Thera-Band Hip "Clam" in Supine. Reach forward with your arms and palms on the floor by bending your upper body at the waist while keeping your knees flat. Upper Quarters are the most important part of your body. Slowly lower back to the starting position and repeat for the. hip IR stretches. A scoop stretcher. C. D. Average case duration (358 vs. 55K subscribers Subscribe 680 views 2 years ago Dr. Tip. Hold for 30 seconds. Posterior pelvic tuck. Start by rotating knees away from each other while maintaining a neutral pelvis/low back. While doing this motion, keep your lower knee on the floor and your hips and pelvis as still as possible. Slowly bend your low back and tilt your . Lying supine, flex both knees to 90˚ so that each hip is also at 45˚ of flexion. Be sure to contract the glutes hard and keep the hamstrings relaxed. 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. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. 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. Keeping the feet together, one leg should stabilize while the other is falling out to the side against the resistance. hamstrings. . Education. Apply your body weight on top of the ball. Three ports are usually placed on each side in the second, fourth and sixth intercostal spaces. Contexto: exercício p/ dor no quadril e joelho. Band anchored very low. Supine and Prone Exercises Supine Bridge 2 legs Supine Bridge 1 leg Quadruped with opp arm/leg extension. It should be pain free and you might have to modify the exercise in order to make it work for you as. Abs tight, spine neutral, feet anchored, feet wide, push knees together and apartWhat is the clamshell exercise good for? The clamshell exercise not only keeps the hips moving, it strengthens both the gluteus medius AND gluteus maximus. Start by lying down on your side with the target hip being the top hip. Step 2: Gently tighten abdominal and gluteus muscles to raise the pelvis off the ground. Keep your left leg extended. Clam Exercises – It was done with 45 degrees of hip flexion and 90 degrees of knee flexion. Hook lying is often recommended as a great way to relax back muscles. . Step 2: Lay down with your knees pointed forward and bent at a 90 degree angle. Prone Hip Internal Rotation. Machine-assisted hip abduction affects all areas of your gluteus muscles, piriformis, and external obturator. - Start by lying supine on the table. Keep the knees planted together and bend the knees to roughly 90 degrees. The clamshell effectively loosens and strengthens all of your thigh and hip muscles. Supine Clamshell with band | Performance Physical TherapyNot Yet Rated. Sets/reps: Two sets of 10. Level 3Study with Quizlet and memorize flashcards containing terms like Describe the major milestones in the history of organ transplantation, Max ischemic times Heart Lungs Liver Kidney, Organ donation after brain death (DBD) and more. Lift both feet off the ground and bend the knees at a 45-degree angle. All of these exercises discussed are great, but there is a very simple exercise that is really effective for strengthening the gluteus medius. Learn faster with spaced repetition. Lay on your back with a. Spread legs only at knees and hold for 3 seconds. This is a hip abduction exercise that activates your glutes and/or strengthen them depending on the tension of the band. M. Supine Clamshells for Hip Replacement 3 Dimensional Physical Therapy 2. This exercise gets a lot done besides just the hip work. Someone should always help you to remove and reapply your brace in orderSupine Posterior Pelvic Tilt. relating to or denoting muscular action in which tension is developed without contraction of the muscle. Wrap a band around your knees (either just below or above the joint line) and lie down on your back. 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. Push pelvis into the table; like you're trying to crush someone's hand. Lay on your side. SACROILIAC JOINT RELIEF | Lower Back Pain ReliefStart studying Spinal orthoses: Rigid TLSO. Hold this open clam shell position and add knee extensions. Lie on your side with your head resting on your arm, your hips and legs stacked one on top of the other, and your knees bent at a 90° angle. Allow bottom forearm to rest on the ground. They are the important structures that run across your body. . Keep your hips level during the movement. Selkowitz (2013) showed the clamshell has double the gluteus maximus torque compared to gluteus. Make sure the waist indentations on the inside of the brace are just above your hip bones and below your ribs. Sidelying ER (pain-free) f. Flex the hips to 45 degrees and the knees to approximately 90 degrees, with your right leg directly on top of your left. 6. These glute muscles are in charge of not only hip stabilization but also of power and balance. 