In a wheelchair-to-bed transfer, what is one technique to protect the patient’s knees and ankles?

• A. Legs crossed
• B. Align the legs extended and avoid crossing; use leg supports or padding as needed
• C. Put legs under patient
• D. Keep legs bent and together

Answer: (B)

When transferring from a wheelchair to a bed, protect the knees and ankles by keeping the legs aligned and supported throughout the move. Extending the legs and avoiding crossing them helps maintain a neutral knee and ankle position, reducing the risk of pinching, twisting, or pressure that can occur if the legs are bent awkwardly or entangled with the chair or bed frame. Using leg supports or padding keeps the lower legs and ankles cushioned, maintains proper alignment, and prevents friction or pressure points as you pivot onto the bed.

Crossing the legs can create entrapment and misalignment, placing the knees and ankles at greater risk during the transfer. Having legs under the patient isn’t a typical alignment for this move and can interfere with smooth, stable movement. Keeping the legs bent and together can put pressure on the knees and limit safe motion, increasing injury risk.