Moving and Repositioning in Bed for Diaper Changes: Slide Sheet Use and Selection [2026 Guide]

English translation of an article originally published in Japanese on June 16, 2021. Read the Japanese original (Japanese). Product information and dates refer to the original article. Images and manufacturer videos may contain Japanese.

Slide sheets help the body slide during movement and repositioning in bed. They are also useful for adjusting a person’s position before a diaper change. This article explains the steps from insertion to removal, differences in sliding direction and size, and whom to consult about rental.

What is a slide sheet?

Illustration of a tubular slide sheet used in bed

A tubular sheet slides like a continuous track. Placing it beneath the body and sliding the person makes assisted movement in bed easier. Types move lengthwise, sideways, or in all directions. Flat sheet types are also available in addition to tubular ones.

How to use a slide sheet

Roll the person onto their side and place the slide sheet beneath the body

Step 1: placing the slide sheet beneath the body

Bring both hands together in front of the body, bend both knees, and roll onto the side. Fold the portion of the slide sheet that will be extended to the opposite side.

Roll onto the opposite side and unfold the slide sheet

Step 2: rolling to the opposite side and spreading the slide sheet

Spread the slide sheet evenly.

Return the person to their back and assist them to slide in the desired direction

Step 3: lying on the back and sliding toward the head of the bed

The caregiver pushes from the foot end, sliding the person toward the pillow.

Pull the lower layer of the slide sheet to remove it

Step 4: pulling out the lower layer of the slide sheet

Slowly pull out the lower layer of the slide sheet without forcing it.

Renting slide sheets

Some slide sheets are available through welfare equipment rental under Japan’s long-term care insurance. Eligible products and conditions must be checked. Consult the assigned care manager or welfare equipment specialist and choose according to the person’s physical condition and expected duration of use.

Hiroshi Yagi

Many products besides slide sheets can be rented through long-term care insurance.

Assistive-equipment rental for toileting and diaper changes in Japan [2026]

Check body position before changing a diaper

It is important to check body position before a diaper change. Forcibly pulling the person up the bed after the change may shift the diaper. Shifting is one cause of leakage. Use a slide sheet to help prevent this. Move the person to the appropriate position with the slide sheet before starting the diaper change.

Direction of slide sheet movement

Illustration comparing the sliding directions of tubular slide sheets

The easiest sliding direction of a tubular sheet depends on the product and its placement. Position it after confirming whether movement will be lengthwise or sideways. For flat sheets, follow the product instructions for layering and use.

How to choose a slide sheet

A short slide sheet is sufficient if the person receiving assistance can lift their buttocks. A larger slide sheet is convenient when the person can barely move.