@article{ref1,
title="Comparing the causes, circumstances and consequences of falls across mobility statuses among individuals with spinal cord injury: a secondary analysis",
journal="Journal of spinal cord medicine",
year="2021",
author="Singh, Hardeep and Cheung, Lovisa and Chan, Katherine and Flett, Heather M. and Hitzig, Sander L. and Kaiser, Anita and Musselman, Kristin E.",
volume="44",
number="Suppl 1",
pages="S193-S202",
abstract="OBJECTIVE: To compare the occurrence of falls and fall-related injuries, and the circumstances of falls among individuals with spinal cord injury (SCI) who ambulate full-time, use a wheelchair full-time and ambulate part-time. <br><br>DESIGN: A secondary analysis. SETTING: Community. PARTICIPANTS: Adults with SCI. INTERVENTION: None. OUTCOME MEASURES: The occurrence and circumstances of falls and fall-related injuries were tracked over six-months using a survey. Participants were grouped by mobility and fall status. A chi-square test compared the occurrence of falls and fall-related injuries, and the time and location of falls, and a negative binomial regression was used to predict the likelihood of falls by mobility status. Kaplan-Meier analysis was used to determine differences in the time to first fall based on mobility status. Group characteristics and causes of falls were described. <br><br>RESULTS: Data from individuals who ambulated full-time (n = 30), used a wheelchair full-time (n = 27) and ambulated part-time (n = 8) were analyzed. Mobility status was a significant predictor of falls (P < 0.01); individuals who used a wheelchair full-time had a third of the likelihood of falling than those who ambulated full-time (P < 0.01). Type of fall-related injuries differed by mobility status. Those who ambulated full-time fell more in the daytime (P < 0.01). Individuals who ambulated full-time and part-time commonly fell while walking due to poor balance, and their legs giving out, respectively. Those who used a wheelchair full-time typically fell while transferring when rushed. <br><br>CONCLUSION: Mobility status influences the likelihood and circumstances of falls. Mobility status should be considered when planning fall prevention education/training for individuals with SCI.<p /> <p>Language: en</p>",
language="en",
issn="1079-0268",
doi="10.1080/10790268.2021.1956252",
url="http://dx.doi.org/10.1080/10790268.2021.1956252"
}