ArticleBMJ open2020
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.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Trunk kinematics during seated functional activities in individuals with spinal cord injury: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- The influence of experience and environments on usability and user experience in a wheelchair simulator.Annals of medicine · 2025Article
- Outdoor experiences and outdoor-based activities and interventions for individuals with spinal cord injury: a systematic scoping review.Journal of rehabilitation medicine · 2025Article
- Falls on an inpatient rehabilitation spinal injuries unit: the characteristics, circumstances, and consequences.Spinal cord · 2023Article
- Community mobility and participation assessment of manual wheelchair users: a review of current techniques and challenges.Frontiers in human neuroscience · 2023Review
- Article
- Ability to detect history of falls among individuals with spinal cord injury using upper limb loading during a seated push-up test.European journal of physical and rehabilitation medicine · 2022Observational
- Cross-cultural adaptation and measurement properties of the Brazilian Portuguese version of the spinal cord injury - Falls Concern Scale.Spinal cord · 2022Article
- A qualitative photo-elicitation study exploring the impact of falls and fall risk on individuals with subacute spinal cord injury.PloS one · 2022Article
- Evaluating Intrinsic Fall Risk Factors After Incomplete Spinal Cord Injury: Distinguishing Fallers From Nonfallers.Archives of rehabilitation research and clinical translation · 2021Article
- Comparing the causes, circumstances and consequences of falls across mobility statuses among individuals with spinal cord injury: A secondary analysis.The journal of spinal cord medicine · 2021Article
- The impact of falls and fear of falling on participation, autonomy, and life satisfaction among individuals with spinal cord injury: A brief report.The journal of spinal cord medicine · 2021Article
- Exploring the causes and impacts of falls among ambulators with spinal cord injury using photovoice: a mixed-methods study.BMJ open · 2020Article
- Current state of fall prevention and management policies and procedures in Canadian spinal cord injury rehabilitation.BMC health services research · 2020Article
- Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFalls are a concern for wheelchair users with spinal cord injury (SCI). Falls can negatively impact the physical and psychological well-being of fallers. To date, the perspectives of wheelchair users with lived experiences of SCI on the contributors to falls has been understudied. Information about factors that influence fall risk would guide the development of effective fall prevention strategies.
objectivesTo gain a comprehensive understanding of the factors that influenced the risk of falling as perceived by wheelchair users with SCI.
designA qualitative study using photo-elicitation interviews.
settingA Canadian SCI rehabilitation hospital and the participants' home/community environments.
participantsTwelve wheelchair users living in the community with chronic SCI.
methodsParticipants captured photographs of situations, places or things that they perceived increased and decreased their risk of falling. Semistructured photo-elicitation interviews were conducted to discuss the content of the photographs and explore perceptions of fall risk factors. A hybrid thematic analysis and the Biological, Behavioural, Social, Economic, and Environmental model were used as a framework to organise/synthesise the data.
resultsOverall, the findings indicated that the risk of falling was individualised, complex and dynamic to each person's life situation. Four main themes were revealed in our analysis: (1) Falls and fall risk caused by multiple interacting factors; (2) Dynamic nature of fall risk; (3) Single factors were targeted to reduce falls and fall-related injuries; and (4) Fall prevention experiences and priorities.
conclusionsEach wheelchair user encountered numerous fall risk factors in their everyday lives. Information from this study can be used to set priorities for fall prevention. Fall prevention initiatives should consider a wheelchair user's fall risks in a holistic manner, acknowledging that a person's current situation, as well as anticipating their fall risks and fall prevention needs, will change over time.
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