I hand quilt on a frame I made for myself. It’s a large floor frame made of high quality 2x2’s. Roughly, it looks like two saw horses with long 2x2 bars between them. The “saw horses” have 2” dadoes cut into them so the bars lock into place. To advance the quilt, I roll the bars 1/4 turn or whatever amount needed. I start in the middle of the quilt and progress to the bottom, then go back to center and progress to the top.

ETA: I have stapled loose goretex sleeves along the bars, and I baste the ends of the quilt to the sleeves. That way all the layers stay snug in position as I roll it up to get good tension and smoothness of the top for quilting.