Growing up my mom had us help quilt a lot of quilts by hand.
She'd set up the quilt on a frame, usually in the same room as the TV. Took up much space. So when ever we watched TV, we helped quilt. She straightened, tightened, pinned, marked for stitching, on the frame. We started from the ends, not the middle. And as we finished what we could reach, it'd be unclamped, rolled up (like a scroll), reclamped, so we could reach the next area. Frames were like 2 x 4's cut for up to queen size quilts, maybe king. Covered with cloth to which we pinned the quilts, set up on chairs, clamps on the 4 corners.
We'd groan whenever she got the quilting frame out. Later she gave the frames to me, as I'd borrow them from her. She got a smaller hoop shaped frame for baby quilts and such which she loved.