Motorised mobility scooters; upper limb fractures in elderly novice users

Murphy, Colin G.; Murphy, Ian; O’Rourke, K.; O’Shea, Kieran

doi:10.11138/ccmbm/2014.11.2.132

Cited by 9 publications

(7 citation statements)

References 7 publications

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“…Similarly, a variety of accident rates have been reported for power wheelchair users (e.g., 5–18% of community dwelling users experience accidents each year [ 13 ]). To improve safety, scooter training has been recommended [ 14 ], which could include advanced skills such as navigating curbs and uneven surfaces, accessing public transit and elevators, and avoiding obstacles [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of a Systematic, Comprehensive, One-to-One Training (SCOOT) program for new scooter users: study protocol for a randomized control trial

Mortenson

Jang

Goldsmith

et al. 2017

Trials

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BackgroundMobility scooters can facilitate community participation among individuals with mobility limitations. However, accidents are a serious concern with scooter use. Scooter training has been recommended to improve safety, but there are currently few validated programs available. Therefore, we developed a Systematic, Comprehensive, One-to-One Training (SCOOT) program for scooter users. We will conduct a study to evaluate the outcomes produced by the provision SCOOT.MethodsThis feasibility study will use a mixed-methods, rater-blinded, randomized control trial, with a two-step wedge design. The study has two arms: an immediate intervention group, which will receive the intervention directly after baseline assessments, and a delayed intervention group, which will receive the intervention after a 6-week period. Forty participants, who will be stratified based on whether or not participants have previously held a driver’s license, will be randomly assigned to each arm. The intervention for this study consists of 6 weeks of one-to-one scooter training by an experienced occupational therapist, who will provide training once or twice per week over the 6 weeks. The primary outcome measure is subjective scooter skills, measured using the Wheelchair Skills Test for scooters. Secondary outcomes include objective scooter skills, confidence, mobility, and satisfaction with selected participation activities. Descriptive measures include cognitive status, functional status, hearing, vision, physical accessibility of the home and community, and visual attention and task switching. Qualitative interviews will be conducted with the first ten willing participants from each group to learn about their scooter use and experiences with SCOOT.DiscussionThe results of this study will inform a larger randomized control trial. If the intervention is proven to be effective in this larger study, it may have important implications for policy and practice.Trial registrationClinicalTrials.gov identifier: NCT02696213. Registered on 23 February 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1963-y) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Feasibility of a Systematic, Comprehensive, One-to-One Training (SCOOT) program for new scooter users: study protocol for a randomized control trial

Mortenson

Jang

Goldsmith

et al. 2017

Trials

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“…A wide range of accident rates was described [20][21][22][23]; however, it should also be noted that the definition of accident varied considerably. On the low end, as part of a randomized controlled trial (RCT) by Hoenig et al [24], which involved data collection at 1 and 3 mo following scooter provision, an accident rate of 1.54 per person per year was reported.…”

Section: Research Topicsmentioning

confidence: 99%

Scoping review of mobility scooter-related research studies

Mortenson

Kim

2016

J Rehabil Res Dev

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Abstract-Mobility scooters are three-or four-wheeled power mobility devices regularly used by people who have difficulty ambulating. They also differ from power wheelchairs in terms of their driving controls, programmability, seating, and mounting method. Given their growing popularity and anecdotal concerns around their use, a scoping review was undertaken to identify empirical research about mobility scooters and to analyze their study design and purpose. Data sources included MedLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, and PsychINFO. Thirty-two studies met the inclusion criteria. Most studies were descriptive in nature and reported information about scooter users' demographics, scooter-related activities, and accidents. The most common study design was a pre-and postintervention followed by a cross-sectional survey and retrospective review. Despite the increasing use of mobility scooters, surprisingly little scooterrelated research has been conducted. Given the nature of most of the research in this area, further empirical evidence is needed to develop a better understanding about the frequency and causes of scooter accidents and the efficacy of interventions to improve users' skills, mobility, and safety.

