Standing dependent pivot - The Dependent Pivot transfer is used when the patient has equal strength/weakness in the

legs so the therapist should block both of the patient's legs during the transfer. Standing assisted pivot -The Assisted Pivot transfer is used when the patient has one involved leg which is weaker than the other so the therapist will block only one leg during the transfer. This transfer may be used if the patient has had a surgical procedure such as a unilateral THR (total hip replacement) or a TKR (total knee replacement), an injury to one leg, or has weakness in one leg such as in hemiplegia from a stroke. Sitting, sliding board transfer - This transfer is typically the first transfer taught to patients with lower extremity amputations or a spinal cord injury that does not impact the arms. The pelvis is moved from one surface to another by sliding it along a sliding board placed between the two surfaces. A sliding board is generally made of polished wood or plastic that will allow objects to slide across the surface. Sitting, lateral swing transfer - This transfer is the progression from the sliding board transfer and is taught to patients when they have become independent in the sliding board transfer One person dependent lift transfer - the one person dependent lift transfer and the two person dependent lift transfer, would be used for patients who are globally weak and do not have the lower extremity strength to support the body in standing nor the upper extremity strength to perform a sliding board or lateral swing transfer. These patients would be dependent and would need someone to assist them with these transfers. For the purposes of this course we will assume the patient has head control and will not need assistance to stabilize the head. Two person dependent lift transfer (two methods) -the one person dependent lift transfer and the two person dependent lift transfer, would be used for patients who are globally weak and do not have the lower extremity strength to support the body in standing nor the upper extremity strength to perform a sliding board or lateral swing transfer. These patients would be dependent and would need someone to assist them with these transfers. For the purposes of this course we will assume the patient has head control and will not need assistance to stabilize the head. This transfer would be used if the therapist does not feel capable of safely transferring a dependent patient alone due to the patient's size and/or weight. Three person dependent lift transfer - This transfer is used to transfer a patient in a supine position from one surface to another such as from a bed to a stretcher. The therapist will take the lead and instruct the assistants in the sequence and verbal cues for the transfer. The two strongest and tallest persons should be positioned at the patient's upper trunk and lower trunk while the smallest assistant should be positioned at the patient's legs. The therapist would typically be positioned at the patient's upper trunk

unless the therapist is the smallest of the three lifters. The patient should not be transferred in a "head down" position. Hoyer lift transfer -The Hoyer Lift may be used for dependent patients that cannot assist with a standard transfer, obese patients, or cognitively impaired patients that may not be able to follow directions to assist with a transfer. The Hoyer Lift can be operated by one person and can be used when assistance is unavailable to help with a transfer. Family members or caregivers may be trained to use the device to transfer the patient in the home. Hoyer Lifts come with different weight limits and the appropriate unit should be used for the weight of the patient.