A physical therapist is selecting a transfer device for a patient with C5 AIS A SCI who requires maximum assistance for all transfers. Which device is MOST appropriate?

A physical therapist is selecting a transfer device for a patient with C5 AIS A SCI who requires maximum assistance for all transfers. Which device is MOST appropriate?

• A. Sliding board only
• B. Push-up blocks
• C. Patient lift (mechanical lifting device)
• D. Stand-pivot transfer with gait belt

Answer: (C)

The main idea is choosing a transfer method that matches the patient’s functional abilities so safety and efficiency are maximized. With a C5 AIS A spinal cord injury, the patient has little to no motor function below the injury and requires maximum assistance for transfers. A mechanical lifting device uses a sling to safely lift and move the patient between surfaces without the patient needing to stand, push, or actively participate. This protects both the patient and the caregiver from injuries, reduces the risk of skin shear, and provides a controlled, stable transfer. Other options require some degree of active participation or standing, which isn’t feasible for someone with complete cervical injury and full dependence for transfers. Therefore, the patient lift is the most appropriate choice.

The main idea is choosing a transfer method that matches the patient’s functional abilities so safety and efficiency are maximized. With a C5 AIS A spinal cord injury, the patient has little to no motor function below the injury and requires maximum assistance for transfers. A mechanical lifting device uses a sling to safely lift and move the patient between surfaces without the patient needing to stand, push, or actively participate. This protects both the patient and the caregiver from injuries, reduces the risk of skin shear, and provides a controlled, stable transfer.

Other options require some degree of active participation or standing, which isn’t feasible for someone with complete cervical injury and full dependence for transfers. Therefore, the patient lift is the most appropriate choice.