Falls, mobility, and physical activity after spinal cord injury: an exploratory study using photo-elicitation interviewing

This study explores why people with incomplete spinal cord injuries fall, and how fear of falling affects their movement and activity levels. Researchers used a method called photo-elicitation interviewing, where participants took pictures of situations related to their fall risk. The study found that environmental factors like uneven surfaces are major contributors to falls. Participants also developed their own strategies, learned from experience, to avoid falls, such as slowing down and paying more attention to their surroundings. The research highlights the importance of considering individual perspectives when designing fall prevention programs. It suggests that rehabilitation should focus on practical strategies and address environmental challenges to help people with spinal cord injuries maintain their independence and activity levels.

• 1
  Environmental factors were perceived as the primary contributors to fall risk, including stairs, ramps, uneven terrain, and obstacles in the home and community environments.
• 2
  Participants adopted behavioral strategies to mitigate fall risk, such as slowing down, increasing awareness of their surroundings, modifying movement patterns, and using assistive devices.
• 3
  Character traits like perseverance, optimism, and a desire for independence influenced participants' willingness to engage in activities despite the perceived risk of falling.