Factors that influence the risk of falling after spinal cord injury: a qualitative photo-­elicitation study with individuals that use a wheelchair as their primary means of mobility

This study explores the reasons behind falls in wheelchair users with spinal cord injuries (SCI) using photographs and interviews. Participants took photos of situations that they felt increased or decreased their risk of falling. Researchers then discussed these photos with the participants. The study found that fall risks are different for each person and change depending on their circumstances. Factors like wheelchair features, environment, and personal behavior all play a role.

• 1
  Falls among wheelchair users with SCI are caused by a combination of biological, behavioral, social, economic, and environmental factors, as well as factors related to the wheelchair itself.
• 2
  The risk of falling for wheelchair users with SCI is not static but changes over time due to various factors, including changes in physical or psychological health, new equipment, or environmental conditions.
• 3
  Fall prevention strategies often target single factors, while the causes of falls are multifactorial. Participants highlighted the importance of wheelchair features, accessible environments, and behavioral adjustments to reduce fall risk.