Post by caseygambrel on Jun 1, 2018 17:04:19 GMT -8
I looked and was surprised that I couldn’t find a thread regarding this. Maybe I over looked it somehow, and if I did please point me in the right direction.
So this is a little embarrassing for me to admit but I’m T-7 and T-8 Para and I’m 6’8 and 316 lbs. I’ve lost a lot of weight surprisingly and intend to keep losing as well as trying to become stronger. I’ve been lifting weights and I’ve had some hardships in strengthening my shoulders but they have improved a little, but I still can’t transfed without a sliding board. I’ve looked online for the techniques because I didn’t advance that far along in rehab and I’m still not having any luck. My hands seem very shaky when I try to transfer even when I try using the palms down or fist down technique. Could the surfaces that I’m on cause this much unsteadiness? Such as air mattresses, cushions, and etc? Any tips or advice please?
Oh, Casey...a man after my own heart. I gave up on sliding boards after I finally got home to my own house. (I’m skipping over tons of history here.) I now tie my wheelchair to my bedframe before doing a transfer. I tie it front and back, with an emphasis on getting the front wheel almost against the bedframe. I shift my bottom at almost a 45 degree angle to the bed, with my back to the bed. I get myself mentally and physically ready to fall backwards onto the bed. I pause to be sure I’m in the right position, then I shove off, falling backwards onto the bed. This is always a little uncomfortable because my bottom and tailbone are at the fulcrum point, which is the wheelchair tire. At this point, I am lying on my back, rather diagonal, toward the head of the bed. I twist a little and grab the rail at the far side of the bed. I get both of my hands on that rail and PULL. It’s like doing a chin up, but while lying on my side. Yes, I look like a stomach-up turtle, sometimes struggling and flaying. I have something that not everyone has. I have spasticity. When activated by motion, by body (from T9 down) goes stiff as a board. While in this state, I can manipulate my (one) leg from the seat of the wheelchair, over onto the bed matress. At this point, I turn myself onto my side, facing the rail (toward the far side of the bed), and I give myself a huge congratulations. I rest there for about five minutes before getting on with changing my diaper and throwing away the chuck (cover) that has been covering the seat of my wheelchair. This is my method. It has given me my independence. I go to bed and get out of bed when I want to. I hope that you will find your own way to independence. And sliding boards? To me, using a sliding board without an attendant seems extremely dangerous. Our center of balance is too high with a sliding board. And those who recommend a sliding board are likely not factoring in the 🐬surprise🔀 spasms that our bodies experience. (I use a sliding board for getting into a car, but that’s different.) I have an injured shoulder from pre-accident, and I was very overweight at the time of my accident. My therapists seemed to think that my inability to transfer alone with a sliding board was due to some kind of “moral failure”.
And, yes, a mushy bed surface would make it a Herculean feat to scoot over to the edge of the bed. Try temporarily putting some firm padding under the strategic part of your mattress, just to find out what difference it makes.
Oh, Casey...a man after my own heart. I gave up on sliding boards after I finally got home to my own house. (I’m skipping over tons of history here.) I now tie my wheelchair to my bedframe before doing a transfer. I tie it front and back, with an emphasis on getting the front wheel almost against the bedframe. I shift my bottom at almost a 45 degree angle to the bed, with my back to the bed. I get myself mentally and physically ready to fall backwards onto the bed. I pause to be sure I’m in the right position, then I shove off, falling backwards onto the bed. This is always a little uncomfortable because my bottom and tailbone are at the fulcrum point, which is the wheelchair tire. At this point, I am lying on my back, rather diagonal, toward the head of the bed. I twist a little and grab the rail at the far side of the bed. I get both of my hands on that rail and PULL. It’s like doing a chin up, but while lying on my side. Yes, I look like a stomach-up turtle, sometimes struggling and flaying. I have something that not everyone has. I have spasticity. When activated by motion, by body (from T9 down) goes stiff as a board. While in this state, I can manipulate my (one) leg from the seat of the wheelchair, over onto the bed matress. At this point, I turn myself onto my side, facing the rail (toward the far side of the bed), and I give myself a huge congratulations. I rest there for about five minutes before getting on with changing my diaper and throwing away the chuck (cover) that has been covering the seat of my wheelchair. This is my method. It has given me my independence. I go to bed and get out of bed when I want to. I hope that you will find your own way to independence. And sliding boards? To me, using a sliding board without an attendant seems extremely dangerous. Our center of balance is too high with a sliding board. And those who recommend a sliding board are likely not factoring in the 🐬surprise🔀 spasms that our bodies experience. (I use a sliding board for getting into a car, but that’s different.) I have an injured shoulder from pre-accident, and I was very overweight at the time of my accident. My therapists seemed to think that my inability to transfer alone with a sliding board was due to some kind of “moral failure”.
