Kinematics and kinetics of the shoe during human slips

Prospective validity assessment of a friction prediction model based on tread outsole features of slip-resistant shoes

Shoe outsole design strongly influences slip and fall risk. Certain tread features that can be readily measured have been shown to predict friction performance. This research aimed to replicate those findings and quantify their ability to predict slipping. Participants (n = 34) were exposed to a low friction oil-coated floor surface, while wearing slip-resistant shoes. The coefficient of friction (COF) of each shoe were predicted based on tread surface area, the presence of a bevel, and hardness. The COF was measured, and the slip outcome was determined. Predicted and measured COF were correlated, and measured COF was a sensitive predictor of slip outcome. The relationship of predicted COF on slip outcome was weaker than anticipated and was not statistically significant. This study partially confirmed the ability of previous regression equations to predict COF. However, the effect size was weaker than previously reported and predicted COF was not sensitive for predicting slips.

Validation of a portable shoe tread scanner to predict slip risk

PROBLEM

Worn shoes are an important contributor to occupational slip and fall injuries. Tools to assess worn tread are emerging; imaging tools offer the potential to assist. The aim of this study was to develop a shoe tread scanner and evaluate its effectiveness to predict slip risk.

METHODS

This study analyzed data from two previous studies in which worn or new slip-resistant shoes were donned during an unexpected slip condition. The shoe tread for each shoe was scanned using a portable scanner that utilized frustrated total internal reflection (FTIR) technology. The shoe tread parameters of the worn region size (WRS) for worn shoes and total contact area for new shoes were measured. These parameters were then used to predict slip risk from the unexpected slip conditions.

RESULTS

The WRS was able to accurately predict slip risk, but the contact area was not.

DISCUSSION

These findings support that increased WRS on the shoe outsole is associated with worse slip outcomes. Furthermore, the tool was able to offer robust feedback across a wide range of tread designs, but the results of this study show that the tool may be more applicable for slip-resistant shoes that are worn compared to their new counterparts.

SUMMARY

This study shows that FTIR technology utilized in this tool may be a useful and portable method for determining slip risk for worn shoes.

PRACTICAL APPLICATIONS

This tool has the potential to be an efficient, objective, end-user tool that improves timely replacement of shoes and prevention of injuries.

Friction performance of resilient flooring under contaminant conditions relevant to healthcare settings

Flooring is among the factors known to influence slip and fall risk. Slips are common in the healthcare industry, where resilient flooring is prevalent. This study assessed coefficient of friction (COF) across resilient flooring products specific to conditions relevant to healthcare. The COF for eleven resilient flooring surfaces were tested in their dry condition and under six contaminant conditions. Data was analyzed using ANOVA and principal component analysis. The COF was strongly influenced by the contaminant condition (p < 0.001) with hand sanitizer and canola oil having the lowest COF values. COF was also influenced by the flooring product (p < 0.001) although to a lesser extent than the contaminant condition. The contaminants differentially affected the friction performance across the flooring products (interaction effect p < 0.001). These effects were described by the first two principal components. This study reveals high slipping potential for certain contaminants on resilient flooring and that flooring influences friction performance in contaminant-specific ways.

Validating the ability of a portable shoe-floor friction testing device, NextSTEPS, to predict human slips

Measuring shoe-floor friction is critical for assessing the safety of footwear products. Portable devices for measuring coefficient of friction (COF) are needed. This study introduces such a device and evaluates its ability to predict human slip events across shoe designs. A portable device (18 kg) was utilized to measure 66 unique shoe-floor-fluid coefficients of friction (COF). Consistent with the shoes, flooring, and fluid contaminants from the COF tests, participants (n = 66) were unexpectedly exposed to the fluid while walking. Slip predictions were made based on a separate training data set. Slip predictions were made prospectively and using logistic regression analyses. The slip predictions were valid (p < 0.001), 91% sensitive, and 64% specific. The logistic regression fit also revealed that the COF values predicted slip outcomes (p = 0.006). This device is expected to expand the capacity of researchers, product developers, forensic engineers, and safety professionals to prevent slips and enhance human safety.

Reducing Slip Risk: A Feasibility Study of Gait Training with Semi-Real-Time Feedback of Foot-Floor Contact Angle

Slip-induced falls, responsible for approximately 40% of falls, can lead to severe injuries and in extreme cases, death. A large foot-floor contact angle (FFCA) during the heel-strike event has been associated with an increased risk of slip-induced falls. The goals of this feasibility study were to design and assess a method for detecting FFCA and providing cues to the user to generate a compensatory FFCA response during a future heel-strike event. The long-term goal of this research is to train gait in order to minimize the likelihood of a slip event due to a large FFCA. An inertial measurement unit (IMU) was used to estimate FFCA, and a speaker provided auditory semi-real-time feedback when the FFCA was outside of a 10-20 degree target range following a heel-strike event. In addition to training with the FFCA feedback during a 10-min treadmill training period, the healthy young participants completed pre- and post-training overground walking trials. Results showed that training with FFCA feedback increased FFCA events within the target range by 16% for "high-risk" walkers (i.e., participants that walked with more than 75% of their FFCAs outside the target range) both during feedback treadmill trials and post-training overground trials without feedback, supporting the feasibility of training FFCA using a semi-real-time FFCA feedback system.

