A patient incline device 10 includes an incline ramp 12 and a centreline spinal support 14 located on a base member 12. The incline ramp 12 supports the upper torso and head of a patient such that the upper torso and head are elevated with respect to the base member 12. The centreline support 14 is located adjacent the inline ramp 12 for contact with a central portion of the patients back located adjacent the spine to elevate the central back portion. The width of the spinal support 14 is less than that of the incline ramp 12 to define lateral spaces along opposite sides of the centreline support 14 to receive the arms and side portions of the patient for lateral extension of the chest wall.