A brief fall prevention intervention for manual wheelchair users with spinal cord injuries: A pilot study
| Autor: | Kathleen Keane, Elizabeth W. Peterson, Jong Hun Sung, Laura A. Rice, Jacob J. Sosnoff |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
030506 rehabilitation medicine.medical_specialty Poison control Pilot Projects Suicide prevention 03 medical and health sciences Young Adult 0302 clinical medicine Wheelchair Physical medicine and rehabilitation Intervention (counseling) Injury prevention medicine Humans Spinal cord injury Spinal Cord Injuries Research Articles business.industry Middle Aged medicine.disease Falling (accident) Wheelchairs Quality of Life Accidental Falls Female Neurology (clinical) medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery Fall prevention |
| Zdroj: | J Spinal Cord Med |
| ISSN: | 2045-7723 |
| Popis: | Objective: To conduct a pilot study of an intervention to decrease fall incidence and concerns about falling among individuals living with Spinal Cord Injury who use manual wheelchairs full-time. Design: Pre/post. After a baseline assessment, a structured intervention was implemented. The assessment protocol was repeated 12 weeks after the baseline assessment. Setting: Research laboratory and community. Participants: 18 individuals living with SCI who use a manual wheelchair full-time with an average age of 35.78 ± 13.89 years, lived with SCI for 17.06 ± 14.6 years; 61.1% were female. Intervention: A 1:1, 45 minute, in-person intervention focused on factors associated with falls and concerns about falling: transfers skills and seated postural control. Outcome measures: Participants reported fall incidence and completed the Spinal Cord Injury Fall Concerns Scale, Community Participation Indicators and the World Health Organization Quality of Life – short version (WHOQOL-BREF). Transfer quality was assessed with the Transfer Assessment Instrument (TAI) and seated postural control with the Function In Seating Test (FIST). Results: Recruitment, assessment and delivery of the intervention were successfully completed. After exposure to the intervention, fall incidence significantly decreased, (P = 0.047, dz = 0.507) and FIST scores improved (P = 0.035, dz = 0.54). Significant improvements were also found in the WHOQOL-BREF Physical (P = 0.05, dz = 1.566) and Psychological (P = 0.040, dz = 0.760) domains. Conclusion: The feasibility of the structured intervention was established and the intervention has the potential to reduce fall incidence and improve quality of life among individuals living with SCI who use a wheelchair. Appropriately powered randomized controlled trials of the program are warranted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|