Transfer Training

Introduction

Treatment

If you are not able to put weight on your legs, you may use your arms and upper body to transfer from a wheelchair to another surface, such as a toilet.  If your upper body is strong, you may use a depression transfer, which means that you depress your scapulas to raise your body up and lower it in a new position.  If your upper body is weak, a sliding board placed under your buttocks can bridge the gap between the surfaces you are transferring to and from.  Some people may need the help of another person for balance and strength.  Your therapists will train other people to safely help you.  This is called “assisted transferring.”

If you are able to place some weight on both of your legs or one leg, you will be trained to do pivot transfers.  Pivot transfers require that you place some degree of weight on one or both legs and turn your body from one surface to another.  You may do stand pivot transfers or sit pivot transfers, depending on your ability to straighten your back and legs.  Assisted transfers can provide you with extra movement and balance.

Your therapists can perform a home evaluation to make transferring easier in your home.  They can help you identify durable medical equipment that is appropriate for you and your home to help you transfer. It is easier to transfer to and from surfaces of equal height.  Recommendations may include installing grab bars in a shower, using a raised toilet seat, or raising the height of a favorite chair.  As your abilities improve, your therapists can teach you transfer methods to match your new skill levels.