Transfers After Leg Amputation

After your amputation, you'll be taught how to transfer safely. This means learning to move between two surfaces, such as bed and wheelchair. Safe transferring is crucial to prevent falls and protect your wound as it heals. The type of transfer you use will depend on your overall health and strength. Two types of transfers you may learn are slide board transfers and pivot transfers.

A slide board is a flat, rigid board made of wood or plastic. It bridges two surfaces, such as a bed and wheelchair. The board lets you scoot on your buttocks between surfaces without having to use your legs. A slide board transfer can be done on your own or with help, if needed.

At first, you'll need help with the slide board transfer. In time, you may be able to use the slide board by yourself.

• If transferring from a wheelchair, place the wheelchair as close as you can to the second surface, such as a bed or toilet. Be sure to lock the wheels of the chair.
• You or your helper slide one end of the board beneath your buttocks. The other end is placed flat on the surface you're moving onto.
• Use your upper body to scoot yourself along the board toward the second surface. If needed, a helper can assist you. At first, you may need to wear a gait belt. This special support belt lets a helper support you more easily.
• Once you're on the second surface, the slide board can be removed. Keep the board within easy reach.

Pivot transfers can be used if you have enough strength in your intact limb and upper body. For safety, practice pivot transfers with a helper. Don't try to pivot transfer alone until you're told it's safe.

• If transferring from a wheelchair, place the wheelchair as close as you can to the second surface, such as a bed or toilet. Be sure to lock the wheels of the chair.
• Place your foot flat on the floor. Use your arms to push up into a standing position. Hold on to your helper for balance and support. Or you can support your weight on a walking aid, such as a walker or crutches.
• Shift your weight and reach toward the second surface. Rest your arms on the second surface for safety. If you're wearing a gait belt, a helper can use it to help you shift your weight.
• Turn or pivot on your foot so your buttocks are toward the second surface.
• Sit down onto the second surface.