Wheelchair tiedown and occupant restraint practices in paratransit vehicles

PloS One
Karen L FrostCraig Smalley

Abstract

The purpose of this study was to characterize wheelchair tiedown and occupant restraint system (WTORS) usage in paratransit vehicles based on observations of wheelchair and scooter (wheeled mobility devices, collectively, "WhMD") passenger trips. A retrospective review of on-board video monitoring recordings of WhMD trips was conducted. Four hundred seventy-five video recordings were collected for review and analysis. The use of all four tiedowns to secure the WhMD was observed more frequently for power WhMDs (82%) and manual WhMDs (80%) compared to scooters (39%), and this difference was significant (p< 0.01). Nonuse or misuse of the occupant restraint system occurred during 88% of WhMD trips, and was most frequently due to vehicle operator neglect in applying the shoulder belt. Despite the absence of incidents or injuries in this study, misuse and nonuse of WTORS potentially place WhMD seated passengers at higher risk of injury during transit. These findings support the need for improved vehicle operator training and passenger education on the proper use of WTORS and development of WTORS with improved usability and/or alternative technologies that can be automated or used independently.

References

May 1, 1992·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·L Frieden
Apr 13, 2004·Journal of Rehabilitation Research and Development·Greg Shaw, Timothy Gillispie
Mar 14, 2008·Assistive Technology : the Official Journal of RESNA·Mary Ellen BuningShirley G Fitzgerald
Mar 14, 2008·Assistive Technology : the Official Journal of RESNA·Shirley G FitzgeraldPatricia Karg
Sep 2, 2009·Medical Engineering & Physics·Anders WretstrandTorbjörn Falkmer
Jan 10, 2013·Journal of Rehabilitation Research and Development·Zdravko SalipurGina Bertocci
Mar 27, 2013·Assistive Technology : the Official Journal of RESNA·Karen L FrostZdravko Salipur

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