zig
0

Notifications

  • You're all caught up!

Eight Steps to Improving Sit-to-Stand Transfers

by
author image Christina Bhattacharya
Christina Bhattacharya has been involved in the health and fitness field since 1999. Bhattacharya holds an A.S. in physical therapy from the Community College of the Air Force, a Bachelor of Arts in technical communications from University of Maryland University College and a Master of Science in health management from Lindenwood University. She also holds personal trainer, senior strength training and Pilates certifications.
Eight Steps to Improving Sit-to-Stand Transfers
Sit-to-stand transfers can often be a complex activity for seniors, especially after an injury, disability or sickness. Photo Credit Jacob Wackerhausen/iStock/Getty Images

Functional mobility is essential to daily life and is vital to the safety, health and independence of elderly adults. Reduced mobility is related to a range of unfavorable health results, including the decline in the ability to perform sit-to-stand transfers. In the 2000 article, "Bed mobility task performance in older adults", problems performing transfers are a frequent dilemma in adults 65 and older, affecting more than 6 percent of adults living in the community and over 60 percent of nursing home patients. The ability to properly and safely transfer may deteriorate due to disease, disability or hospitalization (See Reference 1).

Prepare to Transfer

You must have both adequate sitting and standing balance in order to perform a successful sit-to-stand transfer. If you do not have adequate sitting or standing balance, have a caregiver assist you to reduce your risk of falling.

Appropriate positioning of your body, equipment and chair are required in order to perform sit-to-stand transfers properly and safely. Before attempting to stand, if you use a walker or cane, place it directly in front of you. If possible, raise the height of your chair. The higher the chair, the less strength and range of motion is required.

Scoot and Lean

Range of motion requirements for sit to stand transfers vary depending on your height and how low your supportive surface is. In order to stand from a standard-height chair, you need to be able to flex your knees at least 100 degrees and your hips 110 degrees (See Reference 3). Some orthopedic conditions require you to follow range of motion precautions. For example, hip and knee replacements have flexion precaution limits. Always speak to your surgeon or physical therapist about your range of motion precautions.

Place your hands on the arm rests and scoot your hips to the edge of the chair. Bring your feet flat on the floor under your body. From the trunk and hips, lean forward in preparation for standing. Bring your weight forward by leaning forward enough that your “nose is over your toes”.

Pushing Down to Stand Up

Sit-to-stand transfers require both leg and arm strength, as well as power. Your hip extensors and quadriceps should be strong enough to lift your body against gravity (See Reference 2). In general, you need at least 30-percent of maximal quadriceps strength in order to perform a proper sit-to-stand transfer.

Next, place your hands on the armrest of the chair. While you are bringing your nose over your toes, push down with your feet and legs and lift your hips off the chair.

Standing

Once your hips are off the chair, begin to extend your knees and hips while continuing to hold onto the arm rests. When you are ready, grab your walker with one hand and then the other and stand up tall stretching your hips, knees and back.

Considerations

Building lower and upper extremity strength, as well as balance can help you perform sit-to-stand transfers easier. Always speak with your physician if you notice you are having problems with transfers, balance or have had a recent fall.

YOU MIGHT ALSO LIKE

CURRENTLY TRENDING

LiveStrong Calorie Tracker
THE LIVESTRONG.COM MyPlate Nutrition, Workouts & Tips
GOAL
  • Gain 2 pounds per week
  • Gain 1.5 pounds per week
  • Gain 1 pound per week
  • Gain 0.5 pound per week
  • Maintain my current weight
  • Lose 0.5 pound per week
  • Lose 1 pound per week
  • Lose 1.5 pounds per week
  • Lose 2 pounds per week
GENDER
  • Female
  • Male
lbs.
ft. in.
Demand Media