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Negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study

OBJECTIVE: Explore and describe experiences and perceptions of falls, risk of falling, and fall-related consequences in individuals with incomplete spinal cord injury (SCI) who are still walking. DESIGN: A qualitative interview study applying interpretive content analysis with an inductive approach....

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Autores principales: Jørgensen, Vivien, Roaldsen, Kirsti Skavberg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5405812/
https://www.ncbi.nlm.nih.gov/pubmed/27170274
http://dx.doi.org/10.1177/0269215516648751
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author Jørgensen, Vivien
Roaldsen, Kirsti Skavberg
author_facet Jørgensen, Vivien
Roaldsen, Kirsti Skavberg
author_sort Jørgensen, Vivien
collection PubMed
description OBJECTIVE: Explore and describe experiences and perceptions of falls, risk of falling, and fall-related consequences in individuals with incomplete spinal cord injury (SCI) who are still walking. DESIGN: A qualitative interview study applying interpretive content analysis with an inductive approach. SETTING: Specialized rehabilitation hospital. SUBJECTS: A purposeful sample of 15 individuals (10 men), 23 to 78 years old, 2-34 years post injury with chronic incomplete traumatic SCI, and walking ⩾75% of time for mobility needs. METHODS: Individual, semi-structured face-to-face interviews were recorded, condensed, and coded to find themes and subthemes. RESULTS: One overarching theme was revealed: “Falling challenges identity and self-image as normal” which comprised two main themes “Walking with incomplete SCI involves minimizing fall risk and fall-related concerns without compromising identity as normal” and “Walking with incomplete SCI implies willingness to increase fall risk in order to maintain identity as normal”. Informants were aware of their increased fall risk and took precautions, but willingly exposed themselves to risky situations when important to self-identity. All informants expressed some conditional fall-related concerns, and a few experienced concerns limiting activity and participation. CONCLUSION: Ambulatory individuals with incomplete SCI considered falls to be a part of life. However, falls interfered with the informants’ identities and self-images as normal, healthy, and well-functioning. A few expressed dysfunctional concerns about falling, and interventions should target these.
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spelling pubmed-54058122017-05-08 Negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study Jørgensen, Vivien Roaldsen, Kirsti Skavberg Clin Rehabil Exploratory Studies OBJECTIVE: Explore and describe experiences and perceptions of falls, risk of falling, and fall-related consequences in individuals with incomplete spinal cord injury (SCI) who are still walking. DESIGN: A qualitative interview study applying interpretive content analysis with an inductive approach. SETTING: Specialized rehabilitation hospital. SUBJECTS: A purposeful sample of 15 individuals (10 men), 23 to 78 years old, 2-34 years post injury with chronic incomplete traumatic SCI, and walking ⩾75% of time for mobility needs. METHODS: Individual, semi-structured face-to-face interviews were recorded, condensed, and coded to find themes and subthemes. RESULTS: One overarching theme was revealed: “Falling challenges identity and self-image as normal” which comprised two main themes “Walking with incomplete SCI involves minimizing fall risk and fall-related concerns without compromising identity as normal” and “Walking with incomplete SCI implies willingness to increase fall risk in order to maintain identity as normal”. Informants were aware of their increased fall risk and took precautions, but willingly exposed themselves to risky situations when important to self-identity. All informants expressed some conditional fall-related concerns, and a few experienced concerns limiting activity and participation. CONCLUSION: Ambulatory individuals with incomplete SCI considered falls to be a part of life. However, falls interfered with the informants’ identities and self-images as normal, healthy, and well-functioning. A few expressed dysfunctional concerns about falling, and interventions should target these. SAGE Publications 2016-05-11 2017-04 /pmc/articles/PMC5405812/ /pubmed/27170274 http://dx.doi.org/10.1177/0269215516648751 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Exploratory Studies
Jørgensen, Vivien
Roaldsen, Kirsti Skavberg
Negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study
title Negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study
title_full Negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study
title_fullStr Negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study
title_full_unstemmed Negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study
title_short Negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study
title_sort negotiating identity and self-image: perceptions of falls in ambulatory individuals with spinal cord injury – a qualitative study
topic Exploratory Studies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5405812/
https://www.ncbi.nlm.nih.gov/pubmed/27170274
http://dx.doi.org/10.1177/0269215516648751
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