Transfers to Standing and Between Surfaces

whats the difference between a squat pivot and a sit pivot?

- squat: have to clear the armrest

- sit: level surface, no obstacles

sit pivot transfer photo

what are the 3 phases of a sit pivot transfer?

- preparatory

- lift

- descent

preparatory phase =

the trunk flexes forward, leans laterally, and rotates toward the trailing arm

lift phase =

starts when the buttocks lift off the sitting surface and continues while the trunk is lifted halfway between the two surfaces

descent phase =

denotes the period when the trunk is lowered to the other seating surface, from the halfway point until the buttocks are on the other surface

what are the 7 lead up skills (in order) for transferring to and from wheelchair?

1. position wheelchair

2. set wheel locks

3. remove and replace leg rests

4. remove and replace arm rests

5. manage transfer board

6. manage lower extremities

7. manage body position in wheelchair

lead up skills chart

order for wheelchair to mat transfer (10) =

1. Position wheelchair

2. Manage wheel locks

3. Manage footrests

4. Scoot to edge of wheelchair

5. Feet apart and behind knees

6. Sit tall with back straight

7. Lean forward with nose over toes

8. Push to stand up using armrests

9. Turn 90 degrees toward other surface

10. Sit down slowly and safely

the expectation is that the patient _____ with the transfer or mobility task

helps

6 rules for transfers in general

1. assist dont lift

2. take your time - set up the transfer

3. engage the patient in the activity

4. use good judgment - seek assistance

5. practice considerations

6. be safe!

photo of a wheelchair to mat 2 person assist (patient is dependent)

photo of sit pivot transfer but blocking BLE

photo of sit pivot transfer but blocking one LE

where do you position your feet during blocking of 1 LE?

either side of the affected foot to support the leg

chart to help you on when to know what to block

head hips relationship =

your hips and head move in opposite directions

photo of kneeling position for transfers

photo of from a stool for transfers

photo of over the back sit pivot transfer

*** tall people friendly

photos of transfer board transfers