1 ROUND: 1) Supine Deep Breathing x 2min 2) Pelvic Rocking x 45 sec 3) Supine Clamshell x 45 sec 4) Supine Windshield Transfers x 45 sec 5) Fig. Perform 3 sets of 10 repetitions and repeat on opposite side as well. Initiate the exercise by abducting your right leg, pushing your knee away from the midline of your body. Clams in the Solenidae family, of the genera Ensis and Solen, are razor clams. Browse 9 clam shell exercise photos and images available, or start a new search to explore more photos and images. butterfly & push knees to floor. lying on the back, face or front upward. Begin by lying on your side on the ground. Razor Clams. com. Movement. hamstrings. Think slow and controlled movements, no need to hold the position. Infinite Technologies Orthotics and Prosthetics demonstrates how to properly and safely apply (put on, fit, and check) a custom TLSO immobilizing spine suppo. 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. relating to or denoting muscular action in which tension is developed without contraction of the muscle. I even posted specifically about the clamshell exercise. It works like a body cast that can be removed. FEEL: You should feel both of your glutes working to push your knees apart. The clamshell exercise is performed in a side-lying position, with the leg to be exercised on top. Video: Supine clamshell (quick) Der Begriff Muschelschale bezieht sich auf ein elektronisches Gerät mit einer Klappabdeckung, die geöffnet werden muss, um verwendet zu werden. To do the supine hamstring stretch: Lie flat on your back. Start in the same position as the regular clamshell exercise. • Active hip horizontal abduction with. Week 2: Perform weight bearing hip abduction and extension, progressing toward thera-band resistance, concentric step exercises. Bring the band under and around your. knee. 2cm), while ensuring that your lower leg. . Leg Swings Forward/Backward – Standing next to a wall, place one hand on the wall to brace yourself. TSAOG Physical Therapist Cheryl Obregon demonstrates the Clam Excercise. Articulating pubic and sternal pads for increased patient comfort and compliance. prone stretch. From here, rotate your top knee up while your feet stay together. Setup. 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. Clam Shell 4 = Same as 3 except the top leg is in extension Clam shell PNHIP0 = pelvis neutral,. Clamshell. After 2 weeks went to outpatient therapy for 2 days a week. o Initiate supine, double-leg bridge to neutral position o Supine clamshell/hip abduction activity (may perform on side if precautions maintained) o 7-Way hips o Add BFR as tolerated • Manual interventions: o Address soft tissue restrictions- TFL, ITB, iliopsoas § TFL, Glute, QF, Rectus § Stim, Laser, Manual Massage, Graston, etc. 1. Lie down on your back with your knees bent. Gait training. EMG research presented at the TRAC 2011 meeting by Dr. Keep the heels together but raise the top knee by activating the glute. Engage core and glutes. I would avoid those. Dr. Hold the position for 1 second, then lower the knee to the starting. )The meaning of SUPINE is lying on the back or with the face upward. Keep your feet together. Lie on your exercise mat on your side with your legs stacked on top one another, and your knees bent at a 45-degree angle, as you would with a regular clamshell exercise. However, this exercise is often performed incorrectly or ineffectively. com Mon-Sat 10:00 AM – 06:00 PMSupine Clam Shell Pose Tune Up Ball Hip Flow Sanskrit. While they may look similar, the FISSO patient arm positioners offer a wide range of motion and a variety of. Gently rotate knees out and in limited by pain. Directions: Lie on your side with your hips and knees bent. Step 2. Supine Clamshell Begin by lying flat on your back with your knees bent, feet together. Week Seven Email feedback from week 6 Continuing to have significant ankle pain, after walking up steep hill had pain later that day and the following day Standing Adductor slides 