Best Transfer system for MS: A practical guide for OT's

Occupational therapists know how variable MS can be. Some clients remain ambulatory for decades, while others lose mobility quickly. But when it comes to transfer planning, one theme is consistent: people want to stay home as long as possible. And for that, the right transfer system is essential.

This guide outlines common transfer aids across the stages of MS, and highlights when and why a sit-to-sit hoist becomes the best tool for late-stage care – particularly when caregiver support is limited.

Early-stage MS (EDSS 0–6)

Clients are still ambulatory. Transfers are typically independent or need light touch supervision. Common aids include:

• Canes or walkers
• Bed rails or transfer poles
• Occasional use of slide boards

Mid-stage MS (EDSS 6.5–7.5)

Transfers become harder. Some clients can pivot or use stand aids with supervision. Consider:

• Stand-assist devices (if weight-bearing ability remains)
• Manual wheelchairs or power chairs
• Increased caregiver supervision during transfers

Late-stage MS (EDSS 8+)

This is the turning point: the client cannot stand, may have poor trunk control, and cannot assist in transfers. Traditional options become limited:

• Sling hoists: Effective but typically require two caregivers and space to operate. Can be undignified or confronting.  It can also be difficult to find correct sling and positioning for certain clients.
• Sit-to-sit hoists (e.g. the Kera): A game-changer for single-caregiver environments. Supports transfers with no standing strength, in tight spaces, with minimal strain.

When to switch to sit-to-sit

OTs should consider introducing a sit-to-sit hoist when:

• A client is losing ability to use stand aids.
• Transfers are unsafe with one caregiver.
• At the same time as trialing other equipment, such as a sit-to-stand or floor hoist.
• The home cannot accommodate a floor hoist or ceiling track.
• The family wants to avoid care placement.

Quote from NZ-based OT:

“My younger MS clients all desperately want to stay in their own homes. Having a tool like the Kera can mean the difference between staying home and going into care.”

Case study: Jean & Erik

Jean has MS and can no longer stand. A standard hoist was unsafe and impractical in their small home. With the Kera sit-to-sit hoist, Erik can safely transfer Jean by himself, and they’ve avoided residential care entirely.

Summary

Sit-to-sit hoists aren’t just an alternative – they’re often the only viable solution when transfers need to be done by one caregiver. For MS clients in late stages, planning early and trialing options like the Kera can preserve independence, safety and quality of life.

Use this guide to start those conversations early, and give your clients real choices about how and where they want to live.

Talk to us about booking an in service for your team or trialing a Kera sit-to-sit hoist today.