Article

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 REHABILITATION: Falls 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.
- Chute

Langue : ANGLAIS