12x Double leg br…Supine Banded ClamshellsThe meaning of SUPINE is lying on the back or with the face upward. feet flat, knees be. Fully tighten both straps at the bottom of the brace on both sides. Stronger hip bone mineral density means if you do fall you are less likely to fracture. office365. Strengthens the smaller hip internal rotators. In the realm of fitness and physical therapy, exercises that target the core and lower body play a crucial role in developing strength, stability, and mobility. . Lie down on your side and bend your knees. Keep your knees together and slowly lift your shin and foot upward (your clam is open to the rear) as you exhale. 3 sets of 15 repetitions; 2) Clamshells with thera-band resistance Sidelying, flexion of hip and knee in 45°, holding feet together Wrap a Theraband on thighs right above closed knees. 347 minutes) were significantly shorter in the sternotomy group. Bring the knee back to center with control. 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. It also keeps you from twisting side to side. Step 1: Lie flat on your back, with your knees bent and your feet flat and hip-width apart. Phase 2 continues to be dedicated to pain reduction but we also begin to introduce light activation of the hamstrings. 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. Begin by lying on your back with your legs straight and a strap secured on one foot, holding the end in your hands. As you progress, you could transition to a thicker band to increase the resistance and difficulty of the exercise. com Supine Clamshells for Hip Replacement 3 Dimensional Physical Therapy 2. . Loop a miniband or tie an exercise band around the thighs just above the knees. Study with Quizlet and memorize flashcards containing terms like Number of ribs, how many floating ribs are their, how many false ribs are there and more. 874 views 6 years ago. 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. Lying on your back with your knees bent feet resting on the floor and a resistance band or Loop secured around your legs. Here's how to do a variation on the clamshell exercise: A. Supine clamshellSide-lying IT band stretch. Sit on the floor with your knees bent. 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. This is normal and not indicative to poor performance in this position. Detailed description of Supine Clam Shell Pose Tune Up Ball Hip Flow along with benefits, yoga sequencing ideas with pictures, contraindications, modifications, and breathing techniques. Uninvolved Knee to chest: Lie on your back and draw the Variation for clamshell exercise, performed on your back with band resistance instead of full gravity, if the usual exercise it too much for current tissue t. These splints are extremely effective at protecting your upper quarter from damage, injury, and pain. • Side lying Clamshell in 30 degree and 60 degree of hip flexion (try the most comfortable position of flexion). vampyr true dragonbane stats. Again, take 1 second on the way up and 3 seconds on the way down. Supine Leg Extension; Donkey Kick; Clamshell; Banded Walk; Instructions. Stand on one leg and hinge at the hips so the torso is slightly forward. Buy NeeBooFit Resistance Loop Bands on Amazon:your ankles nice and tight to each other. Begin multi-angle isometrics 5. Strengthening and progression exercises. 1 ROUND: 1) Supine Deep Breathing x 2min 2) Pelvic Rocking x 45 sec 3) Supine Clamshell x 45 sec 4) Supine Windshield Transfers x 45 sec 5) Fig. How to use supine in a sentence. Lie down on your side and bend your knees. See full list on healthline. The clamshell is a great way to strengthen these muscles with a nominal risk of injury. 80 views, 7 likes, 0 loves, 1 comments, 0 shares, Facebook Watch Videos from Physical Therapy Center of Excellence: Hip External Rotation Variations ♻️. Lower until just off the ground, then repeat for 10 to 15 reps on each leg. Lie down on your back with your knees bent. Wrap a mini band around your knees just above your patella (knee cap). Isometric Single-leg Wall Lean. Side Lying Clam Instructions. Slightly bring your knees up towards your chest. 081-61K-2006 €€€€ Manage a Thoracic Trauma Patient in the Supine Position—Resuscitative Thoracotomy OP AN 2-5 081-61K-2007 €€€€ Manage a Thoracic Trauma Patient in the Supine Position—Clamshell Incision OP AN 2-5 081-61K-2008 €€€€ Manage a Thoracic Trauma Patient in the Supine Position—Subxiphoid Pericardial Window. 