Gait characteristics associated with trip-induced falls on level and sloped irregular surfaces

Abstract

Same level falls continue to contribute to an alarming number of slip/trip/fall injuries in the mining workforce. The objective of this study was to investigate how walking on different surface types and transverse slopes influences gait parameters that may be associated with a trip event. Gait analysis was performed for ten subjects on two orientations (level and sloped) on smooth, hard surface (control) and irregular (gravel, larger rocks) surfaces. Walking on irregular surfaces significantly increased toe clearance compared to walking on the smooth surface. There was a significant (p < 0.05) decrease in cadence (steps/min), stride length (m), and speed (m/s) from control to gravel to larger rocks. Significant changes in external rotation and increased knee flexion while walking on irregular surfaces were observed. Toe and heel clearance requirements increased on irregular surfaces, which may provide an explanation for trip-induced falls; however, the gait alterations observed in the experienced workers used as subjects would likely improve stability and recovery from a trip.