What is the recommended bed-to-chair transfer sequence for a patient with poor leg strength but intact trunk control?

• A. Stand up and pivot
• B. Use a slide board or assist device to transfer to the chair, ensure brakes engaged, and guide limbs to seated position
• C. Push with arms only
• D. Lift with a hoist

Answer: (B)

When leg strength is limited but trunk control is intact, transfer should minimize standing and lifting and rely on the upper body and a supportive device. Using a slide board or other assistive transfer device lets the patient move laterally into the chair while remaining seated, which leverages the stronger upper body and trunk without requiring powerful leg push-off. Engaging the brakes on the chair keeps everything stable and prevents sliding during the transfer. Guiding the limbs into the seated position helps maintain alignment and reduces the risk of falls. A hoist is more for patients who cannot participate at all, while pushing with the arms alone or standing pivoting would demand more leg strength or control than the patient has, making them less safe options.