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). 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. Lower until just off the ground, then repeat for 10 to 15 reps on each leg. The clamshell may not look like much but it is an effective movement that strengthens your glutes, hip adductors, and abductors. The authors looked at EMG activity of the. •Carefully moved patient to supine position and then bumped slightly to left. An exercise that concentrates on gluteus medius or glute med is known as clamshell exercise with loop band. 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. Begin Extension and IR: (PROM, AROM and Isometrics) 4. The clamshell exercise is a commonly prescribed exercise designed to target the hip abductors and hip external rotators. On the left side the phrenic nerve is dissected. . FEEL: You should. It is a great core exercise that also engages your gluteus. 116. 2) Clamshell – a) Bend your knees and put feet close together on the bed b) Tie the band around your legs just above your knees c) Keep your feet close together while pushing your knees out against the band and slowly return to starting position. This is the same motion your hips do when you walk, run and play sports, so it's important to strengthen this motion. 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. This side plank clamshell/reverse clamshell exercise is one of my “go to” exercises to add into the active rest slot during strength work. Rotating the bed laterally allows both sides to be done without repositioning. Directions: While lying down with your knees bent, place your hands just inside your front pelvic bones. Slowly spread your knees apart against the band. Activate the gluteus medius to lift the top leg open, as if opening a clamshell. Lie on your side with your knees slightly bent and with one leg on top of the other. rectus femoris stretches. A clamshell brace prevents you from bending forward or backward. Keep your feet together and lift your top knee until it’s parallel with your hip. Take one second to go up and three seconds to come down, keeping your movements slow and controlled. One should note the articular cartilage on the superior (a) and. The hemi-clamshell approach was performed as follows. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. Gently let your feet drop out to the point of pain or tightness. Serratus Punches 3. Repeat 20 times. You should3. This is a hip internal rotation exercise that uses gravity as resistance. Descrição detalhada de Supine Clam Shell Pose Tune Up Ball Hip Flow com benefícios, ideias de sequenciamento de ioga com imagens, contra-indicações, modificações, variações e técnicas de respiração. Most surgeons will have to manage a heart wound only once or twice in their career. Lie on your side with your head resting on your arm, your hips and legs stacked one on top of the other, and your knees bent at a 90° angle. On your inhale, slowly lower your shin and foot. The clamshell exercise targets muscles essential for hip stabilization, balance,. While keeping your back and pelvis stable and your heels together, lift your knee upward and hold this position. it on lying on your back (supine). 1) Supine Clamshell Band in Hands VIDEO; 169. After performing repetitions this way, try. Together with the active use of the engaged muscles, the knee joints are also strengthened. Hip Strengthening PROTOCOL . Try to keep your knee as straight as possible. See how your office can benefit using Patient Exercises web-based software: Exercise Instructions1. Thera-Band Hip "Clam" in Supine. Your legs stack on top of each other and hinge open like the top shell or lid of a clam. SUBJECTS AND METHODS. 4) Floor Cross Step to Stand Initiation VIDEO; 169) Supine Clamshell VIDEO; 169. Thomas test stretch. The band should be tight around both knees so you're beginning the exercise with tension already. • Wean from sling and discontinue it if physician allows • Active shoulder ROM exercises in supine and progress to standing or sitting • AROM based on radiographic evidence of healingSupine Clam Shell Pose Tune Up Ball Hip Flow Preparatory-Poses. Again, take 1 second on the way up and 3 seconds on the way down. Glute Activation. EMG studies have found good activation of both the gluteus medius and gluteus maximus muscles during the clamshell. That’s why this exercise