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Wheelchair Transportation Safety

Development of Transit Wheelchair Design Guidelines for Rear Impact Crashes

funded by Paralyzed Veterans of America - Spinal Cord Injury Research Foundation (www.pva.org)

Wheelchair users must rely upon motor vehicle transportation to access work, school, medical care and leisure activities. In doing so, many wheelchair users are unable to transfer to a vehicle seat and instead travel seated in their wheelchairs. However, not all wheelchairs have been designed to function as motor vehicle seats, possibly placing wheelchair-seated occupants at increased risk of injury in a crash. To-date, wheelchairs designed for use as motor vehicle seats have only considered frontal impact crashes and have not been designed to withstand loading associated with rear impact crashes. The long-term goal of this project is to promote improve safety for wheelchair users in rear impact crashes who use their wheelchairs as a motor vehicle seat. The specific goals of our project are to assess rear impact crash performance of commercial wheelchairs, investigate wheelchair user injury risk during rear impact, and develop design guidelines that will promote the development of safer wheelchairs to protect wheelchair users in a rear impact crash.

 

Assessment and Monitoring of Wheelchair Transportation Activities and Incidents on Public Buses

funded by NIDRR Rehabilitation Engineering Research Center (RERC) on Wheelchair Transportation Safety (www.rercwts.org)

Wheelchair users must often rely upon public transportation to access work, medical care, school, and social activities. In the public transit setting, there is evidence of wheelchair-seated passengers sustaining serious injuries during normal and emergency driving maneuvers, as well as during ingress/egress. However, little is known regarding factors and conditions that lead to these injuries. A more complete and objective understanding of wheelchair transportation issues in the transit environment is needed for improvement in operator training, operational procedures, wheelchair designs, and adaptive equipment (lifts/ramps, wheelchair tiedowns and occupant restraint systems) designs that will ultimately result in improved safety, usability and independence for wheelchair-seated passengers traveling in buses. This project will provide an understanding of adverse incidents, injury scenarios and activities (ingress/egress, securement and occupant restraint process, navigating to securement station) on large transit buses involving wheelchair-seated passengers using both a retrospective and innovative prospective approach. This project is possible due to a unique collaboration with the Transit Authority of River City (TARC), which includes unlimited access to their in-bus video surveillance system. Results of this project will provide an objective window into real-world wheelchair-seated passenger experiences on transit buses traveling in a large metropolitan region.

 

Consequences of Wheelchair Tiedown and Occupant Restraint System Practices on Wheelchair Passenger Safety in Fixed-Route Transit

funded by NIDRR Switzer Fellowship (Grant #H133F100032)

Wheelchair-seated ATD on busMany wheelchair users rely upon fixed-route public transportation using large accessible transit vehicles (LATVs) for independent transportation to and from work, healthcare appointments and leisure activities, and a substantial number of these wheelchair users may not be able to transfer from their wheelchair to a motor vehicle seat during transit.  It is necessary to afford these wheelchair users the same level of safety as occupants seated in motor vehicle seats.  Therefore, the Americans with Disabilities Act (ADA) requires that LATVs be equipped with wheelchair securement and occupant restraint systems (WTORS). The four-point tiedowns and occupant restraints are the primary means of WTORS on LATVs. Recent research has shown extremely high disuse and misuse rates for this WTORS.  However, to date, no studies have investigated the underlying causes of WTORS misuse and disuse.  Perhaps more importantly, the consequences of WTORS misuse and disuse for wheelchair passengers aboard LATVs have not been determined.  This study consists of three major phases aimed at describing consequences of WTORS misuse and disuse for wheelchair passengers on LATVs:

Phase 1 - A case series of adverse events involving wheelchair-seated passengers on LATVs

Phase 2 - Driving experiments using a wheelchair-seated anthropomorphic testing device onboard a LATV

Phase 3 - Development, validation, and verification of a computer simulation of a wheelchair passenger onboard a LATV

Using the model, a parametric sensitivity analysis would provide an opportunity to investigate the influence of various model parameters on wheelchair and passenger outcomes. This study aims to identify consequences of WTORS disuse and misuse, and should provide the rationale for new transit agency policies regarding wheelchair transportation safety.

 

In-depth Assessment of Wheelchair Ramp Activities and Incidents on Public Transit Buses

funded by NIDRR Field-Initiated Research (Grant #H133G110074)

Tarc rampFor many wheelchair users, public transportation represents the only means of travel.  Research indicates a greater percentage of incidents occur when wheelchair users are using a ramp for boarding or alighting compared to incidents that occur when the bus is in motion. The majority of these incidents involve a combination of the wheelchair tipping and passenger falling from their wheelchair, and these scenarios are 1.8 times more likely to happen during boarding/alighting than during transit. Furthermore, almost half of ramp-related incidents result in injury.  Current ADA guidelines for maximum allowable ramp slope are prohibitively steep for wheelchair user ascent and descent, and ADA minimum ramp width guidelines present challenges to even the most experienced wheelchair users.  This study consists to two interrelated tasks designed to gain an improved understanding of factors influencing wheelchair user boarding and alighting incidents: 1) a nationwide survey of wheelchair users to quantify and characterize ramp-related incidents, and 2) prospective monitoring and assessment of wheelchair user ramp usage on public transit buses utilizing onboard video cameras, combined with digital ramp slope measurements.  This study will yield data to inform wheelchair ramp-related legislation and policy, and will allow for the development of wheelchair ramp design guidelines and operational recommended best practices.  The outcomes from this study will further advance our long-term goals of increasing wheelchair user safety, accessibility and usability on public transit buses.

 

Pilot Assessment of Wheelchair Related Activities in Paratransit Vehicles

 

funded by NIDRR Rehabilitation Engineering Research Center (RERC) on Wheelchair Transportation Safety (www.rercwts.org)

 

The experience of traveling in a paratransit vehicle while seated in a wheelchair differs substantially from the experience of traveling in a public transit bus while seated in a wheelchair.  In contrast to large, public transit buses, paratransit vehicles will experience a higher crash severity for a given event due to lower vehicle mass.  Wheelchair lifts are the predominant means of boarding paratransit vehicles due to the higher vehicle floor of full-size vans and mini-buses. Studies of injuries experienced by wheelchair passengers on paratransit vehicles indicate that incidents occur most often during transit, followed by incidents that occur during lift usage. 

The goal of this pilot study is to gain insight into wheelchair-related activities on paratransit vehicles in order to improve transportation safety for both passengers and paratransit vehicle operators.  Usability of current adaptive equipment will be assessed through objective evaluation and documentation of wheelchair-seated passenger trips. Pilot data will be used to identify areas of study requiring in-depth study (e.g. boarding/alighting equipment/process, securement equipment/process).

 

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