Transfers

Question 1

ANTERIOR or POSTERIOR PELVIC TILT (select 1):

*allows for rib cage expansion

Answer 1

ANTERIOR

Question 2

ANTERIOR or POSTERIOR PELVIC TILT (select 1):

*improves breathing, swallowing, speech, reaching, overall posture

Answer 2

ANTERIOR

Question 3

ANTERIOR or POSTERIOR PELVIC TILT (select 1):

*to get in this position, you say “slouch, hollow out your belly, pull your billy into or toward your spine”

Answer 3

POSTERIOR

Question 4

ANTERIOR or POSTERIOR PELVIC TILT (select 1):

*place 1 hand on upper back, 1 hand on abdomen, and simultaneously cue with gentle pressure from each hand

Answer 4

POSTERIOR

Question 5

ANTERIOR or POSTERIOR PELVIC TILT (select 1):

*to get in this position, you say “up straight or sit straight”

Answer 5

ANTERIOR

Question 6

ANTERIOR or POSTERIOR PELVIC TILT (select 1):
*place 1 hand just below clavicles on the sternum, 1 hand at the lower back, and simultaneously cue with gentle pressure from each hand

Answer 6

ANTERIOR

Question 7

When using NDT for transferring, how much of the femur should be off the edge of the surface?

Answer 7

1/2- 2/3 of the femur

Question 8

What can be used for leveling surfaces and creating greater symmetry from one side to the other?

Answer 8

1” thick kickboard

Question 9

Which is NOT part of a SUPINE to SIT transfer?

1. make the bed flat but pay attention to precautions
2. always log roll
3. patient keeps close to EOB in supine
4. therapist brings affected leg over EOB, pt brings unaffected leg over

Answer 9

2. always log roll

* corrected = don’t log roll unless precautions emphasize it (e.g. no twisting of spine)

Question 10

Which is NOT part of a SUPINE to SIT transfer?

1. for hemiparesis - pt holds affected arm with unaffected arm
2. reposition upper body to align with lower, usually by moving the upper body toward the center of the bed
3. therapist places hands on neck, may need to cradle shoulders
4. therapist positions self to shift weight & move with pt

Answer 10

3. therapist places hands on neck

* corrected = therapist places hands on scapulae, may need to cradle head

Question 11

Which is NOT part of a SUPINE to SIT transfer?

1. without pt help, pull them into sitting
2. reposition at EOB to assure good BOS and alignment; may require some scooting
3. release or move away from the pt only when you are fully confident pt is safe and secure

Answer 11

1. without pt help, pull them into sitting

* corrected = using leverage and whatever help is available from pt, bring pt into sitting

Question 12

TRUE/FALSE

*Al actually wrote “use your wigglers” as a verbal cue to give to pt to help them scoot to EOB

Answer 12

TRUE

:-)

Question 13

TRUE/FALSE
*Using NDT for SIT to SUPINE requires additional 45 hour training session, which we will not get in this program. Therefore, all of our pts will be left standing or sitting up.

Answer 13

FALSE

*for SIT to SUPINE, you can reverse SUPINE to SIT procedures

Question 14

Pts at what level assistance do you use stand-pivot transfers (rule of thumb)?

Answer 14

min assist

Question 15

Which is NOT a part of STAND-PIVOT transfer?

1. therapist places chin on pt’s hot balls
2. instruct pt to lean forward (bend at waist, flex hips)
3. therapist places hands on hips, holds gait belt, or gently holds belt loops
4. therapist shifts weight back and up while facilitating standing and via hip and knee extension

Answer 15

1. therapist places chin on pt’s hot balls

* correct = therapist places chin on pt’s shoulder

Question 16

Which is NOT a part of STAND-PIVOT transfer?

1. continue to encourage weight bearing through both extremities
2. cue weight shift manually and verbally
3. encourage the hot PT who looks like David Beckham to do the transfer while you watch :-)

Answer 16

3. encourage the hot PT to do the transfer while you watch :-)

Question 17

Lateral transfers are generally used with pts with what level of assistance?

Answer 17

max assist

Question 18

LATERAL TRANSFERS:

*to assist with scooting or sit to stand, therapist places hands ______ unaffected arm and ______ affected arm of pt

Answer 18

under unaffected (2 u's!)
over affected

Question 19

LATERAL TRANSFERS:
*therapist positions self to allow for movement with the pt; therapists knee goes on what muscle? and therapists other leg goes where?

Answer 19

head of tibialis anterior, not blocking knee cap; therapists other leg goes between patient’s legs

Question 20

LATERAL TRANSFERS:

• To scoot: Instruct the pt that in order to shift hips, he must:
  1. unload weight on the hips
  2. therapist hands push down on the weight bearing hip
  3. cue the unloaded hip forward
  4. all of the above

Answer 20

4. all of the above

Question 21

TRUE/FALSE

*For most pts, a lateral transfer is completed in one swift motion.

Answer 21

FALSE

*for most pts, lateral transfers consist of seriers of small lateral movements, not one single move laterally

Question 22

What piece of equipment is used for lateral transfers?

Answer 22

sliding board