E-Roll Positioning Aids
- E-Shape for Leg Separation and Elevation - the E-shaped profile of the E-Roll provides three channels that gently separate and elevate the lower legs, maintaining a natural, stable leg position while lying; the E-configuration supports both legs simultaneously, reducing the risk of legs crossing or applying lateral pressure to each other, which is particularly important for pressure care management and vascular care in bed-resting residents.
- CMHR Foam Core - Combustion Modified High Resilience foam provides supportive, durable cushioning that maintains its shape under sustained leg weight; the CMHR specification ensures the E-Roll retains its three-channel profile throughout prolonged use, maintaining the leg separation and elevation without deforming to a flat surface over time as standard foam would.
- Vapour-Permeable Wipe-Clean Cover - vapour-permeable outer supports skin microclimate management at the lower leg contact surface, consistent with NICE CG179 guidance; the zipped cover is removable for machine washing, supporting NHS IPC infection control; available in blue or cream colourways.
- Two Sizes - Medium and Large - medium (NCL-E-PAM, 900x200x150mm) and large (NCL-E-PAL, 1100x200x200mm) options accommodate different lower leg lengths and body builds; the appropriate size should be confirmed by the occupational therapist or physiotherapist as part of the individual positioning assessment and care plan.
E-Roll Positioning Aid - CMHR Foam - Leg Separation and Elevation
The E-Roll Positioning Aid uses an E-shaped CMHR foam profile to separate and elevate both lower legs simultaneously, maintaining a natural lying position for pressure care, vascular care, and postural management. Vapour-permeable wipe-clean removable cover. Two sizes: medium (NCL-E-PAM, 900x200x150mm) and large (NCL-E-PAL, 1100x200x200mm).
Size Options
| Reference | Size | Dimensions |
|---|---|---|
| NCL-E-PAM | Medium | 900 x 200 x 150 mm |
| NCL-E-PAL | Large | 1100 x 200 x 200 mm |
Regulatory Compliance
NICE CG179 (pressure ulcers: prevention and management) requires that lower limbs of pressure ulcer risk residents are positioned to prevent heel and ankle contact with the bed surface and to avoid cross-leg pressure; the E-Roll directly supports this by separating and elevating the lower legs. MHOR 1992 applies to the carer effort associated with repositioning; stable leg positioning that is maintained between care interventions reduces the cumulative manual handling burden. CQC Regulation 12 documentation should include the E-Roll as a component of the pressure care plan where lower leg positioning is a documented clinical requirement.
Frequently Asked Questions
How does the E-shape promote effective leg positioning compared to a standard cylindrical roll?
A standard cylindrical positioning roll supports the knees or calves from below in a single contact point, which may allow the legs to roll off the side or make contact with each other. The E-shape creates three defined channels that simultaneously cradle both lower legs in separate channels, preventing lateral movement and cross-leg contact, and providing elevation through the raised sections between the channels. This three-point contact per leg provides more stable positioning with less tendency to shift during sleep, maintaining the prescribed separation and elevation without requiring carer adjustment between repositioning turns.
When should E-Rolls be used in preference to T-Rolls?
E-Rolls are indicated where the clinical requirement is bilateral lower leg separation and elevation along the full lower leg length - for example, in vascular care where both lower limbs require elevation to reduce oedema, or in pressure care where heel and lower leg contact with the bed surface is the primary risk being managed. T-Rolls are indicated where the primary requirement is hip abduction and thigh separation in the supine position, particularly following hip arthroplasty or for neurological conditions causing adduction. The occupational therapist or physiotherapist should determine which aid best addresses the individual clinical positioning requirement.
NCL-E-PAM/BLUE
Viewed products
- E-Shape for Leg Separation and Elevation - the E-shaped profile of the E-Roll provides three channels that gently separate and elevate the lower legs, maintaining a natural, stable leg position while lying; the E-configuration supports both legs simultaneously, reducing the risk of legs crossing or applying lateral pressure to each other, which is particularly important for pressure care management and vascular care in bed-resting residents.
- CMHR Foam Core - Combustion Modified High Resilience foam provides supportive, durable cushioning that maintains its shape under sustained leg weight; the CMHR specification ensures the E-Roll retains its three-channel profile throughout prolonged use, maintaining the leg separation and elevation without deforming to a flat surface over time as standard foam would.
- Vapour-Permeable Wipe-Clean Cover - vapour-permeable outer supports skin microclimate management at the lower leg contact surface, consistent with NICE CG179 guidance; the zipped cover is removable for machine washing, supporting NHS IPC infection control; available in blue or cream colourways.
- Two Sizes - Medium and Large - medium (NCL-E-PAM, 900x200x150mm) and large (NCL-E-PAL, 1100x200x200mm) options accommodate different lower leg lengths and body builds; the appropriate size should be confirmed by the occupational therapist or physiotherapist as part of the individual positioning assessment and care plan.