A systematic review of risk factors associated with accidental falls, outcome measures and interventions to manage fall risk in non-ambulatory adults

Laura A Rice, Cherita Ousley, Jacob J Sosnoff

Research output: Contribution to journalReview article

Abstract

Purpose: To systematically review peer-reviewed literature pertaining to risk factors, outcome measures and interventions managing fall risk in non-ambulatory adults. Methods: Twenty-one papers were selected for inclusion from databases including PubMed/Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Scopus, Consumer Health Complete and Web of Science. Selected studies involved a description of fall related risk factors, outcomes to assess fall risk and intervention studies describing protocols to manage fall risk in non-ambulatory adults. Studies were selected by two reviewers and consultation provided by a third reviewer. Results: The most frequently cited risk factors/characteristics associated with falls included: wheelchair related characteristics, transfer activities, impaired seated balance and environmental factors. The majority of the outcomes were found to evaluate seated postural control. One intervention study was identified describing a protocol targeting specific problems of individual participants. A global fall prevention program was not identified. Conclusion: Several risk factors associated with falls were identified and must be understood by clinicians to better serve their clients. To improve objective assessment, a comprehensive outcome assessment specific to non-ambulatory adults is needed. Finally, additional research is needed to examine the impact of structured protocols to manage fall risk in non-ambulatory adults.Implications for RehabilitationFalls are a common health concern for non-ambulatory adults.Risk factors commonly associated with falls include wheelchair related characteristics, transfer activities, impaired seated balance and environmental factors.Limited outcome measures are available to assess fall risk in non-ambulatory adults.Clinicians must be aware of the known risk factors and provide comprehensive education to their clients on the potential for falls.Additional research is needed to develop and evaluate protocols to clinically manage fall risk.

Original languageEnglish (US)
Pages (from-to)1697-1705
Number of pages9
JournalDisability and Rehabilitation
Volume37
Issue number19
DOIs
StatePublished - Sep 1 2015

Fingerprint

Accidental Falls
Outcome Assessment (Health Care)
Wheelchairs
Health
Peer Review
Research
PubMed
Libraries
Nursing
Referral and Consultation
Databases
Education

Keywords

  • Fall
  • Mobility limitations
  • Wheelchair

ASJC Scopus subject areas

  • Rehabilitation

Cite this

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abstract = "Purpose: To systematically review peer-reviewed literature pertaining to risk factors, outcome measures and interventions managing fall risk in non-ambulatory adults. Methods: Twenty-one papers were selected for inclusion from databases including PubMed/Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Scopus, Consumer Health Complete and Web of Science. Selected studies involved a description of fall related risk factors, outcomes to assess fall risk and intervention studies describing protocols to manage fall risk in non-ambulatory adults. Studies were selected by two reviewers and consultation provided by a third reviewer. Results: The most frequently cited risk factors/characteristics associated with falls included: wheelchair related characteristics, transfer activities, impaired seated balance and environmental factors. The majority of the outcomes were found to evaluate seated postural control. One intervention study was identified describing a protocol targeting specific problems of individual participants. A global fall prevention program was not identified. Conclusion: Several risk factors associated with falls were identified and must be understood by clinicians to better serve their clients. To improve objective assessment, a comprehensive outcome assessment specific to non-ambulatory adults is needed. Finally, additional research is needed to examine the impact of structured protocols to manage fall risk in non-ambulatory adults.Implications for RehabilitationFalls are a common health concern for non-ambulatory adults.Risk factors commonly associated with falls include wheelchair related characteristics, transfer activities, impaired seated balance and environmental factors.Limited outcome measures are available to assess fall risk in non-ambulatory adults.Clinicians must be aware of the known risk factors and provide comprehensive education to their clients on the potential for falls.Additional research is needed to develop and evaluate protocols to clinically manage fall risk.",
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