Transfer Basics
What is the main purpose of functional transfers in rehabilitation?
To safely move patients between surfaces while promoting independence and mobility.
Which patients typically use stand pivot transfers?
Patients with good standing balance and lower extremity strength.
What is the main difference between a squat pivot and a stand pivot?
In a squat pivot, the patient does not fully stand up; they remain in a partial squat.
What piece of equipment is essential for a slide board transfer?
Transfer board (slide board).
Why are wheelchair brakes important before a transfer?
To prevent the wheelchair from moving during the transfer.
What is the therapist’s role during a transfer?
To ensure safety, provide assistance as needed, and encourage patient independence.
What should patients do before pivoting?
Push up to standing from the armrest or surface.
Who typically benefits most from squat pivot transfers?
Patients with limited standing tolerance or partial lower extremity weakness.
Which patients benefit most from this transfer?
Patients with good upper extremity strength but limited lower extremity function (e.g., SCI).
What should always be checked before attempting any transfer?
Surface stability and patient readiness.
What piece of equipment is commonly used around a patient’s waist during transfers?
Gait belt.
What direction should the patient pivot?
Toward the stronger side whenever possible.
What does the therapist guard during a squat pivot?
The patient’s trunk and hips, guiding the pivot motion.
Where should the board be placed during a transfer from wheelchair to bed?
Under the thigh/buttocks, bridging between wheelchair and bed.
What device reduces friction and helps patients scoot during bed mobility?
A draw sheet or slide sheet.
Name one factor that determines which transfer method is chosen.
Patient strength, balance, cognition, weight-bearing status, or environment setup.
Where should the therapist position themselves during a stand pivot?
In front or slightly to the side, guarding the weak leg.
Why is this transfer quicker than a stand pivot?
Because it avoids fully standing up and sitting down.
What should be removed before sliding across?
Wheelchair armrest (if removable) and footrests.
Which side should the therapist typically transfer the patient toward?
Toward the patient’s stronger side.
What is the safest body mechanic principle for therapists during transfers?
Bend at knees, keep back straight, avoid twisting, and use legs to lift.
What verbal cue might be used during a stand pivot?
“Nose over toes, push up, stand tall, now pivot.”
What is a common safety concern with squat pivot transfers?
Risk of sliding off or losing balance mid-transfer.
What is one therapist cue during a slide board transfer?
“Push with your arms and lean forward as you slide across the board.”
What is one red flag that a transfer may be unsafe?
Patient reports dizziness, fatigue, severe pain, or is unable to follow directions.