In contrast to slip-resistant shoes, fluid drainage capacity explains friction performance across shoes that are not slip-resistant

Slip and fall injuries can be prevented through footwear with good friction performance. The factors that contribute to friction in non-slip-resistant (NSR) shoes are not well understood. The purpose of this study was to determine whether predictive models for slip-resistant (SR) shoes also apply to NSR shoes. This study also quantified the contributions of under-shoe fluid drainage to friction in NSR shoes. The coefficient of friction (ACOF) and under-shoe fluid pressures of fifteen NSR shoes were measured. A previously developed ACOF prediction model based on measurable outsole features was applied to the NSR shoes. The previously developed model did not apply well (in trends, as indicated by interaction effects involving SR/NSR classification, or in magnitude, p < 0.001) to NSR shoes. Instead, an increase in the fluid pressures were associated with a reduction in ACOF (p < 0.001). This study demonstrates that fluid pressures dominate performance in NSR shoes in contrast to SR shoes.

Effects of natural shoe wear on traction performance: a longitudinal study

Footwear outsole design is an important factor for shoe-floor friction and for preventing slipping. Shoes with small, uniformly-separated tread blocks (often included on slip-resistant shoes) have decreased slip risk due to their increased friction and better under-shoe fluid drainage. However, these traction performance metrics (friction and fluid drainage) diminish with wear. This study quantifies shoe traction performance in response to natural wear and compares the relationship between common wear metrics: time, distance walked, and worn region size (WRS). Participants wore two pairs of shoes in the workplace for up to 11 months and the distance walked was tracked with a pedometer. After each month of wear, traction performance and WRS of each shoe were measured. Traction performance was quantified by the under-shoe available coefficient of friction and fluid force during a simulated slip condition. Increased wear (months worn, distance walked, and WRS) was associated with decreased traction performance. A WRS of 800 mm2 was associated with reductions in friction of 16-38% and increases in fluid force by 286-528%. Three and six months of wear were associated with WRS values of 251 mm2 and 462 mm2 and distances of 203 km and 519 km, respectively. A walking distance of 500 km was associated with a WRS of 406 mm2. This study showed that all these wear metrics are good indicators of shoe traction performance loss. Thus, the most practical metric in a particular application can be selected. We argue that WRS may be the best indicator due to variations in wear rate from the user and environment. Therefore, tracking footwear usage and monitoring outsole wear can aid in shoe replacement recommendations to reduce slips and falls.

Gait kinetics impact shoe tread wear rate

BACKGROUND

Adequate footwear is an important factor for reducing the risk of slipping; as shoe outsoles wear down, friction decreases, and slip and fall risk increases. Wear theory suggests that gait kinetics may influence rate of tread wear.

RESEARCH QUESTION

Do the kinetics of walking (i.e., the shoe-floor force interactions) affect wear rate?

METHODS

Fourteen participants completed dry walking trials during which ground reaction forces were recorded across different types of shoes. The peak normal force, shear force, and required coefficient of friction (RCOF) were calculated. Participants then wore alternating pairs of shoes in the workplace each month for up to 24 months. A pedometer was used to track the distance each pair of shoes was worn and tread loss was measured. The wear rate was calculated as the volumetric tread loss divided by the distance walked in the shoes. Three, mixed linear regression models were used to assess the impact of peak normal force, shear force, and RCOF on wear rate.

RESULTS

Wear rate was positively associated with peak RCOF and with peak shear force, but was not significantly related to peak normal forces.

SIGNIFICANCE

The finding that shear forces and particularly the peak RCOF are related to wear suggests that a person's gait characteristics can influence wear. Therefore, individual gait kinetics may be used to predict wear rate based on the fatigue failure shoe wear mechanism.

Analysis of invoked slips while wearing flip-flops in wet and dry conditions: Does alternative footwear alter slip kinematics?

