TY  - JOUR
PY  - 2019//
TI  - A brief fall prevention intervention for manual wheelchair users with spinal cord injuries: a pilot study
JO  - Journal of spinal cord medicine
A1  - Rice, Laura A.
A1  - Sung, Jong Hun
A1  - Keane, Kathleen
A1  - Peterson, Elizabeth
A1  - Sosnoff, Jacob J.
SP  - 1
EP  - 9
VL  - ePub
IS  - ePub
N2  - <b>Objective:</b> 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. <b>Design:</b> Pre/post. After a baseline assessment, a structured intervention was implemented. The assessment protocol was repeated 12 weeks after the baseline assessment. <b>Setting:</b> Research laboratory and community. <b>Participants:</b> 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. <b>Intervention:</b> A 1:1, 45 minute, in-person intervention focused on factors associated with falls and concerns about falling: transfers skills and seated postural control. <b>Outcome measures:</b> 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). <b>Results:</b> Recruitment, assessment and delivery of the intervention were successfully completed. After exposure to the intervention, fall incidence significantly decreased, (P = 0.047, <i>d<sub>z</sub></i><sub> </sub>= 0.507) and FIST scores improved (P = 0.035, <i>d<sub>z </sub></i>= 0.54). Significant improvements were also found in the WHOQOL-BREF Physical (P = 0.05, <i>d<sub>z</sub></i><sub> </sub>= 1.566) and Psychological (P = 0.040, <i>d<sub>z</sub></i><sub> </sub>= 0.760) domains. <b>Conclusion:</b> 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.<p />  <p>Language: en</p>
LA  - en
SN  - 1079-0268
UR  - http://dx.doi.org/10.1080/10790268.2019.1643070
ID  - ref1
ER  -