Unit 5

Question 1

Transfer =

Answer 1

safe mov’t of a person from one surface or location to another or from one position to another

Question 2

Transport =

Answer 2

Moving a client from one area to another typically using a wheelchair or a stretcher

Question 3

Transfer VS Transport

Answer 3

Transport is usually using tools to help (like w/c and stretchers) whereas transfer you are physically helping Cl.

Question 4

3 goals of Transferring

Answer 4

(1) maximize function
(2) minimize impairment of Cl.
(3) considered therapeutic

Question 5

Definition: holding client on transfer belt, physical contact w/ Cl.

Answer 5

Contact Guarding

Question 6

%
Minimal Assist
Moderate
Maximal
Mechanical

Answer 6

Minimal Assist - >75%
Moderate - 50-75%
Maximal -

Question 7

3 Levels of Dependence

Answer 7

(1) Independent - Cl. performs all aspects of the transfer, including set-up, in a safe manner and w/o assistance. May still need verbal cues
(2) Assisted - Cl. participates actively, requires assistance by one or more ppl
(3) Dependent - Cl. does not participate actively, or only minimally: mechanical lifts required

Question 8

4 Steps in preparation of Cl.’s transfer

Answer 8

(1) Communicate w. Cl
(2) Obtain consent
(3) Organize environment (Cl., room, yourself)
(4) Back-up plan

Question 9

5 Body mechanics principles to keep in mind during transfer

Answer 9

(1) position yourself CLOSE to Cl.
(2) keep your head IN LINE w/ your hips
(3) ensure wide BOS
(4) use SHORT LEVER arms
(5) contract your CORE muscles and maintain NEUTRAL spine

Question 10

What has to happen to ankles and trunk during Sit to Stand? When does the maximum contraction of our quads occur?

Answer 10

feet/ankle: are behind patellae, feet flat
trunk: Forward leaning = hips flexed to advance trunk forward

Max. contraction occurs during “lift off”

Question 11

If Cl. cannot fully weight bear and has weak quads, which transfer would your PT probably suggest you to use?

Standing step around or Low pivot

Answer 11

Low Pivot

Question 12

How do you get a Cl. to the edge of the bed in sitting to allow her feet to be flat on the floor?

Answer 12

Hip walking

Question 13

Ideal way to leave Cl. in a w/c after treatment session (4)

Answer 13

• Cl. buttocks are at the back of chair
• neutral spine
• head midline
• legs+feet appropriately supported

Question 14

Which transfer would you do if a Cl. does not understand your directions?

Answer 14

Mechanical Lift

Question 15

5 Major safety issues to consider when transferring?

Answer 15

Level of assistance
type of assistance
level of dependence
amount of assistance 
type of mov't

Question 16

What do we need to do to prepare our Cl. for a transfer?

Answer 16

transfer belt

Question 17

3 types of assistance

Answer 17

• verbal cuing
• balance control
• physical assistance

Question 18

Types of mov’t (4)

Answer 18

• bed mobility
• sit-stand-sit
• 1 person t/f
• 2 person t/f

Question 19

What does ABC stand for in communication with Cl.?

Answer 19

Alertness
Behaviour
Cooperation

Question 20

T/F

Slower is easier than faster due to momentum

Answer 20

False

Question 21

T/F

The lower the chair height, the less lower extremity strength is required to achieve lift off

Answer 21

False

Higher the chair