Biomechanics of sitting pivot transfers among individuals with a spinal cord injury: A review of the current knowledge

The performance of sitting pivot transfers (SPTs) is demanding for the upper limbs (ULs) in individuals with a spinal cord injury (SCI). Recent biomechanical research has contributed to greater insight in the performance of SPT tasks. This article highlights the current knowledge on the biomechanics of SPTs among individuals with SCI, especially among those with paraplegia. Current clinical practice recommendations related to SPTs are reviewed along with suggested revisions and additions based on recent evidence. Suggestions for optimizing SPT performance, while simultaneously minimizing UL risk exposure, are proposed. Last, research opportunities related to the performance of SPTs among individuals with SCI are addressed. © 2009 Thomas Land Publishers, Inc