Minimal footwear has become more ubiquitous; however, it may increase slip severity. This study specifically examined the slipping kinematics of flip-flop sandals. Invoked slips from standing were evaluated in dry and wet tile, and a unique wet footbed + wet tile condition, with 40, 50, and 60% bodyweight (BW) committed to the slipping foot. Water did not alter peak slip velocity (PV) at 40% BW, but PV increased with greater slip-foot force on wet tile by ~1 m/s. Interestingly, when floor-contact was lost during the slip, the flip-flops could come off the heel. This decoupling occurred most often when both the tile and footbed were either dry or wet. Given that both decoupling and greater PV were observed on wet tile, slipping in flip-flops under wet conditions may have more serious consequences. The results highlight that slips may occur at both the foot-flip-flop, and flip-flop-tile interfaces.

Lower Extremity Muscle Activation in Alternative Footwear during Stance Phase of Slip Events

Muscle activity from the slipping leg have been previously used to analyze slip induced falls. However, the impact of casual alternative footwear on slipping leg muscle activity when exposed to slippery environments is still unknown. The purpose of the study was to analyze the impact of alternative footwear (crocs (CC) and flip-flops (FF)) compared to slip-resistant footwear (LT) on lower extremity muscle activity when exposed to dry gait (NG), unexpected (US), alert (AS), and expected slips (ES). Eighteen healthy males (age: 22.3 ± 2.2 years; height: 177.7 ± 6.9 cm; weight: 79.3 ± 7.6 kg) completed the study in a repeated measures design in three footwear sessions separated by 48 h. Electromyography (EMG) muscle activity from four muscles of the lead/slipping leg was measured during the stance phase of the gait-slip trials. A 3 (footwear) × 4 (gait-slip trials) repeated measures analysis of variance was used to analyze EMG dependent variables mean, peak, and percent of maximal voluntary contraction. Greater lower extremity muscle activation during the stance phase was seen in US and AS conditions compared to NG and ES. In addition, footwear differences were seen for the alternative footwear (CC and FF) during US and AS, while the low top slip resistant shoe had no differences across all gait trials, suggesting it as the most efficient footwear of choice, especially when maneuvering slippery flooring conditions, either with or without the knowledge of an impending slip.

Traction performance across the life of slip-resistant footwear: Preliminary results from a longitudinal study

INTRODUCTION

Slips, trips, and falls are a major cause of injury in the workplace. Footwear is an important factor in preventing slips. Furthermore, traction performance (friction and under-shoe fluid drainage) are believed to change throughout the life of footwear. However, a paucity of data is available for how traction performance changes for naturally worn, slip-resistant footwear.

METHOD

The presented research is a preliminary analysis from an ongoing, larger study. Participants wore slip-resistant footwear while their distance walked was monitored. Friction and under-shoe fluid pressures were measured using a robotic slip tester under a diluted glycerol contaminant condition after each month of wear for the left and right shoes. The size of the worn region was also measured.

RESULTS

Friction initially increased and then steadily decreased as the distance walked and the size of the worn region increased. Fluid pressures increased as the shoes were worn and were associated with increased walking distance and size of the worn region.

DISCUSSION

Consistent with previous research, increases in the size of the worn region are associated with increased under-shoe fluid pressures and decreased traction. These trends are presumably due to reduced fluid drainage between the shoe-floor interface when the shoe becomes worn.

CONCLUSIONS

Traction performance changes with natural wear. The distance walked in the shoe and the size of the worn region may be valuable indicators for assessing loss of traction performance. Practical Applications: Current shoe replacement recommendations for slip-resistant shoes are based upon age and tread depth. This study suggests that tools measuring the size of the worn region and/or distance traveled in the shoes are appropriate alternatives for tracking traction performance loss due to shoe wear.

Predicting Hydrodynamic Conditions under Worn Shoes using the Tapered-Wedge Solution of Reynolds Equation

Slips and falls are a leading cause of injuries in the workplace. The risk of slipping increases as shoe tread wears. Knowledge of the mechanics relating shoe wear to slip risk is needed to develop fall-prevention strategies. This research applies a rectangular, tapered-wedge bearing solution to worn shoes and compares the results to experimentally measured under-shoe fluid pressure results. Changes in the size of the shoe outsole worn region and fluid dispersion capabilities were recorded for four, slip-resistant shoes which were systematically abraded. The film thickness predicted by the solution correlated well with the measured force supported by the fluid. The results provide support that the tapered-wedge solution can be used to assess slip risk in worn shoes.

Influence of averaging time-interval on shoe-floor-contaminant available coefficient of friction measurements

Available coefficient of friction (ACOF) is a common metric of footwear traction performance. ACOF is the ratio of friction to normal force, often averaged over a time-interval. The time-interval needed to achieve repeatable and valid ACOF is unknown. A post-hoc analysis was performed on nine shoe-floor-contaminant combinations to assess the repeatability and bias of data averaged across 4 time-intervals (2 ms, 50 ms, 100 ms, 200 ms) after the target normal force was reached. The ability to predict human slips was assessed for ACOF across these intervals. Differences in repeatability and validity across the four intervals were small. However, statistically significant differences were observed for the shortest compared with the longest interval (lower repeatability yet modestly improved predictive ability). Given the limited impact of time-interval on the results, a shorter interval of 50 ms is recommended to enable testing of smaller floor samples.

