PHYSICAL DISABILITIES Lifting Transferring

RIGHT WAYS TO PICK UP A CHILD WHO IS STIFF

1. CEREBRAL PALSY 1. If the child is lying, insert
your arm behind his or her back
and wrap your other arm to his
or her waist.
2. Lift him or her up.
1. Adjust your body height near to the transfer place.
2. Get close t the transfer place and make sure the
place was safe.
3. Put down the child from lower part to upper part of
his or her body. (Legs, Back and Head).
(The reporter will demo the steps)

1. Put your arm below the

neck of the child and the
other arm on the lower leg
of the child.
2. Lift him or her up.
PHYSICAL DISABILITIES LIFTING
TRANSFERRING

 Wrong way to pick up heavy spastic child Transferring spastic Child:

1. Before putting the child down you must make

sure and put your hand on his lower back to
It is wrong because as seen in the
support his head.
picture you are just supporting the
lower body part of the child and he
2. Support his head by holding it. ( you hold the
or she can move or look his/her
lower part of head)
head around.

3. Put down the child.

Lying position:

a. First, slowly put to the bed his/her hean,

abck and lastly the legs.
Correct way to lift a heavy spastic child
Sitting position:

when the child is lying: a. Just put down the child like a baby. (In
spastic child, provide back support if
a.Insert your both arms at the
needed)
lowervback.
b.lift the child towards your
shoulder.
c.Slide down your left arm to
his/her left leg, same as to your
right arm and hold the both legs.
 A child carried as a baby, completely
supported and unable to look around.

-it is done best and safety from higher to lower

HOW TOLIFT A FLOPPY CHILD? surface
MUSCULAR DYSTROPHY There are things that we need to consider and
1. Insert your arm and wrap (left or right) to the
shoulder part of the child and the other arm remember when the child was about to lift or transfer
insert it to the legs of a child.
2. Position the child close to you and make sure that are using wheelchairs are:
his/her head was supported by your arm. 1. Move the wheelchair very close to
decrease the distance of transfer.
2. Move Feet and arms away
3. Set the breaks
ONE PERSON TRANSFER
1. Place both arms of your patient
around your shoulder
2. Place one of your arm on the
hips of your patient
3. Wrap your arm tightly around
his back.
 LIFTING TRANSFERRING

TWO PERSON TRANSFER

1. The first person stands behind the patient help the

patient cross his arms across his chest.
2. Place the arm under the patient upper arm
3. The second person must place both arms under the
patient lower tights.
4. Both of them will count 1,2,3 and they will lift the
child and transfer it

(To understand further, we will present a video.)

Transferring Without Equipment

3.SPINAL CORD INJURY
1. Move the wheelchair very close to decrease the
distance of transfer.
2. Move Feet and arms away
3. Set the breaks
4. Adjust the height of the transfer place it is
adjustable. Make sure that the level of the
person and transfer place is the same.
LIFTING 5. Let the patient put his or her outer wrist o
the table diagonally and the inner one on
the chair(wheelchair).
6. Swing you head front to back. (This could
be the patient preparation to lift their body
up.

Transferring With a Transfer Board

1. Set‐Up: Position the wheelchair at a 45˚ angle

to the surface to be
transferred to (90˚ angle if transferring to a drop arm
commode), remove
both leg rests, remove the arm rest that is in the
direction of the transfer.

2. Move buttocks forward on the sitting surface

3. Position the transfer board by holding on to the

far end of the board (often
there is a “handle” at this end) and pushing the closer
end under the proximal
thigh and buttocks by leaning laterally away from the
board

4. Position hands in front of the trunk – one hand on

the sitting surface or arm
rest of the wheelchair, the other hand on the transfer
board, as far down the
board as the individual can reach (making sure he/she
leaves room for
his/her buttock to move during the transfer)

5. The individual then locks the elbows using muscle

substitution (see above)
or supports his/her body weight using the triceps

6. Lean forward onto both upper extremities and

tuck the chin downward

7. The individual then quickly moves/twists the head

and shoulders down and
away from the destination of the transfer, thus
allowing the buttocks to move down the transfer
board.

