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  4. Exploring the causes and impacts of falls among ambulators with spinal cord injury using photovoice: a mixed-methods study

Exploring the causes and impacts of falls among ambulators with spinal cord injury using photovoice: a mixed-methods study

BMJ Open, 2020 · DOI: 10.1136/bmjopen-2020-039763 · Published: August 4, 2020

Spinal Cord InjuryAgingRehabilitation

Simple Explanation

This study investigates falls among people with spinal cord injuries who can walk. It looks at why these falls happen, how they affect people's lives, and what can be done to prevent them. The study found that falls often happen at home while changing positions or walking. Problems with balance, weakness, and feeling in their legs are major causes. The study suggests focusing on making homes safer and educating people with spinal cord injuries about common fall risks can help prevent falls.

Study Duration
6 Months
Participants
33 ambulators with SCI in phase 1, 8 in phase 2
Evidence Level
Not specified

Key Findings

  • 1
    Falls commonly occurred in the home environment while participants were changing positions or walking, and most falls occurred in the morning or afternoon.
  • 2
    Bodily impairments such as impaired reactive responses, weakness, and altered sensation in legs/feet are major causes of falls.
  • 3
    Falls and the risk of falling can lead to psychosocial effects, limit community participation, and cause activity-dependent concern.

Research Summary

This mixed-methods study explored fall circumstances, impacts, and prevention strategies among ambulators with SCI. The study found that most falls occurred at home, often due to balance issues and leg weakness. Participants also discussed the psychosocial impacts of falls and various fall prevention strategies. The researchers concluded that fall prevention interventions should focus on minimizing risks within the home and educating individuals with SCI about common fall circumstances.

Practical Implications

Home Safety Focus

Fall prevention strategies should prioritize minimizing fall risks within the home environment for ambulators with SCI.

Education and Awareness

Ambulators with SCI should receive education and awareness training about common fall circumstances and risk factors in their daily lives.

Individualized Interventions

Fall prevention plans should be tailored to the individual's needs and consider multiple factors contributing to their risk of falling.

Study Limitations

  • 1
    Falls were tracked for only a 6-month period, limiting analysis of season-related factors.
  • 2
    The fall survey did not inquire about specific locations within the home or community.
  • 3
    Different sample sizes and over-representation of older individuals in Phase 1 and 2 could impact generalisability.

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