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“…Human factors are important to study because PMD drivers are a multifaceted subgroup of VRUs, which may contribute to an increased complexity in injury prevention strategies. Previous research has highlighted the importance of proper training in managing the PMD (Cassell and Clapperton 2006;Cordes et al 2018;Jancey et al 2013;Jannink et al 2008;Mortenson and Kim 2016;Mortenson et al 2017;Murphy et al 2014;Nitz 2008;Opalek et al 2009;Toosizadeh et al 2014). Because many PMD drivers experience difficulties maintaining an upright seated posture when subjected to external forces, seat belts and leg rests have been strongly recommended (Cooper et al 1998;Corfman et al 2003).…”

Section: Discussionmentioning

confidence: 99%

“…Collision with objects on pathways or cars and stumbling on uneven surfaces or curbs represent other major reasons for injuries requiring hospital treatment. An Irish study describes upper limb fractures among 3 elderly novel MMS drivers (Murphy et al 2014). A literature review from New Zealand concluded that "operators of mobility scooters appear to be at significantly greater risk of being in an accident, and of being seriously or fatally injured in accidents, than other groups using the road corridor" (Newman 2015, p. 2).…”

Section: Introductionmentioning

confidence: 99%

Acute injuries resulting from accidents involving powered mobility devices (PMDs)—Development and outcomes of PMD-related accidents in Sweden

Carlsson

Lundälv

2019

Traffic Injury Prevention

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Objective: Powered mobility devices (PMDs) are commonly used as aids for older people and people with disabilities, subgroups of vulnarable road users (VRUs) who are rarely noted in traffic safety contexts. However, the problem of accidents involving PMD drivers has been reported in many countries where these vehicles have become increasingly popular. The aim of this study is to extract and analyze national PMD-related accident and injury data reported to the Swedish Traffic Accident Data Acquisition (STRADA) database. The results will provide valuable insight into the risks and obstacles that PMD drivers are exposed to in the traffic environment and may contribute to improving the mobility of this group in the long term. Methods: The current study is based on data from 743 accidents and 998 persons. An analysis was performed on a subset of data (N ¼ 301) in order to investigate the development of accidents over a period of 10 years. Thereafter, each accident in the whole data set was registered as either single (N ¼ 427) or collision (N ¼ 315). Results: The results show that there was a 3-fold increase in the number of PMD-related accidents reported to STRADA during the period 2007-2016. With regard to single accidents, collisions, as well as fatalities, the injury statistics were dominated by males. Single accidents were more common than collisions (N ¼ 427 and N ¼ 316, respectively) and the level of injury sustained in each type of accident is on par. The vast majority of single accidents resulted in the PMD driver impacting the ground (87%), due to either PMD turnover (71%) or the driver falling out of the PMD (16%). The reason for many of the single accidents was a difference in ground level (34%, typically a curb). Cars, trucks, or buses were involved in 67% of collision events; these occured predominantly at junctions or intersections (70%). Abbreviated Injury Scale (AIS) 3þ injuries were dominated by hip and head injuries in both single accidents and collision events. Conclusions: The present study shows that further research on PMD accidents is required, with regard to both single accidents and collision events. To ensure that appropriate decisions are made, future work should follow up on injury trends and further improve the quality of PDMrelated accident data. Improved vehicle stability and design, increased usage of safety equipment, proper training programs, effective maintenance services, and development of a supporting infrastructure would contribute to increased safety for PMD drivers.

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Motorised mobility scooters; upper limb fractures in elderly novice users

Cited by 9 publications

References 7 publications

Feasibility of a Systematic, Comprehensive, One-to-One Training (SCOOT) program for new scooter users: study protocol for a randomized control trial

Feasibility of a Systematic, Comprehensive, One-to-One Training (SCOOT) program for new scooter users: study protocol for a randomized control trial

Scoping review of mobility scooter-related research studies

Acute injuries resulting from accidents involving powered mobility devices (PMDs)—Development and outcomes of PMD-related accidents in Sweden

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