8. If the first movement of the head/shoulders is not

forceful enough to get the
patient to the new sitting surface, he/she may need to
re‐adjust the upper
extremities and perform multiple twists of the
head/shoulders to move
down the transfer board

There will be video presented

OTHER HEALTH IMPAIRMENTS LIFTING/ Transferring

Helping someone having an asthma attacks.

 People who has asthma doesn’t require proper way on

ASTHMA
Asthma (AZ-ma) is a chronic (long-term) lung
disease that inflames and narrows the airways.
how they would be lift and transfer, but during asthma
attack the most important is the way you position
them. (Johnson and Johnson 1995)
 Position the patient into a comfortable sitting
position
 Ask them if they have inhaler and where it is.
 Help them use the inhaler.

 During asthma attacks (any position) help them get
into a comfortable sitting position.
LIFTING/TRANSFERRING
Epilepsy
When the child having its seizure it is not advisable for
us to touch or interrupt them. After the seizure occurs we are
letting them to be relax and let them be awake and familiarize
the surroundings. So, Lifting and transferring students who
has epilepsy was not so necessary.
Helping child after a Seizure
 Check the person for injuries
 If you could not turn the person onto his other
side during the seizure, do so when the seizure
ends and the person is more relaxed.
 If the person is having trouble breathing, use
your finger to gently clear his or her mouth. If
this does not work call for emergency help.
 Loosen tight clothing around the person’s neck
nd waist.
 Do not offer some food or drink until the
person is fully awake and alert.
 Stay with the person until he or she is awake
and familiar with the surroundings.
 If wake up with head ache help them get into
 their bed or comfortable position and give
some medication.

TRANSFERRING

1. Move the wheelchair very close to decrease

the distance of transfer.
STROKE
2. Move Footplate and armrest away
3. Set the breaks
4. Place the opposite paralyzed arm on the
patients’ body and move the arm closer to
you away from the patient’s body.
5. Bend the opposite knee with one hand on
the pelvis and the other hand on the
patients shoulder blade, roll the patient
towards you.
6. Bring the les off the bed. Stabilise the
patient hip with one hand and with the
other hand. Under the patient’s upper trunk
lift the patient up to a sitting position.
7. If the patient is sitting too far in the bed,
shuffle the patient bottom forward.
8. Lean the patient to the left and guide the
right hip forward.
9. Lean the patient to the left and guide the
right hip forward.
10. Ensure that both of the patient’s feet are
placed on the floor.
11. To transfer lean the patient forward. Ensure
that the patient weight is well forward.
Tools. Transfer Boards

A common piece of transfer equipment used is a sliding transfer board. One end of the transfer board is placed
under the client's bottom and the other end is placed on the target surface they are intending to transfer to. The
client, using elbows in an extended and locked position, raise and slide their bottom along the board's
surface. When the client has reached their target surface, the sliding board can be removed from beneath their
bottom.
Factors that can impact a client's ability to use a transfer board, and what Occupational Therapist's need to keep in
mind when recommending a transfer board include:
- poor trunk balance
- spasticity
- body weight
- upper extremity strength
- inability to lock elbows into extension (including contractures, tightness in the elbows or wrists)

Types of Transfer Boards

Long transfer board: ideal for when client has large gap to transfer. ex. from wheelchair to car

Small transfer board: ideal for when their is a small gap to transfer, or space is limited. ex. in the bathroom

Transfer board with cutout on end: useful for use when the client does not possess the adequate grasp strength to
pick up a standard transfer board

Polyethylene plastic board: provides a smoother and slippery surface for a client to transfer. Ideal for transferring in
and out of shower when client is wet.

Transfer board with moving center disc: ideal for allowing ease of transferring of body.