Exam Preview

Transfer Training in Spinal Cord Injury

---

1.  You are working with a 34-year-old client with a C4 motor complete spinal cord injury in an inpatient rehabilitation setting. What is your expectation for the transfer technique for this client? Instructing the client and their caregiver how to perform a dependent transfer with a mechanical lift or transfer board Sit pivot transfer with minimal assistance of caregiver Stand pivot transfer with minimal assistance of caregiver None of the above

2.  You are working in an outpatient setting with a 22-year-old client with a T6 motor complete spinal cord injury. The client has no secondary medical co-morbidities. What is your expectation of the transfer technique for this client? Dependent with a mechanical lift Independent with sit pivot technique Independent with a stand pivot technique with assistive devices/leg braces Independent with a stand pivot technique without assistive device/ leg braces

3.  You are working in an outpatient setting with a 45-year-old client with a L4 motor complete spinal cord injury. The client has no other secondary medical co-morbidities. What is your expectation of transfer technique for this client? Independent sit pivot transfer Independent with a stand pivot transfer with an assistive device and AFO braces Assistance required with a transfer board Independent with both a sit pivot transfer and stand pivot transfer with an assistive device and AFO braces

4.  When teaching a client’s caregiver to perform a dependent transfer with a transfer board, the caregiver’s set up during the transfer should include which of the following? Positioning the client’s trunk forward and towards the transfer surface Positioning the client’s trunk forward and away from the transfer surface Performing transfer with legs locked out straight All of the above

5.  Which of these contributes to an effective sit pivot technique? Maintaining pelvis rearward in the seat Positioning trunk upright during transfer Rotate upper body away from pelvis and away from the transfer surface All of the above

6.  Which muscles are major contributors to the sit pivot technique? Latissimus Dorsi Serratus Anterior Pectoralis Major All of the above

7.  When performing a sit pivot transfer technique, the lead arm should be positioned: Away from the client’s hip with approximately 30-45 degrees shoulder abduction Close to the client’s hip In maximal internal rotation None of the above

8.  What are appropriate transfer progressions for a client with a T3 motor complete spinal cord injury who is now independent with level transfers on/off a mat in a rehab gym? Sit pivot transfer into/out of the car Sit pivot transfer on/off a commode Sit pivot transfer on/off an extended tub bench All of the above

9.  According to the Consortium for Spinal Cord Injury Clinical Practice Guidelines: Preservation of Upper Limb Function Following a Spinal Cord Injury, the following things are recommended for those who complete independent transfers: Perform level transfers if and when possible Avoid positions of impingement Avoid positioning hand flat when a hand grip is available All of the above

10.  Positive prognostic factors for a client with the capacity to perform an independent sit pivot technique include: Obesity Previous shoulder injury High motivation Shoulder pain