TRANSFER TECHNIQUE

Body Mechanic

Stand closely to the client.

Bend knees: use legs not the back.
Keep a neutral spine (not bent or arched back).

Keep a wide base of support.
Open up legs and parallel to the shoulder. 

Keep heels down.
For hemiplegia client, put legs between
client's affected leg to secure that side.

* Don't tackle more than you can handle ; ask for help.

* Don't combine movements. Avoid rotating at the same time as bending forward / backward.

Body Position

Instruct client to be in slightly
ant. pelvic tilt position and midline
trunk position.

Move weight forward,
removing weight from buttock.

Client's feet be placed firmly on the floor with ankles stabilized and with
knees aligned at 90 degrees of flexion over the feet.

Client heels should be slightly pointed
 towards the place to be transferred.
Client should either wear shoes or be barefoot.

Keep client arms in safe position and
not in the way  of the transfer.

POSITIONING THE WHEELCHAIR

Wheelchair position at approximately a
30 degrees angle to the surface to which
the client is tran

The break on the wheelchair 
and the bed are locked.

The client's feet place firmly on the
floor, hip width apart and with knees
over the feet.

Remove the armrest and clear the footrest.
Remove the pelvic seatbelt, chest
and trunk / lateral supports.

* Place the wheelchair next to the unaffected side.

BED MOBILITY

Place hand under client's scapula on the affected side.

Put another hand under
 client's leg while the unaffected
 side with knee flexed.

Client clasping the strong hand around the weak
arm and lift upper extremities towards the ceiling.

Adjusting client body on the bed ;
 move upper body first.
Therapist assist the affected side
and gently mobilize it forward.
Client use hand on the unaffected
side to mobilize his/her body

Continue with lower body. Therapist hold on
patient affected leg and assist it while client
mobilize his/her lower body by using bridging technique.

Bring client's feet off the edge or the bed.
Stabilize the lower extremities.

Sit up ; shift client's body to an upright sitting position.
Assist affected side by holding client's scapula.

Place client's hand on the bed at the sides
of his/her body to help maintain balance.

Gently assist client's leg down to the floor.