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Thread: quads who transfer independently

  1. #1

    quads who transfer independently

    My next goal is to be able to transfer myself. I'm a C6/7 with some triceps. I've seen quads transfer but the technique still alludes me. What is the key to transferring? Is there some specific excersises I can practice???

  2. #2
    Well of course you would probably do best to work with a PT who is experienced in SCI to develop this skill (you did not do this in rehab??). Can you get approved for some PT time?

    Here are some videos you may want to check out:

    http://sci.rutgers.edu/forum/showthread.php?t=50721

    (KLD)

  3. #3
    Okay, I'm a C6. Injured in 1984. I've been doing my own transfers, dressing, showers, etc. since 1985. Here's what I do to transfer.

    1). off w/left footrest
    2). get close to left side of bed
    3). transfer board under thigh...NOT BUTT (board has a hole in it so I can hold and move it to where I need)
    4). take the other foot down after swinging the foot rest out
    5). right hand on arm rest - left on bed
    6). side halfway in
    7). right hand on cushion and slide the rest of the way
    8). pull left leg in by hooking w/hand under knee then pulling it into left of bed
    9). pull right leg in the same way.
    10). slide butt to center of bed then put the head of the bed up

    Takes practice. I don't even think about it anymore. Good luck and keep trying. Be safe and watch your skin. It's great to not have to depend on others.

  4. #4
    Quote Originally Posted by steveinflorida View Post
    Okay, I'm a C6. Injured in 1984. I've been doing my own transfers, dressing, showers, etc. since 1985. Here's what I do to transfer.

    1). off w/left footrest
    2). get close to left side of bed
    3). transfer board under thigh...NOT BUTT (board has a hole in it so I can hold and move it to where I need)
    4). take the other foot down after swinging the foot rest out
    5). right hand on arm rest - left on bed
    6). side halfway in
    7). right hand on cushion and slide the rest of the way
    8). pull left leg in by hooking w/hand under knee then pulling it into left of bed
    9). pull right leg in the same way.
    10). slide butt to center of bed then put the head of the bed up

    Takes practice. I don't even think about it anymore. Good luck and keep trying. Be safe and watch your skin. It's great to not have to depend on others.
    First of all, I am impressed that after just a year, you were able to live independently! I hope to live independent some day but right now I still have trouble with transfering and some routines. I have trouble with handling the sliding board, even with my good hand which has a decent amount of grip. I can hold it but not bend over and place it under me. Just more practice? I've been trying to put my body forward and in the opposite direction of where my ass is going (as I learned in therapy), but I really think I would fall off the bed. Unfortunately I'm in a long term facility now and they quickly cut quads from therapy because they feel we can't progress to transfer let alone function entirely independent.

  5. #5
    Shoulders do most of the work in transferring. If you can move your shoulders up and down, they will get stronger while practicing.

    The above guidance is excellent. Get the sliding board under your thighs, not your butt. Lean away from the transfer direction to slide the board under your thighs. Use your arms and elbows to push back into the vertical seated position. Place the lead foot on the foot plate of your chair. Lean slightly away from the transfer direction and use the pushing or pulling strength you have to slide across the board. A philly slide works great because it almost eliminates friction during the transfer. The philly slide feels like a nylon cloth about 30" wide. It lays across the sliding board. We use it mostly during shower transfers when wet.

  6. #6
    Getting back into bed is also tricky. I get in on the left side, facing the head of the bed. I position the chair next to the bed at a slight angle. I can remove the armrest but not the side guard, need help with that. Then I can raise myself up a little while someone places the board under me, between the thigh and butt at an angle toward and onto the bed. From there, I can transfer onto the bed, but I need help getting my legs onto the bed. I feel that if I bend down to hook my leg, I'll fall forward. Is this a common problem in the process that I need to just get over?

  7. #7
    what is a philly slide. i hate sticking to the board while getting out of shower






    Quote Originally Posted by 6 Shooter View Post
    Shoulders do most of the work in transferring. If you can move your shoulders up and down, they will get stronger while practicing.

    The above guidance is excellent. Get the sliding board under your thighs, not your butt. Lean away from the transfer direction to slide the board under your thighs. Use your arms and elbows to push back into the vertical seated position. Place the lead foot on the foot plate of your chair. Lean slightly away from the transfer direction and use the pushing or pulling strength you have to slide across the board. A philly slide works great because it almost eliminates friction during the transfer. The philly slide feels like a nylon cloth about 30" wide. It lays across the sliding board. We use it mostly during shower transfers when wet.
    Bike-on.com rep
    John@bike-on.com
    c4/5 inc funtioning c6. 28 yrs post.
    sponsored handcycle racer

  8. #8
    Senior Member
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    Quote Originally Posted by fuentejps View Post
    what is a philly slide. i hate sticking to the board while getting out of shower
    I use a little hand lotion on the board getting out of the shower.

    BUT!!!! I wouldn;t recommend this to anyone who isn;t really comfrotable with their transfers, in that I mean they are very good at them. But from your postings, I suspect you are.
    T7-8 since Feb 2005

  9. #9
    A certified personal trainer with experience in working with SCI patients will be able to teach you how to transfer independently under the guidance of a licensed PT.

  10. #10
    To the op, best bet, learn from your peers most ab's, specialists or not are clueless. Your going to fall learn that 1st. Push, lift and eat.

    A little tip, jam the board under your cushion while transfering out of chair. Ill be doing a vid, my fiance will vid me doing everything, kind of a week in my life./ stay tuned
    Bike-on.com rep
    John@bike-on.com
    c4/5 inc funtioning c6. 28 yrs post.
    sponsored handcycle racer

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