Transfers/Techniques

Question 1

Transfer Progression

Answer 1

Upright tolerance -> sitting stability -> standing stability -> gait training -> selection of transfer technique -> transfer goals -> transfer preparation -> documentation of transfer performance

Question 2

Tilt Table

Answer 2

Cardiovascular test used to evaluate the cause of syncope

Question 3

Tilt Table Indications

Answer 3

Accomplish dependent standing
Accommodation to upright
WB-ing or stretch, proprioceptive feedback, CC strengthening
Pre-gait training
Constant monitoring of vitals
Raise 30 degrees at a time (monitor vitals at each stop)

Question 4

Special accommodations to counteract orthostatic hypotension

Answer 4

Use TED hose (post-surgical stockings, wear from toe to groin)
Ace wraps
Abdominal binder for standing activities

Question 5

Standing Frame

Answer 5

3-point system of dependent standing
Alternative to tilt table for dependent standing
More normative sit to stand transition

Question 6

Standing Transfer Aids (Stand assist lifts)

Answer 6

Requires postural control and lower extremity stability

Question 7

Standing Transfer Indications

Answer 7

Significant LE weakness, LE “buckling” upon standing
Performing transfers with assistance of 1 person
Less than 250 lbs
Good to fair trunk control
Cognitively capable of following basic functional commands
Patient may be confused but understand basic functional cues
Used for functional needs like going to the restroom

Question 8

Hoyer Indications

Answer 8

Dependent patients
Specialty (bariatric) lifts for large patients
Considered when prognosis of long term dependence
Allows dependent lift from floor

Question 9

Hoyer Slings

Answer 9

Typical sling (rides up with prolonged sitting)
Split leg (removed after transfer, better tolerated)

Question 10

Cardiac Chair

Answer 10

Dependent lateral transfer

Patients who exceed weight limit or other lift equipment

Question 11

Hoverjack

Answer 11

Get bariatric patients off floor