During transfer from the exam position to a wheelchair, which sequence is recommended?

• A. Step to floor with the stronger leg first, then take small steps backward to touch wheelchair
• B. Step to floor with the weaker leg first, then pivot
• C. Sit down and slide to chair
• D. Step with both legs at once

Answer: (A)

Stability and control come from using the strongest leg to initiate the transfer. Place the stronger leg on the floor first to bear weight and establish a solid base, then move backward in small, controlled steps toward the wheelchair so you can touch it and sit down smoothly. This sequence minimizes the risk of losing balance, slipping, or twisting the body.

Moving down with the weaker leg first reduces your ability to push off and maintain balance, making a fall more likely. Sliding down into the chair is not a controlled transfer and can cause skin shear or injuries, and stepping with both legs at once often isn’t feasible from an exam table and can compromise balance.