbs to 25lbs in short range. In both these studies, hip external rotation was tested in sitting or prone with the knees strapped together, and the force exerted against the tibia. Slowly pull knees apart and then bring them back to the starting position. Supine clam shells Fluid Physio l Physical Therapy - Princeton 448 subscribers Subscribe 15 Share 2. Side Lying Clamshell - Clam Shell. 5) Band IR Supine/Seated VIDEO; 117) Standing Band External Rotation VIDEO; 118) Shoulder Band ER/IR 2 Positions THIS PHASE->Band Pull Press VIDEO; 118. The Difference Between Prone, Supine, and Prostrate Synonym Discussion of Supine. How to do a dead bug. Unsurpassed compression and support with a 5:1 mechanical advantage pulley system. . Games & Quizzes; Games & Quizzes. You should3. (The belt would need to be long enough so that you can hold the ends and keep your leg straight. See full list on healthline. POSITION: Arms in clamshell position202 views, 0 likes, 0 loves, 0 comments, 1 shares, Facebook Watch Videos from Globus Malaysia: Exercise: Single leg bridge on vibration plate • • Equipment: Physioplate • • Benefits: Improvement in. To perform the clamshell exercise, you do the following: Grab a yoga mat and find a flat place to lie down. This exercise strengthens the outer hip muscles. • Side lying Clamshell in 30 degree and 60 degree of hip flexion (try the most comfortable position of flexion). . The patient is positioned in a supine clamshell position. (of the hand) having the palm upward. Keep the heels together but raise the top knee by activating the glute. However, decreased lateral stability of the pelvis can also be a contributive factor. In addition, pulmonary resection can be used as a means to diagnose pulmonary disease. Various yoga postures help the lower back, except for the cobra poses that are done in sun salutations. Be sure to keep your glutes and core tight and your leg extended throughout the movement. Hold this open clam shell position and add knee extensions. All of these exercises discussed are great, but there is a very simple exercise that is really effective for strengthening the gluteus medius. Make sure to only move your pelvis and low . The clamshell may not look like much but it is an effective movement that strengthens your glutes, hip adductors, and abductors. Stack your legs on top of one another, knees and hips bent at 90 degrees. Bring them back together and repeat. This exercise gets a lot done besides just the hip work. Buy NeeBooFit Resistance Loop Bands on Amazon:your ankles nice and tight to each other. Supine Piriformis Stretch. 3 Benefits of the Clamshell 1. Flex the hips to 45 degrees and the knees to approximately 90 degrees, with your right leg directly on top of your left. At MedBridge, we believe that a more diverse and inclusive group of instructors, models, and patients will benefit the industry and will better reflect the diversity of the communities our clients serve. Keep the natural curvature of your low back, do not seal it down. The goal is to maintain a straight line from your shoulders to your knees and hold for 20 to 30 seconds. A scoop stretcher. Most surgeons will have to manage a heart wound only once or twice in their career. While lying on your side with your knees bent and an elastic band wrapped around your knees, draw up the top knee while keeping contact of your feet together as shown. 3. To perform this exercise, start by putting a mini-theraband above your knees and laying on your side with your knees bent to 45 degrees. It is a great core exercise that also engages your gluteus. Supine flexion to patient tolerance b. Focus on stabilizing legs through the glutes. Move on to an exercise labeled “progression” when you can easily. Rest the inside of your right ankle on your left calf. EMG studies have found good activation of both the gluteus medius and gluteus maximus muscles during the clamshell. Place your other hand in front of your chest to support your body in this. how could you progress the supine clamshell? unstable surface under sacrum or shoulder. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. Why my left chest is bigger than right? An uneven chest is likely due to one side of your chest being used more than the other. Lying on your back with your knees bent feet resting on the floor and a resistance band or Loop secured around your legs. Supine clamshell (quick) Physiotec | HEP 2. A clamshell brace can help ease pain, protect your. Drive your glutes skyward through your heel. Drive your glutes skyward through your heel. Abdominals engaged with a neutral pelvis. A CTLSO (cervical-thoracolumbosacral orthosis) is a two-piece plastic brace with a metal cervical attachment. Care must be taken to not allow your hips to rock backwards, as this allows muscular compensations to occur. Study with Quizlet and memorize flashcards containing terms like when is a lung transplant indicated (what disease processess) two umbrella terms 4 specfics, what are the 4 surgical options for lung transplants, what are the 6 preanesthetic. Movement Tighten your abdominals and slowly lift your hips off the oor into a bridge position, keeping your back straight. . Average case duration (358 vs. Trains Internal Hip Rotation. The front piece goes on over the back piece, like a clamshell. Keep your left leg extended. 874 views 6 years ago. 2cm), while ensuring that your lower leg. Exercise order was counterbalanced to control for any fatigue or learning effect. This video tutorial is courtesy of Release Physical Therapy, Washington, D. 3. As you progress, you could transition to a thicker band to increase the resistance and difficulty of the exercise. Commonly used in the rehabilitation of lower back pain and hip injuries. Interested in learning about the products mentioned in today's video: 1) 721 Foot Massager: GU flashcards from Chris McClinton's class online, or in Brainscape's iPhone or Android app. The scoop stretcher (or clamshell, Roberson orthopedic stretcher, or just scoop) is a device used specifically for moving injured people. It works like a body cast that can be removed. Tendon glides Straight Hook Straight Fist Straight Tabletop Straight Straight fistIsometric Sidelying Clam. Keep your feet glued together and proceed into your clamshell repetitions, opening and closing the top knee. 3. Side Lying Clam with Band Instructions. Keeping your feet and ankles together, the top knee is raised up towards the ceiling. So before you squat or whatever, perform 2-3 clamshells to fire up your glutes. PHASE 2. Together with the active use of the engaged muscles, the knee joints are also strengthened. Lift one leg in the air, keeping the other on the box and bent at a 90-degree angle. supine in American English. Cheng, MDy *Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA yDepartment of Surgery, University of. More about Supine Clam Shell Pose Tune Up Ball Hip Flow*Lunges -50 rep *Supine Piriformis Stretch/Hip ER -90 seconds each leg *Hamstring Stretch with Multiloop Strap -90 seconds each leg *Bridging -50 rep *Supine Clamshell with band both legs at same time -50 rep *Supine Clamshell with band one leg at a time -50 rep *Monster walk with band -only did 20 seconds as I was sore *Hip Abduction with band. 10/12/2022 01:54:00 am. Abs tight, spine neutral, feet anchored, feet wide, push knees together and apart You can do it as a single exercise or you can also include it into your previous workout routine. The decision was made to proceed with a supine clamshell bilateral anterolateral thoracosternotomy, aiming for expedient debulking of the tumor, with the intention to avoid ECMO support to avoid systemic anticoagulation with heparin. Sitting Supine Piriformis Stretch. Bend knees so that. Movement. Hold for 30 seconds to a minute and release. Hip Strengthening PROTOCOL . 3. as they maintain the patient in a supine alignment during transfer to a stretcher, vacuum mattress or long spine board).