227 Movement support solutions dedicated to people with reduced mobility (PRM) as an element of traffic medicine and falls prevention

<h3>Background</h3> In the EU, approximately 15% of the population are disabled people. Using the biological disability criterion, this group in Poland can be counted from 5.3 to even 9 mln. The protection of vulnerable road users (including people with mobility issues) is one of the pillars of worldwide road safety improvements. The activities undertaken for this purpose are diverse and multi-level. <h3>Objective</h3> In 2022, a team including the authors started the study to support the mobility and safety of pedestrians with lower limb disabilities. The aim of the study is to develop and implement a multifunctional attachment for orthopedic equipment as an element improving comfort and safety in various weather conditions. An orthopedic crutch attachment is based mainly on an innovative idea regarding shape and materials used. The appropriate attachment enhances the user’s sense of stability and the ability to firmly lean on it. The aim of the study was to first learn about the expectations of users regarding the attachment’s features. <h3>Methods</h3> The study included qualitative research (Focus Group Interviews,FGI) with the participation of PRM – pedestrians using similar equipment. The purpose of FGI was to learn about users’ opinions and evaluate the presented attachment prototype. Participants defined most important features of attachment and were asked to explain the concepts of road traffic safety, mobility, accessibility and to discuss their experiences related to safe traveling and use of movement facilitating solutions. <h3>Results</h3> The participants positively assessed proposed solution and expressed willingness to use it. FGI study showed low level of users’ knowledge regarding variants and technical possibilities of orthopedic equipment, its selection, purchase places, exchange conditions, existence of advisory offices/persons, and awareness about the importance of this item for safe and comfortable movement. The need for more systemic support for PRM was indicated, e.g. by establishing special information and advisory points. <h3>Conclusions</h3> Although there are many supporting devices, research has shown a significant communication gap among users, orthopedic equipment manufacturers, health services and decision-makers. Filling this gap will enable more conscious selection of pedestrian devices. Such health prevention will also affect the safety of this group of road users.