1 Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
2 The Center on Health, Aging, and Disability, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Clin Rehabil. 2018 Jul;32(7):985-993. doi: 10.1177/0269215518768385. Epub 2018 Apr 9.
To understand the circumstances surrounding the worst fall experienced by power wheelchair users in the past year and to examine injuries sustained and recovery methods.
A qualitative study using a semi-structured interview.
Community.
A self-selected volunteer sample of 19 power wheelchair users who utilize their device for at least 75% of mobility. The most common disability represented was cerebral palsy ( n = 8). The mean (SD) age of participants was 41.9 (7.6) years, who lived with their disability for a mean (SD) of 20.5 (8.62) years and used their current device for a mean (SD) of 3.9 (1.9) years.
None.
A semi-structured interview examined the circumstances surrounding the worst fall experienced in the past year, injuries sustained and recovery techniques used.
Upon examination of the circumstances of the worst fall, four main themes emerged: (1) action-related fall contributors, (2) location of falls, (3) fall attributions and (4) time of fall. Each fall described was found to involve multiple factors. As a result of the fall, participants also reported the occurrence of physical injuries and a fear of falling. Physical injuries ranged from skin abrasion and bruises to fractures and head injuries. Participants also reported that fear of falling diminished their desire to participation in activities they enjoyed doing. Finally, most participants reported the need for physical assistance to recover from a fall.
Participant descriptions provide an in-depth description of the circumstances and aftermath of falls experienced by power wheelchair users.
了解电动轮椅使用者在过去一年中经历的最严重跌倒的情况，并检查受伤情况和康复方法。
使用半结构化访谈的定性研究。
社区。
19 名使用电动轮椅作为主要移动工具的志愿者，使用时间至少为 75%。最常见的残疾代表是脑瘫（n=8）。参与者的平均（SD）年龄为 41.9（7.6）岁，残疾平均（SD）持续 20.5（8.62）年，目前使用的设备平均（SD）使用 3.9（1.9）年。
无。
半结构化访谈检查了过去一年中经历的最严重跌倒的情况、受伤情况和使用的康复技术。
在检查最严重跌倒的情况时，出现了四个主要主题：（1）与动作相关的跌倒因素，（2）跌倒地点，（3）跌倒归因和（4）跌倒时间。每个描述的跌倒都涉及多个因素。由于跌倒，参与者还报告了身体受伤和害怕跌倒。身体受伤的范围从皮肤擦伤和瘀伤到骨折和头部受伤。参与者还报告说，害怕跌倒降低了他们参与自己喜欢的活动的欲望。最后，大多数参与者报告说需要身体协助才能从跌倒中恢复。
参与者的描述提供了电动轮椅使用者经历的跌倒情况和后果的深入描述。