And, yes, a mushy bed surface would make it a Herculean feat to scoot over to the edge of the bed. Try temporarily putting some firm padding under the strategic part of your mattress, just to find out what difference it makes.
For me I really have less spasms setting up in an upright position and I have a custom sliding board so that’s probably why it works so well for me. My fiancé’s Dad made me one out of oak that’s every bit 18 inches wide, 3 feet long, and almost an inch thick. So I got a lot more security with my sliding board that most don’t have. But taking something that big with you every where isn’t convenient at all. So I’m just wanting to learn to transfer without it. And as with everyone else I just want to get the most independent as possible and not need all the dependence on from people or objects.
Why are you embarrassed??? I am a T3/4 and after 19 years, I still use a transfer board at different times of the day. I can get on and off the commode chair and into bed without one but I need to use one to get out of bed and in and out of the car. I go to the gym everyday and work my arms and shoulders and still need to use a board. I don't have spasms that I need it, it just makes it easier. I've fallen too many times without it (I have emergency dispatch on my ICE list on my phone).
What kind of cushion do you have? If it's a ROHO, I can understand why you are unsteady. If I were you, I would look into a former cushion, such as a RIDE. That has helped tremendously. The air matters might be something that is hindering you as well. It might not be firm enough. I'm looking at different mattresses but I cannot find one that is perfectly firm for me to use typ not need a board. But needing a transfer board is nothing to be embarrassed or ashamed of. I have quite a few friends who are all different levels that use boards.
Vintage you have posted an amazingly descriptive method of getting in and out of bed. It all sounds so fraught. Do you have a mobile with you at all times just in case of accidents? I go to bed with a mobile telephone, just in case I get a problem and I'm trapped in bed.
Vintage you have posted an amazingly descriptive method of getting in and out of bed. It all sounds so fraught. Do you have a mobile with you at all times just in case of accidents? I go to bed with a mobile telephone, just in case I get a problem and I'm trapped in bed.
I keep my phone at the foot of my bed. Yes, if I end up on the floor, I can reach my phone. But the method I described is much safer than using a sliding board for getting in or out of bed.
What kind of cushion do you have? If it's a ROHO, I can understand why you are unsteady. If I were you, I would look into a former cushion, such as a RIDE. That has helped tremendously. The air matters might be something that is hindering you as well. It might not be firm enough. I'm looking at different mattresses but I cannot find one that is perfectly firm for me to use typ not need a board. But needing a transfer board is nothing to be embarrassed or ashamed of. I have quite a few friends who are all different levels that use boards.
Yes I have a ROHO. My fiancé is going to be buying a new bed soon and we had already discussed the importance of a firm mattress. Our current one gives in and feels like it eats you when you lay in it. Also I have an air mattress too but it’s just as bad when it comes to transferring.
I can transfer pretty effortless with the board but I know a few paras in my area, some heavier than me and they have no problem transferring without the board. I really want to get to that point too. Some even transfer up to real high surfaces. Heck, I can’t even do that with the board most of the time.
What kind of cushion do you have? If it's a ROHO, I can understand why you are unsteady. If I were you, I would look into a former cushion, such as a RIDE. That has helped tremendously. The air matters might be something that is hindering you as well. It might not be firm enough. I'm looking at different mattresses but I cannot find one that is perfectly firm for me to use typ not need a board. But needing a transfer board is nothing to be embarrassed or ashamed of. I have quite a few friends who are all different levels that use boards.
Yes I have a ROHO. My fiancé is going to be buying a new bed soon and we had already discussed the importance of a firm mattress. Our current one gives in and feels like it eats you when you lay in it. Also I have an air mattress too but it’s just as bad when it comes to transferring.
I can transfer pretty effortless with the board but I know a few paras in my area, some heavier than me and they have no problem transferring without the board. I really want to get to that point too. Some even transfer up to real high surfaces. Heck, I can’t even do that with the board most of the time.
My suggestion is don't compare yourself to others. There are paras that are the same level as me that can do so many things that I cannot. I cannot do wheelies in my chair but they have no problems with it. It used to drive me crazy to the point that it threw me into a major depression because I would think "why are they able to do it but I can't. What is wrong with me that I can't do the same things." I guess in just saying don't let it consume you that you can't do all the same things as other paras.
And if you can transfer enormously with the board, don't put that extra strain on yourself and take the chance of falling and hurting yourself. Like i said earlier, I'm almost 19 years post-injury and o still use a board for certain things. It's absolutely nothing to be ashamed of or embarrassed about.