Evidence map›Paper›PMID 33845000›Full record

ArticleArchives of physical medicine and rehabilitation2022

Factors Influencing Incidence of Wheelchair Repairs and Consequences Among Individuals with Spinal Cord Injury.

Lynn A Worobey, Allen W Heinemann, Kim D Anderson, Denise Fyffe, Trevor A Dyson-Hudson, Theresa Berner, Michael L Boninger

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Reliability assessment of power wheelchairs.The journal of spinal cord medicine · 2026
    Article
  3. Article
  4. Article
  5. Women Veterans and Mobility Aids.Archives of rehabilitation research and clinical translation · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lynn A WorobeyDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare system, Pittsburgh, PA. Electronic address: law93@pitt.edu.
Allen W HeinemannShirley Ryan Ability Lab, Chicago, IL.
Kim D AndersonMetroHealth Rehabilitation Institute, Cleveland, OH.
Denise FyffeKessler Foundation, West Orange, NJ.
Trevor A Dyson-HudsonKessler Foundation, West Orange, NJ.
Theresa BernerThe Ohio State University Wexner Medical Center, Columbus, OH, United States.
Michael L BoningerDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare system, Pittsburgh, PA.

Funding

Characterizing Activity Patterns in Functional Mobility After Spinal Cord InjuryK23HD096134 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WOROBEY, LYNN A · 2019 to 2023
$625k
ACL HHS 90SI5014NICHD NIH HHS K23 HD096134
6 · The paper itself

Abstract

objectiveTo investigate the frequency and consequences of wheelchair repairs, looking at the relationship to usage, components, out-of-pocket costs, number of days affecting the user, and factors associated with the need for repairs or consequences.

designSurvey, cross-sectional.

settingNine spinal cord injury (SCI) Model Systems centers.

participantsWheelchair users with SCI (N=533).

interventionsNot applicable.

main outcome measuresCost and incidence of wheelchair repairs and consequences and wheelchair usage within the past 6 months.

resultsA total of 310 participants (56%) reported repairs, 127 (42%) of whom experienced at least 1 adverse consequence lasting a median of 5 days (interquartile range [IQR], 2-17.3 days). Repair rates were highest for the seating system, electronics, and tires. Participants were most often stranded at home or forced to use a backup chair. Median out-of-pocket costs were $150 (IQR, $50-$620). Active users, based on type of mobility and terrain, experienced more repairs and consequences than less active users. Repairs were more common among those who were Black (odds ratio [OR], 2.42) or power wheelchair (PWC) users (OR, 1.84), whereas consequences were more common among those who were Black (OR, 2.27), PWC (OR, 2.08) or power assist users (OR, 2.76), and those who had public insurance (OR, 1.70).

conclusionsWheelchair repairs continue to affect more than 50% of wheelchair users with significant financial and personal cost. High repair rates limited participation inside and outside of the home. Consequences lasted longer than 2 weeks for many and may be minimized by a working backup chair. Disparities exist based on participant and wheelchair factors; repairs and adverse consequences appear to hit those most vulnerable with the least financial resources. Costs may be a barrier to repair completion for some individuals. This ongoing problem of high repair rates and their associated effects requires action such as higher standards, access to quicker service, and better training of users on wheelchair maintenance and repair.

Indexed as

Spinal Cord InjuriesWheelchairsCross-Sectional StudiesHumansIncidenceSurveys and QuestionnairesEquipment failureRehabilitationSpinal cord injuriesWheelchairs

Identifiers

PMID33845000
PMCPMC8501145

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.