Changes in under-shoe traction and fluid drainage for progressively worn shoe tread

Shoe wear is known to increase slipping risk, but few studies have systematically studied this relationship. This study investigated the impact of progressive shoe wear on the available coefficient of friction (ACOF) and under-shoe fluid dynamics. Five different slip-resistant shoes were progressively worn using an accelerated, abrasive, wear protocol. The ACOF and fluid forces (the load supported by the fluid) were measured as shoes were slipped across a surface contaminated with a diluted glycerol solution. As the shoes became worn, an initial increase in ACOF was followed by a steady decrease. Low fluid forces were observed prior to wear followed by increased fluid forces as the worn region became larger. Results suggest that traction performance decreases particularly when the heel region without tread exceeds a size of 800 mm2. This study supports the concept of developing shoe replacement guidelines based upon the size of the worn region to reduce occupational slips.

Predicting slips based on the STM 603 whole-footwear tribometer under different coefficient of friction testing conditions

Assessing footwear slip-resistance is critical to preventing slip and fall accidents. The STM 603 (SATRA Technology) is commonly used to assess footwear friction but its ability to predict human slips while walking is unclear. This study assessed this apparatus' ability to predict slips across footwear designs and to determine if modifying the test parameters alters predictions. The available coefficient of friction (ACOF) was measured with the device for nine different footwear designs using 12 testing conditions with varying vertical force, speed and shoe angle. The occurrence of slipping and the required coefficient of friction was quantified from human gait data including 124 exposures to liquid contaminants. ACOF values varied across the test conditions leading to different slip prediction models. Generally, a steeper shoe angle (13°) and higher vertical forces (400 or 500 N) modestly improved predictions of slipping. This study can potentially guide improvements in predictive test conditions for this device. Practitioner Summary: Frictional measures by the STM603 (SATRA Technology) were able to predict human slips under liquid contaminant conditions. Test parameters did have an influence on the measurements. An increased shoe-floor testing angle resulted in better slip predictions than test methods specified in the ASTM F2913 standard.

Effects of age-related changes in step length and step width on the required coefficient of friction during straight walking

BACKGROUND

Slipping is one of the leading causes of falls among older adults. Older adults are considered to walk with a small anteroposterior (AP) component and a large mediolateral (ML) component of the required coefficient of friction (RCOF) owing to a short step length and a wide step width, respectively. However, limited information is available.

RESEARCH QUESTION

What are the effects of aging on the resultant RCOF (RCOF_res) and its ML (RCOF_ML) and AP (RCOF_AP) components during straight walking?

METHODS

We used the kinetic and kinematic data of 188 participants aged 20-77 years from a publicly available database (National Institute of Advanced Industrial Science and Technology Gait Database 2015). The participants were divided into the following three groups: young group (n = 56; age range, 20-34 years), middle-aged group (n = 50; age range, 35-64 years), and old group (n = 82; age range, 65-77 years).

RESULTS

The RCOF_res and RCOF_AP were lower in the old group than in the other groups, indicating a lower slip risk in this group. However, the RCOF_ML was higher and the step width was greater in the old group than in the other groups. The higher RCOF_ML and lower RCOF_AP in the old group might be associated with slips in a more lateral direction.

SIGNIFICANCE

Our findings suggest that older adults have a high risk of slipping in a more lateral direction. Shoes with high-slip resistance in the lateral direction are recommended to prevent hazardous lateral slips among older adults.

Generalizability of Footwear Traction Performance across Flooring and Contaminant Conditions

Background

To prevent slip and fall events at the workplace, mechanical slip testing is conducted on shoes. Such experiments may involve redundant testing across floorings and contaminant conditions, causing wasted time and effort.

Purpose

Quantify the correlations between shoe traction across different contaminant-flooring conditions to reduce redundant slip testing efforts.

Methods

The available coefficient-of-friction (ACOF) was quantified for 17 shoes across five floorings and three contaminant conditions. Redundant testing conditions were identified when the shoe ACOF values for one floor-contaminant condition were highly correlated with a second floor-contaminant condition.

Results

High correlations were observed among quarry floorings across different contaminants and among vinyl (composite tile) floorings with the same contaminant. However, vinyl floorings exhibited low correlations with quarry floorings. Low correlations were also observed across contaminants within vinyl tiles.

Conclusions

This study was able to determine the generalizability of traction performance of shoes across vinyl and quarry floorings. This information is anticipated to reduce redundant traction testing of shoes across vinyl and quarry floorings.