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Wheelchair tiedown and occupant restraint practices in paratransit vehicles
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 r...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755728/ https://www.ncbi.nlm.nih.gov/pubmed/29304035 http://dx.doi.org/10.1371/journal.pone.0186829 |
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author | Frost, Karen Bertocci, Gina Smalley, Craig |
author_facet | Frost, Karen Bertocci, Gina Smalley, Craig |
author_sort | Frost, Karen |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5755728 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-57557282018-01-26 Wheelchair tiedown and occupant restraint practices in paratransit vehicles Frost, Karen Bertocci, Gina Smalley, Craig PLoS One Research Article 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. Public Library of Science 2018-01-05 /pmc/articles/PMC5755728/ /pubmed/29304035 http://dx.doi.org/10.1371/journal.pone.0186829 Text en © 2018 Frost et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Frost, Karen Bertocci, Gina Smalley, Craig Wheelchair tiedown and occupant restraint practices in paratransit vehicles |
title | Wheelchair tiedown and occupant restraint practices in paratransit vehicles |
title_full | Wheelchair tiedown and occupant restraint practices in paratransit vehicles |
title_fullStr | Wheelchair tiedown and occupant restraint practices in paratransit vehicles |
title_full_unstemmed | Wheelchair tiedown and occupant restraint practices in paratransit vehicles |
title_short | Wheelchair tiedown and occupant restraint practices in paratransit vehicles |
title_sort | wheelchair tiedown and occupant restraint practices in paratransit vehicles |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755728/ https://www.ncbi.nlm.nih.gov/pubmed/29304035 http://dx.doi.org/10.1371/journal.pone.0186829 |
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