Getting in and out of a car safely becomes difficult when mobility, pain, or stiffness change—but it is one of the easiest problems to solve with the right tool. Occupational therapists recommend reducing friction and twisting to protect joints and prevent falls.
This guide explains why car transfers get harder, the safest method, and the OT-approved tool that makes car entry smoother and safer.
Why is getting in and out of a car hard?
Getting in and out of a car is hard because it requires sitting low, twisting the hips, and lifting legs at the same time.
This movement combination increases difficulty when someone has:
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Joint pain or arthritis
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Post-surgical restrictions
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Weakness or stiffness
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Balance concerns
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Fatigue or fear of falling
Car transfers often become one of the first activities people quietly avoid.
What is the safest way to get in and out of a car?
The safest way to get in and out of a car is to sit first, reduce friction, and slide into position instead of lifting or twisting.
Occupational therapists focus on:
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Facing forward
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Keeping feet grounded
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Sliding hips instead of lifting
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Conserving energy
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Reducing joint strain
The most effective tool for this method is a car transfer slide sheet.
What is a car transfer slide sheet?

A car transfer slide sheet is a looped fabric mobility aid that reduces friction between your body and the car seat.
It allows the body to glide into place smoothly, reducing effort and pain.
How do you use a car transfer slide sheet correctly?
Correct placement is critical for safety and effectiveness.
OT-approved steps:
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Place the slide sheet on the car seat
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Position the loop opening facing forward
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Sit down on the seat
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Allow the fabric to slide over itself as you move
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Gently rotate hips and legs into the car
This reduces resistance and helps joints move naturally.
Who should use a car transfer slide sheet?
Car transfer slide sheets are recommended for people who struggle with car entry due to mobility or pain.
They are commonly used by:
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Older adults aging in place
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People recovering from hip, knee, or spine surgery
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Individuals with arthritis
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People with limited leg strength
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Anyone at risk of falling during transfers
Many users notice immediate improvement.
Why do occupational therapists recommend slide sheets?
Occupational therapists recommend slide sheets because they reduce effort while preserving independence.
OT insight:
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Less joint strain
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Lower fall risk
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Improved confidence
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More energy for daily life
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Continued community mobility
Using adaptive tools is a strategy—not a loss of ability.
Do you need a different car to improve transfers?
No. Most car transfer challenges can be solved without changing vehicles.
Proper technique and the right adaptive tool often make a bigger difference than a new car.
Where can you find OT-approved car transfer tools?
OT-reviewed car transfer slide sheets and mobility aids are available at AskSAMIE.com.
AskSAMIE:
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Curates tools reviewed by occupational therapists
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Provides guidance on use
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Reduces trial-and-error shopping
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Supports safe aging in place
What problems does a car transfer slide sheet solve?
A car transfer slide sheet helps with:
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Pain during car entry
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Difficulty lifting legs
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Fear of falling
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Post-surgery stiffness
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Fatigue before outings
One small tool can change daily mobility.
Final Takeaway
If getting in and out of the car feels harder than it used to, it’s not weakness—it’s information.
One simple tool can make car transfers smoother, safer, and far less exhausting. Small changes like this protect your independence and help you keep doing the things that matter.
For more OT-approved tips and tools, visit AskSAMIE.com and explore solutions that work with your body—not against it.