is popular by the name of the clamshell. Hold the brace in place and log-roll onto your back. Focus on stabilizing legs through the glutes. Keep your heels together and slowly lift your top leg about 3-4 inches (7. Three ports are usually placed on each side in the second, fourth and sixth intercostal spaces. Hold and slowly return. Position and Movement: Supine, keep heels close to the glutes. Her 4 variations of the Clam-Shell are performed in supine, side lying, bridge, and side-plank using either Yellow Thera-Band resistance bands or Band Loops. Hooklying Isometric Hip Abduction with Belt. Squeeze the glutes, lifting hips off of the floor, then lower hips back to the. Variation for clamshell exercise, performed on your back with band resistance instead of full gravity, if the usual exercise it too much for current tissue tolerance Show. Move on to an exercise labeled “progression” when you can easily. back and keep the rest of your body relaxed. 3. Older Adult. Supine Knee Hold-on your back with your feet extended, brace the core as you bring one knee into the chest and gently squeeze. Loop a mini resistance band right above your knees and lie on one side. To support your neck, place a folded towel or flat cushion under your shoulders. Consider resting your head a foam roller or yoga block to help maintain a more comfortable stack position. Lay on your back with your knees bent and feet flat on the floor or table. This exercise is intended to target the hip abductors, specifically the gluteus medius muscle. 3. Keep your knees together and slowly lift your shin and foot upward (your clam is open to the rear) as you exhale. This exercise is highly beneficial for individuals recovering from hip injuries, those seeking to prevent hip and lower back pain, and athletes aiming to enhance their performance. Rotating the bed laterally allows both sides to be done without repositioning. Side lying quad stretch 9. HOW: Lie on your back. Reps: 8-10 times. Set up in a side lying position with your knees bent and your bottom arm under your head for support. 2. Lift top knee while ball and feet remain in contact. 3 Benefits of the Clamshell 1. Side Lying Clam with Band Instructions. This machine is a great way to isolate your hip abductor muscles. Supine Clam Shell Pose Tune Up Ball Hip Flow variations with base pose as Constructive Rest Pose (Savasana Variation Bent Legs). Have your patient perform a progressed quadruped isometric exercise emphasizing the G med,. Return to the starting position. Lateral core work, biasing anti side bending but still focusing on midline bracing and control. Lateral core work, biasing anti side bending but still focusing on midline bracing and control. The brace is used for stabilizing s. Learn the right methods on how to do Reverse Clamshells exercises with certified Physiotherapist, Brianna Bruce, from Pleasantview Physiotherapy Clinic in Ed. Keeping your feet together, squeeze your deep ab. The side-lying clam exercise strengthens hip abductors such as gluteus medius. Participants were instructed to visualize a clamshell opening for this exercise. -supine w/ hip and knees extended -heels on foam roll -VPAC (glut set) -extend hips and lift buttock off table -perform SLR Clam Shell Pose impacts the various joints like the hips, pelvic girdle, knees, and ankles. Supine arthroscopic view of right hip from anterolateral portal showing clamshell fracture floating above fracture donor site. Supine Hip ER/IR: Lie on your back with legs straight. In the perfect clam shell exercise, your. Place a band (if you have one) around your knees. The brace is used for stabilizing s. The goal of the clamshell exercise is to strengthen the lateral roators of the hip and to control for rotation by using the lower abdominals. Another benefit of the clamshell is that it can help activate the glute. 