{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T01:01:50Z","timestamp":1783645310777,"version":"3.55.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100009157","name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["90REGE0001-01-00"],"award-info":[{"award-number":["90REGE0001-01-00"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009157","name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["90REGE0001-01-00"],"award-info":[{"award-number":["90REGE0001-01-00"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009157","name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["90REGE0001-01-00"],"award-info":[{"award-number":["90REGE0001-01-00"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009157","name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["90REGE0001-01-00"],"award-info":[{"award-number":["90REGE0001-01-00"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009157","name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["90REGE0001-01-00"],"award-info":[{"award-number":["90REGE0001-01-00"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research"},{"name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research"},{"name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research"},{"name":"U.S. Department of Health & Human Services | ACL | National Institute on Disability, Independent Living, and Rehabilitation Research"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spinal Cord"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Study design<\/jats:title>\n                <jats:p>Secondary data analysis of wheelchair failures and service repair logs from a network of wheelchair suppliers.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>To determine the frequency of wheelchair caster failures and service repairs across wheelchair manufacturers and models and investigate the relationships between them.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Setting<\/jats:title>\n                <jats:p>Wheelchair caster failures and service repairs occurred in the community.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Reported caster failure types were classified based on the risk they pose for user injuries and wheelchair damage. Caster failures experienced by users of tilt-in-space and ultralightweight manual wheelchair models and Group 2, 3 and 4 power wheelchair models between January 2017 and October 2019 were analyzed using Chi-Square tests for independence. Correlational analysis of failures and service repairs was performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of\u00a06470 failures and 151 service repairs reported across four manufacturers and five models were analyzed. Failure types were significantly associated with manufacturers and models, respectively. Users of tilt-in-space wheelchairs, who require greater seating support, experienced twice the proportion of high-risk caster failures than the ultralightweight manual wheelchair users. Similarly, Group 3 and 4 power wheelchair users, who have complex rehabilitation needs, experienced 15-36% more high-risk failures than Group 2 users. Service repairs negatively correlated with high-risk manual wheelchair caster failures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Wheelchair users who have greater seating and complex rehabilitation needs are at a higher risk for sustaining injuries and secondary health complications due to frequent caster failures. The study findings call for significant reforms in product quality and preventative maintenance practices that can reduce wheelchair failures and user consequences.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1038\/s41393-021-00689-3","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T17:34:50Z","timestamp":1629394490000},"page":"58-62","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Community-based wheelchair caster failures call for improvements in quality and increased frequency of preventative maintenance"],"prefix":"10.1038","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6179-3727","authenticated-orcid":false,"given":"Anand","family":"Mhatre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Pearlman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Schmeler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Krider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Fried","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,19]]},"reference":[{"key":"689_CR1","unstructured":"National Spinal Cord Injury Statistical Center. 2019 Annual Report for the Spinal Cord Injury Model Systems [Internet]. 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No Institutional Review Board approval was needed as data shared was de-identified and the study was not considered as human subjects research.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statement of ethics"}}]}}