Recovering from a stroke can make everyday movements more challenging. Learning how to transfer safely from a bed to a wheelchair can help reduce the risk of injury and build confidence for both stroke survivors and caregivers. These stroke recovery tips provide simple, step-by-step guidance for completing a safe bed-to-wheelchair transfer.
Why safe transfers matter during stroke recovery
Following a stroke, some daily activities may require the help of a caregiver. Using proper transfer techniques can make these tasks safer and easier while helping protect the health of both the stroke survivor and caregiver. Safe transfers support independence, reduce the risk of falls and promote confidence during recovery.
Encompass Health has partnered with the American Heart Association and the American Stroke Association to provide helpful information for stroke survivors and their caregivers. As part of that work, we’ve included guidance on completing a successful bed-to-wheelchair transfer. This technique should be used only if the survivor can assist the caregiver during the transfer.
When a bed-to-wheelchair transfer is appropriate
A bed-to-wheelchair transfer may be appropriate when a stroke survivor:
- Can follow instructions
- Has enough strength and balance to help with standing or pivoting
- Has been cleared by their care team to perform assisted transfers
If you are unsure whether this technique is right for you or your loved one, talk with a rehabilitation professional.
Tips for stroke survivors
Preparing for a safe bed-to-wheelchair transfer
Before beginning a bed-to-wheelchair transfer, take time to prepare the environment and equipment.
For safety:
- Clear clutter around the bed and wheelchair
- Wear nonslip, sturdy shoes
- Position the wheelchair alongside the bed on the survivor's unaffected side
- Place the wheelchair as close to the bed as possible
- Lock the wheelchair and remove the armrest closest to the bed
Step-by-step guide to transferring from bed to wheelchair
Once the area is prepared, follow these steps to complete the transfer safely:
- Ask the stroke survivor to bend their knees and roll toward the caregiver. The caregiver can assist by placing a hand behind the shoulder of the survivor's affected side.
- Using the unaffected arm, the survivor should push off the bed while swinging the legs over the side into a seated position. Supporting the affected arm may help during this movement.
- After sitting up, allow time for balance to return. Place a gait belt snugly around the abdomen for added stability. The belt should not be used for lifting.
- Before standing, the caregiver should position their feet in front of the survivor’s feet and brace knees against knees to help prevent slipping or buckling.
- The survivor should lean forward, bringing their nose over their toes, and bend at the hip to stand.
- Transfer slowly into the wheelchair, backing up until the legs touch the edge of the seat.
- Using the unaffected arm, grasp the armrest and ease slowly into the wheelchair seat to help prevent tipping. Once seated safely, replace the wheelchair armrest.
Tips for caregivers and stroke survivors
- Move slowly and communicate each step during the transfer
- Take breaks if dizziness or fatigue occurs
- Never rush the process
- Ask for additional training or support if needed
With practice and proper technique, bed-to-wheelchair transfers can become a safer and more comfortable part of stroke recovery.