3. Unsurpassed compression and support with a 5:1 mechanical advantage pulley system. If your TLSO opens . Return to starting flexed position. Supine Hip Adduction Isometric with Ball. Isometric. Clamshell raise . Games & Quizzes; Games & Quizzes. Make sure that your back does not rock backward with the motion. SACROILIAC JOINT RELIEF | Lower Back Pain ReliefStart studying Spinal orthoses: Rigid TLSO. Sitting Supine Piriformis Stretch. Knees bent and feet flat down. A full median sternotomy was initially performed to avoid vessel injuries and spillage for the complete resection of the tumor and provide optimal exposure of the hilar and mediastinal vascular structures before employing right thoracotomy with the hemi. fire hydrant. Lie on your side. For more strengthening exercises visit: side-lying clam exercise strengthe. Utilization of a double lumen endotracheal tube is necessary. Keeping your top knee lifted (don’t let it drop!), lift the top foot towards the ceiling, rotating your top thigh towards the floor. slowly raise the kne. Place your other hand in front of your chest to support your body in this. Be sure that your heels, hips, shoulders, and neck are all in alignment. Upper Quarter Splints make sure that you can move your upper quarter (s) in all directions. Keep your feet glued together and proceed into your clamshell repetitions, opening and closing the top knee. Repeat 20 times. Begin lying on floor facing up. Start the Frog Pump with knees on the floor pointing outward with feet together, in a supine position. Share on Pinterest. Bring them back together and repeat. 1) Low ER to High ER with Band High VIDEO; 119) Bilateral “W” External Rotation VIDEO; 119. Variation: flex shoulders to 90 so hands are pointing directly to the ceiling. . The clamshell incision: an improved approach to bilateral pulmonary and. In the video, I use a red exercise band . Repeat this five times, then change sides. The band resisted clam shell exercise is great for strengthening and mobilizing the external hip rotators. Aim for 1 minute. The front piece goes on over the back piece, like a clamshell. Supine Clamshell with band | Performance Physical Therapy. They are more. Supine Hamstring Stretch with Strap Supine ITB Stretch with Strap. Tighten core, push through heels using glutes to lift hips, knees and spine to a neutral position. Normal range of motion for hip ER is about 30 degrees with the hip extended and 50 degrees with the hip. Slide heel out to fully extend the knee. . We then did isometric hold at 35lbs mid range for 60sec Used tennis ball for soft tissue mobilizaion into the glut…The Clamshell Exercise: Benefits, Technique, and Variations July 9, 2023 July 2, 2023 by beingmuscular0@gmail. To begin, slide your feet through a loop resistance band so that the band is around both of your thighs. 3-4 times per week (every other day) Start with 1 set of 10-15 repetitions. . Transfer a 10-pound weight from one hand to the other while maintaining balance. . Body Part Butt. For the reverse clam: Lie in the same position as the clam. Here is a list of the important clam shell exercise benefits: Prevents Injury: Back injuries happen when your muscles are not strong enough. Visit for more information. We Recommend. | Meaning, pronunciation, translations and examplesStVicentsHospitalelb @StVicentsMelb st-vicent’s-hospital-melbourne @stvicentsmelb St icent’s PO o 90 itzroy VIC 65 ustralia (03) 23 211 Seated Hip Abduction. 473 minutes) and ischemic time (248 vs. This exercise strengthens the outer hip muscles. October 20, 2017. Supine clamshell TA BKFO with band Deep squat Hip hinge Prone IR SL IR Robyn hood Pallof press Glute fire HAB Glute fire over table. Begin by lying on your back with your legs straight and a strap secured on one foot, holding the end in your hands. Start in the same position as the regular clamshell exercise. Put the back half of the brace on your back. Objective: To compare the electromyographic activity produced by the gluteus medius (GMed), tensor fascia latae (TFL), anterior hip flexors (AHF), and gluteus maximus. It's an ideal position to work on leg stretches (supta padangustasana for the hamstrings, supta virasana for the quads) and for letting gravity do its work in the reclined twists that often end class. In the perfect clam shell exercise, your. in the back, then it is best to put it on lying on your stomach (prone). Video ID: VVMLPWCBG. 1. Browse Getty Images' premium collection of high-quality, authentic Clam Shell Exercise stock photos, royalty-free images, and pictures. Various yoga postures help the lower back, except for the cobra poses that are done in sun salutations. Lung Transplant Anesthesia Anesthesia Guidelines for Lung Transplants Raymond Graber, M. Sit on the floor with your knees bent. . Clamshell with loop band is perfectly performed 10 to 15 times. At this point, you can take up a complete supine posture and remove whatever elevated your legs.