A patient with C6 ASIA A SCI is expected to perform transfers independently to level surfaces. Which transfer method would this patient MOST likely use?

A patient with C6 ASIA A SCI is expected to perform transfers independently to level surfaces. Which transfer method would this patient MOST likely use?

• A. Push-up transfer without assistive device
• B. Sliding board transfer
• C. Stand-pivot transfer
• D. Dependent lift transfer

Answer: (B)

A person with a complete injury at C6 typically has limited function below the level of injury, often lacking elbow extension (triceps) and in general needing assistance for tasks that require pushing up from a surface. Because of this, a push-up transfer without an assistive device isn’t feasible, and standing-independent transfers (like stand-pivot) aren’t possible without lower-limb and trunk control. A dependent lift would require another person to lift, which isn’t independent. The sliding board transfer fits best here because it uses a rigid board placed between surfaces, allowing the individual to move their body across with their available upper-body strength (shoulder and forearm control) rather than relying on pushing up with the arms or standing. With the appropriate technique and practice, a person with a C6 complete injury can perform transfers to level surfaces independently using a sliding board.

A person with a complete injury at C6 typically has limited function below the level of injury, often lacking elbow extension (triceps) and in general needing assistance for tasks that require pushing up from a surface. Because of this, a push-up transfer without an assistive device isn’t feasible, and standing-independent transfers (like stand-pivot) aren’t possible without lower-limb and trunk control. A dependent lift would require another person to lift, which isn’t independent.

The sliding board transfer fits best here because it uses a rigid board placed between surfaces, allowing the individual to move their body across with their available upper-body strength (shoulder and forearm control) rather than relying on pushing up with the arms or standing. With the appropriate technique and practice, a person with a C6 complete injury can perform transfers to level surfaces independently using a sliding board.