Biomechanics for inclusive urban design : effects of tactile paving on older adults ’

In light of our ageing population it is important that the urban environment is easily accessible and hence supports older adults' independence. Tactile 'blister' paving was originally designed to provide guidance for visually impaired people at pedestrian crossings. However, as research links irregular surfaces to falls in older adults, such paving may have an adverse effect on older people. We investigated the effects of tactile paving on older adults' gait in a scenario closely resembling crossing the street. Gait analysis of 32 healthy older adults showed that tactile, as compared to smooth, paving increases the variability in timing of foot placement by 20%, thereby indicating a disturbance of the rhythmic gait pattern. Moreover, toe clearance during the swing phase increased by 7% on tactile paving, and the ability to stop upon cue from the traffic light was compromised. These results need to be viewed under the consideration of limitations associated with laboratory studies and real world analysis is needed to fully understand their implications for urban design.

[1]  T. Takashima,et al.  Gait analysis of people walking on tactile ground surface indicators , 2005, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[2]  W. Berg,et al.  Circumstances and consequences of falls in independent community-dwelling older adults. , 1997, Age and ageing.

[3]  R. Begg,et al.  Minimum foot clearance during walking: strategies for the minimisation of trip-related falls. , 2007, Gait & posture.

[4]  Olivier Beauchet,et al.  Walking speed-related changes in stride time variability: effects of decreased speed , 2009, Journal of NeuroEngineering and Rehabilitation.

[5]  J. Vaupel,et al.  Ageing populations: the challenges ahead , 2009, The Lancet.

[6]  Jasmine C Menant,et al.  Effects of shoe characteristics on dynamic stability when walking on even and uneven surfaces in young and older people. , 2008, Archives of physical medicine and rehabilitation.

[7]  O. Beauchet,et al.  Concurrent validity of SMTEC footswitches system for the measurement of temporal gait parameters. , 2008, Gait & posture.

[8]  J. Ashton-Miller,et al.  Falls and Gait Characteristics Among Older Persons with Peripheral Neuropathy , 2007, American journal of physical medicine & rehabilitation.

[9]  M. Franzblau,et al.  Conflict of Interest Statement , 2004 .

[10]  A Leardini,et al.  Position and orientation in space of bones during movement: anatomical frame definition and determination. , 1995, Clinical biomechanics.

[11]  Ciara M O'Connor,et al.  Automatic detection of gait events using kinematic data. , 2007, Gait & posture.

[12]  Sibylle B Thies,et al.  What causes a crossover step when walking on uneven ground? A study in healthy young women. , 2007, Gait & posture.

[13]  A. Beelen,et al.  Circumstances and consequences of falls in polio survivors. , 2010, Journal of rehabilitation medicine.

[14]  Jasmine C Menant,et al.  Effects of walking surfaces and footwear on temporo-spatial gait parameters in young and older people. , 2009, Gait & posture.

[15]  R. Begg,et al.  MINIMUM FOOT CLEARANCE DURING WALKING : MEAN , SD , SKEWNESS AND KURTOSIS , 2001 .

[16]  M B Brown,et al.  A Practical Two-Step Quantitative Clinical and Electrophysiological Assessment for the Diagnosis and Staging of Diabetic Neuropathy , 1994, Diabetes Care.

[17]  S. Lord,et al.  The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. , 2008, Age and ageing.

[18]  A B Schultz,et al.  Abilities to turn suddenly while walking: effects of age, gender and available response time , 1997, The journals of gerontology. Series A, Biological sciences and medical sciences.

[19]  A. Kuo,et al.  Active control of lateral balance in human walking. , 2000, Journal of biomechanics.

[20]  Jeffrey M. Hausdorff,et al.  Gait variability and fall risk in community-living older adults: a 1-year prospective study. , 2001, Archives of physical medicine and rehabilitation.

[21]  B. E. Maki,et al.  Gait Changes in Older Adults: Predictors of Falls or Indicators of Fear? , 1997, Journal of the American Geriatrics Society.

[22]  Rezaul Begg,et al.  A method for calculating the probability of tripping while walking. , 2008, Journal of biomechanics.

[23]  J. Ashton-Miller,et al.  A Comparison of Gait Characteristics Between Older Women with and Without Peripheral Neuropathy in Standard and Challenging Environments , 2004, Journal of the American Geriatrics Society.