Not all hoist attachments are created equal and choosing the right one could be the difference between a smooth transfer and a stressful experience. Whether you're a clinician, an OT, or a facility manager, understanding the strengths and limitations of each type of hoist attachment is essential.
In this blog, we break down the most popular spreader bar and frame options—from the no-fuss 2-point spreader bar to the high-support pivot frames, and now including our latest 4-point spreader bar, the only 4-point spreader bar available globally that is compatible with the Oxford professional range designed for enhanced comfort and control—so you can make confident decisions tailored to your clients' needs.
NEW 4-Point Spreader Bar: Comfort + Control

Why it shines:
- Excellent for tall or bariatric clients
- Simplifies floor lifts
- Enables more centered bed positioning
Things to consider:
- Less suited for precise 90° seating (e.g., tight wheelchair setups)
- May increase spasms in some clients who require a very closed posture to normalise tone
Best for:
Clients who need additional support and comfort, bariatric clients, or those who are frequently lifted from the floor.
Why you'll love it:
It distributes sling points wider apart to reduce hip flexion, enhancing comfort.
2-Point Spreader Bar: The Quick-Action Classic

Why it works:
- Super quick to apply
- Perfect for seated-to-seated transfers
- Promotes an upright posture
- Helpful for clients with spasticity or high tone
Watch out for:
- Not great for larger clients
- Floor lifts can be tricky
Best for:
Small to mid-sized clients with high tone, needing quick transfers.
Pro tip:
Often used with general-purpose loop slings—simple, efficient, familiar.
6-Point Spreader Bar: The Adjustable All-Rounder
What makes it special:
- Combines the benefits of 2-point and 4-point designs
- High adjustability
- Supports relaxed, natural posture
Challenges:
- More steps, longer setup time
- Slightly higher risk of user error
Best for:
Clients with evolving or complex needs—ideal for both upright and reclined transfers.
Real-world value:
One attachment, multiple uses. Seamlessly shift from chair-to-chair to chair-to-bed transfers.
4-Point Pivot Frame (Manual): Built for Complex Cases

Why it’s unique:
- Natural sitting posture with gradual tilt
- Accommodates clients with apple-shaped body types
- Great for plus-sized or medically complex clients
Downsides:
- Requires manual effort from carers
- Works best with specific slings
Best for:
Bariatric clients and those needing unobstructed facial space or posture flexibility.
4-Point Pivot Frame (Powered): Safe and Stress-Free

Key benefits:
- Eliminates manual repositioning
- Reduces OH&S risks
- Ideal for clients who need gentle, frequent posture shifts
What to know:
- Requires powered control
- Fewer compatible sling options
Best for:
Clients with anxiety, pain, or high repositioning needs—and facilities focused on staff safety.
Spreader Bar Shapes: Coat Hanger vs. Rounded


Coat Hanger Style Spreader Bar:
- Higher lifting clearance
- Ideal for beds, commodes, or care chairs
- Better for clients with tone management needs
Rounded Spreader Bar:
- Supports eye contact and reassurance
- Great for clients with dementia, anxiety, or sensory challenges
- Less closed posture—not ideal for spasticity
Conclusion: Pick with Purpose, Lift with Confidence
Every patient is different—and so are their lifting needs. Whether you're going for the quick convenience of a 2-point spreader bar or the clinical flexibility of a pivot frame, matching the attachment to the individual makes all the difference.
🔧 Need help making the right choice?
Chat with Enable Lifecare’s expert team today and get tailored recommendations based on your care setting.