URGENT UPDATE: A groundbreaking study has just revealed that switching wheelchairs in nursing homes may significantly increase the risk of dangerous fractures among residents. This research, published in the JMA Journal, highlights an alarming trend affecting the safety and mobility of older adults in long-term care.
The study analyzed data from 215 older adults in Ibaraki Prefecture, Japan, who were using multifunctional wheelchairs before entering nursing homes. Approximately 40% of these residents relied on advanced wheelchairs equipped with essential supportive features. However, once they moved to nursing homes, access to these specialized rental services was abruptly cut off.
As a result, many residents are forced to use standard, facility-owned wheelchairs that may not meet their unique functional needs. This discontinuity is raising immediate concerns, as five individuals experienced fractures after their admission to nursing homes, while no fractures were reported among those who continued using standard wheelchairs prior to their move.
The implications of this study are profound. While the exact circumstances surrounding the fractures could not be confirmed, the findings suggest a potential link between the discontinuation of multifunctional wheelchairs and an increased risk of falls or fractures. The research represents the first comprehensive quantitative assessment of how wheelchair continuity may impact fracture risk in nursing home settings.
Developing further: The study’s authors, led by Ai Suzuki, are calling for more in-depth investigations to fully understand how wheelchair provision practices affect health outcomes. Future research will include questionnaire-based surveys aimed at exploring the broader implications of disrupted wheelchair use and how to best support residents’ mobility needs.
This urgent issue demands immediate attention from healthcare providers and policymakers. The ultimate goal is to ensure that nursing home residents can maintain access to appropriate wheelchairs that meet their individual needs after admission.
As this story continues to unfold, healthcare professionals and families are urged to advocate for better wheelchair continuity practices in nursing homes to safeguard the health and wellbeing of our elderly population.
For more information, refer to the study: Ai Suzuki, et al. “Type of Wheelchair Used before Nursing Home Admission and Fall-Related Fractures after Nursing Home Admission,” JMA Journal (2025). DOI: 10.31662/jmaj.2025-0194.
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