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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Safety on stairs: Influence of a tread edge highlighter and its position

Foster, Richard J., Hotchkiss, John, Buckley, John, Elliott, David B. 14 April 2014 (has links)
Yes / Background: Falls sustained when descending stairs are the leading cause of accidental death in older adults. Highly visible edge highlighters/friction strips (often set back from the tread edge) are sometimes used to improve stair safety, but there is no evidence for the usefulness of either. Objective: To determine whether an edge highlighter and its location relative to the tread edge affect foot placement/clearance and accidental foot contacts when descending stairs. Method: Sixteen older adults (mean ± 1 SD age; 71 ± 7 years) with normal vision (experiment 1) and eight young adults (mean ± 1 SD age; 24 ± 4 years) with visual impairment due to simulated age-related cataract (experiment 2) completed step descent trials during which a high contrast edge highlighter was either not present, placed flush with the tread edge, or set back from the edge by 10 mm or 30 mm. Foot placement/ clearance and the number of accidental foot contacts were compared across conditions. Results: In experiment 1, a highlighter set back by 30 mm led to a reduction in final foot placement (p b 0.001) and foot clearance (p b 0.001) compared to a highlighter placed flush with the tread edge, and the percentage of foot clearances that were less than 5 mm increased from 2% (abutting) to 17% (away30). In experiment 2, a highlighter placed flushwith the tread edge led to a decrease in within-subject variability in final foot placement (p = 0.004) and horizontal foot clearance (p = 0.022), a decrease in descent duration (p = 0.009), and a decrease in the number of low clearances (b5 mm, from 8% to 0%) and the number of accidental foot contacts (15% to 3%) when compared to a tread edge with no highlighter present. Conclusions: Changes to foot clearance parameters as a result of highlighter presence and position suggest that stairswith high-contrast edge highlighters positioned flushwith the tread edgewill improve safety on stairs, particularly for those with age-related visual impairment.

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