A study of wheelchair, movement and environmental factors associated with concerns about falls among wheelchairs users

BACKGROUND: Falls when using wheelchairs can have serious consequences for users. OBJECTIVE: The aim of this study was to investigate wheelchair types, daily movement and environmental factors associated with concerns about falls among wheelchair users. METHODS: Fifty-two wheelchair users (36 male and 16 female, mean age of 44.3 ± 10 years) were interviewed online and responded to questions about the characteristics of their wheelchair, their experiences and concerns about falling while using their wheelchair. RESULTS: It was found that the highest levels of concern about falling when using wheelchairs were associated with the use of rigid frame wheelchairs; and with activities such as moving on sidewalks and ramps. Half of the sample reported that they did not receive training on wheelchair usage and had concerns about performing wheelie maneuvers. Reported falls caused by wheelchair failure were associated with increased concerns about falls. CONCLUSIONS: The findings of this study suggest that wheelchair type, daily movements and environments all influence wheelchair users' concerns about falls.