Individuals with SCI Worried, vulnerable, and sometimes frustrated. The idea of bones weakening without any visible symptoms can cause anxiety about future health. They may feel helpless. The problem often surfaces after prolonged periods of immobility, especially in people who have been using a wheelchair or bed-bound for months or years. It is not a sudden problem but develops gradually over time as the bones lose density due to lack of use. Increased risk of fractures. Even a minor fall or accident can lead to broken bones, particularly in the hips, wrists, or spine.

1. Target Audience: Wheelchair user with quadriplegia 2. Feels: Lightheadedness/ dizziness creates fear of fall 3. When: During position changes like lying down to sitting, transfers etc 4. Implications: Activites of daily living feel unsafe