Selander Helena, Sunnerhagen Katharina Stibrant, Melin Jeanette
Swedish National Transport Research Institute, Gothenburg, Sweden.
Department of Clinical Neuroscience, Sahlgrenska Academy, Institute of Neuroscience and Physiology, Gothenburg, Sweden.
Disabil Rehabil Assist Technol. 2025 Jul;20(5):1324-1330. doi: 10.1080/17483107.2024.2441201. Epub 2024 Dec 21.
Persons living with spinal cord injury (SCI) often lacks access to outdoor mobility, which can significantly impact their ability to participate in activities outside the home, to take part in their community, and to have meaningful occupations and relationships with loved ones.
To better understand the importance of outdoor mobility for persons with SCI, the aim of this cross-sectional study was to explore transport modes, car adaptations, and their perceived function and safety.
A web-survey, addressing outdoor mobility and driving, was distributed among people with different physical impairments. Of 274 responses, a total of 93 reported living with SCI and were selected for this study.
Public transportation was often underutilized due to inaccessibility and distance. In total, 88 persons (95%) owned a car. Almost everyone used their car weekly (97%) and the annual average driving distance was 17,400 km (SD 22,820 km). Most of the car owners had a station wagon (63%) or van/minibus (27%) and larger vehicles were more common among those needing extensive adaptations (p = 0.014).
The results corroborate earlier findings on public transport for persons living with SCI and the importance of their having a suitably modified vehicle. The results also offer insights into outdoor mobility and car driving among persons with SCI in Sweden that can support accessibility planning and promote innovations in transport options. Persons living with SCI and other physical impairments could benefit from a comprehensive, national-level knowledge base that encompasses outdoor mobility and car adaptations and their implications for these populations.
脊髓损伤（SCI）患者往往缺乏户外出行的机会，这会严重影响他们参与家庭以外活动、融入社区以及拥有有意义的职业和与亲人建立关系的能力。
为了更好地理解户外出行对脊髓损伤患者的重要性，这项横断面研究的目的是探索交通方式、汽车改装以及他们对其功能和安全性的认知。
一项针对户外出行和驾驶的网络调查在不同身体障碍的人群中进行。在274份回复中，共有93人报告患有脊髓损伤并被选入本研究。
由于交通不便和距离问题，公共交通常常未得到充分利用。总共有88人（95%）拥有汽车。几乎每个人每周都使用汽车（97%），年平均驾驶里程为17400公里（标准差22820公里）。大多数车主拥有旅行车（63%）或厢式车/小型巴士（27%），在需要大量改装的人群中，较大型车辆更为常见（p = 0.014）。
研究结果证实了先前关于脊髓损伤患者公共交通的研究发现以及他们拥有经过适当改装车辆的重要性。研究结果还为瑞典脊髓损伤患者的户外出行和汽车驾驶提供了见解，可支持无障碍规划并促进交通选择方面的创新。脊髓损伤患者和其他身体有障碍的人群可受益于一个全面的国家级知识库，该知识库涵盖户外出行、汽车改装及其对这些人群的影响。
