T-Roll Positioning Aids (Various Colours & Sizes)
- T-Shaped Lower Limb Positioning - the T-Roll's distinctive T-shape positions between the legs to maintain hip abduction and lower limb alignment in supine-lying residents; the upper section of the T sits between the thighs, preventing internal rotation and adduction of the hips, while the lower crossbar positions the knees and lower legs in the appropriate alignment for the clinical management plan or pressure care positioning programme.
- CMHR Foam Core - Combustion Modified High Resilience foam provides supportive, durable cushioning that maintains its shape under body weight across repeated and prolonged use; CMHR foam is the standard foam specification for clinical positioning aids where sustained support without deformation is required to maintain the prescribed position throughout the care episode or overnight period.
- Vapour-Permeable Wipe-Clean Cover - the vapour-permeable wipe-clean cover supports skin microclimate management at the contact surface, consistent with NICE CG179 guidance; the zipped cover is removable for washing, supporting NHS IPC infection control between patient uses; available in blue, cream, or blue/pink camouflage colourways.
- Five Sizes - Paediatric to Extra-Large - five sizes from paediatric (NCL-PPA, 460x250x100mm) through small (NCL-PAS), medium (NCL-PAM), large (NCL-PAL), to extra-large (NCL-PAEL, 710x450x200mm) accommodate users of all ages and builds; size selection should be confirmed by the occupational therapist or physiotherapist as part of the individual positioning assessment.
T-Roll Positioning Aid Range - CMHR Foam - Five Sizes
The T-Roll Positioning Aid range provides lower limb alignment and hip abduction support in supine-lying positions through a T-shaped CMHR foam core with a vapour-permeable wipe-clean removable cover. Available in five sizes (paediatric to extra-large) and three colourways. Size and positioning to be confirmed by occupational therapist or physiotherapist.
Size Options
| Reference | Name | Dimensions |
|---|---|---|
| NCL-PPA | Paediatric (Billy) | 460 x 250 x 100 mm |
| NCL-PAS | Small (Molly) | 510 x 300 x 150 mm |
| NCL-PAM | Medium (Annie) | 710 x 400 x 150 mm |
| NCL-PAL | Large (Archie) | 710 x 400 x 200 mm |
| NCL-PAEL | Extra Large (Eddie) | 710 x 450 x 200 mm |
Regulatory Compliance
NICE CG179 (pressure ulcers: prevention and management) specifies that residents at pressure ulcer risk should be repositioned at prescribed intervals and maintained in specific positions; the T-Roll supports the maintenance of the lateral or supine position prescribed in the care plan by stabilising the lower limbs. The vapour-permeable cover directly supports the NICE CG179 microclimate management requirement. MHOR 1992 (Manual Handling Operations Regulations) benefits from the stable positioning that reduces the frequency of carer repositioning interventions. CQC Regulation 12 (safe care) documentation should include the T-Roll specification within the pressure care plan.
Frequently Asked Questions
What are T-Rolls used for in clinical care?
T-Rolls are used to maintain lower limb alignment and hip abduction in residents who are lying supine and require the legs to be kept in a specific position - for example, following hip replacement surgery where hip adduction and internal rotation must be avoided; for residents with neurological conditions causing involuntary leg adduction; or as part of a pressure care repositioning programme where the 30-degree tilt position requires the legs to be stabilised. The specific clinical indication and the prescribed leg position should be documented in the care plan by the responsible clinician or physiotherapist.
How is the correct T-Roll size selected?
T-Roll size selection should be based on the user's body dimensions - specifically the distance between the user's thighs and the length of the lower leg section requiring support. The occupational therapist or physiotherapist should assess the user and confirm the appropriate size; an undersized T-Roll will not provide effective abduction and may slip out of position, while an oversized T-Roll may create pressure points at incorrect positions. The five-size range from paediatric to extra-large accommodates users from children to large adults, and the clinician should trial the selected size before including it in the care plan.
NCL-PPA/BLUE
- T-Shaped Lower Limb Positioning - the T-Roll's distinctive T-shape positions between the legs to maintain hip abduction and lower limb alignment in supine-lying residents; the upper section of the T sits between the thighs, preventing internal rotation and adduction of the hips, while the lower crossbar positions the knees and lower legs in the appropriate alignment for the clinical management plan or pressure care positioning programme.
- CMHR Foam Core - Combustion Modified High Resilience foam provides supportive, durable cushioning that maintains its shape under body weight across repeated and prolonged use; CMHR foam is the standard foam specification for clinical positioning aids where sustained support without deformation is required to maintain the prescribed position throughout the care episode or overnight period.
- Vapour-Permeable Wipe-Clean Cover - the vapour-permeable wipe-clean cover supports skin microclimate management at the contact surface, consistent with NICE CG179 guidance; the zipped cover is removable for washing, supporting NHS IPC infection control between patient uses; available in blue, cream, or blue/pink camouflage colourways.
- Five Sizes - Paediatric to Extra-Large - five sizes from paediatric (NCL-PPA, 460x250x100mm) through small (NCL-PAS), medium (NCL-PAM), large (NCL-PAL), to extra-large (NCL-PAEL, 710x450x200mm) accommodate users of all ages and builds; size selection should be confirmed by the occupational therapist or physiotherapist as part of the individual positioning assessment.