Effect of Boot Weight and Sole Flexibility on Gait and Physiological Responses of Firefighters in Stepping Over Obstacles

Objective: The authors investigated the effect of boot weight and sole flexibility on spatiotemporal gait characteristics and physiological responses of firefighters in negotiating obstacles. Background: Falls and overexertion are the leading causes of fire ground injuries and fatalities among firefighters. There have been few in-depth studies conducted to evaluate the risk factors of falls and overexertion associated with firefighter boots. Method: For the study, 13 female and 14 male firefighters, while wearing full turnout clothing and randomly assigned boots, walked for 5 min while stepping over obstacles. The independent variables included boot weight, sole flexibility, gender, and task duration. Spatiotemporal measures of foot trajectories and toe clearance were determined. Minute ventilation, oxygen consumption, carbon dioxide production, and heart rate were measured. Results: Increased boot weight was found to significantly reduce trailing toe clearance when crossing the 30-cm obstacle. Significant increases in lateral displacement of the foot were found near the end of the 5-min walk compared with the beginning of the task. Increased boot weight significantly increased oxygen consumption. There were significant decreases in oxygen consumption for more flexible soles. Conclusion: Firefighters were more likely to trip over obstacles when wearing heavier boots and after walking for a period of time. Boot weight affected metabolic variables (5% to 11% increases per 1-kg increase in boot weight), which were mitigated by sole flexibility (5% to 7% decrease for more flexible soles). Application: This study provides useful information for firefighters and boot manufacturers in boot selection and design for reducing falls and overexertion.

[1]  A Bhattacharya,et al.  Effect of work load and respirator wear on postural stability, heart rate, and perceived exertion. , 1991, American Industrial Hygiene Association journal.

[2]  A. Patla,et al.  Locomotor Patterns of the Leading and the Trailing Limbs as Solid and Fragile Obstacles Are Stepped Over: Some Insights Into the Role of Vision During Locomotion. , 1996, Journal of motor behavior.

[3]  Amit Bhattacharya,et al.  Postural sway measurements: a potential safety monitoring technique for workers wearing personal protective equipment. , 2002, Applied occupational and environmental hygiene.

[4]  R. Ferber,et al.  Gender differences in lower extremity mechanics during running. , 2003, Clinical biomechanics.

[5]  A. Schultz,et al.  Stepping over obstacles: gait patterns of healthy young and old adults. , 1991, Journal of gerontology.

[6]  Aftab E Patla,et al.  The influence of multiple obstacles in the travel path on avoidance strategy. , 2002, Gait & posture.

[7]  J L Bilzon,et al.  Characterization of the metabolic demands of simulated shipboard Royal Navy fire-fighting tasks , 2001, Ergonomics.

[8]  H. Menz,et al.  Footwear and postural stability in older people. , 1999, Journal of the American Podiatric Medical Association.

[9]  Darren J Stefanyshyn,et al.  Shoe midsole longitudinal bending stiffness and running economy, joint energy, and EMG. , 2006, Medicine and science in sports and exercise.

[10]  R. Luukkonen,et al.  Protective equipment affects balance abilities differently in younger and older firefighters. , 2003, Aviation, space, and environmental medicine.

[11]  P R LeBlanc,et al.  FIREFIGHTER FATALITIES IN THE UNITED STATES - 2003. FULL REPORT , 2004 .

[12]  Stephen D Prentice,et al.  Swing phase kinetics and kinematics of knee replacement patients during obstacle avoidance. , 2003, Gait & posture.

[13]  L. Draganich,et al.  Placing the trailing foot closer to an obstacle reduces flexion of the hip, knee, and ankle to increase the risk of tripping. , 1998, Journal of biomechanics.

[14]  Louis F Draganich,et al.  The effects of walking speed on obstacle crossing in healthy young and healthy older adults. , 2004, Journal of biomechanics.

[15]  Z Matjacić,et al.  The influence of boot stiffness on gait kinematics and kinetics during stance phase , 2007, Ergonomics.

[16]  Amit Bhattacharya,et al.  Effects of environmental and job-task factors on workers' gait characteristics on slippery surfaces , 2002 .

[17]  W M Keyserling,et al.  The effect of size and fabric weight of protective coveralls on range of gross body motions. , 1995, American Industrial Hygiene Association journal.

[18]  J. Lehmann,et al.  Decreased balance performance in cowboy boots compared with tennis shoes. , 1995, Archives of physical medicine and rehabilitation.

[19]  Karen M Conrad,et al.  Cause, type, and workers' compensation costs of injury to fire fighters. , 2003, American journal of industrial medicine.

[20]  Amit Bhattacharya,et al.  Postural Balance Changes in On-Duty Firefighters: Effect of Gear and Long Work Shifts , 2006, Journal of occupational and environmental medicine.

[21]  Joyce Zwiener,et al.  Physiological Effects of Boot Weight and Design on Men and Women Firefighters , 2010, Journal of occupational and environmental hygiene.

[22]  D. Winter Foot trajectory in human gait: a precise and multifactorial motor control task. , 1992, Physical therapy.

[23]  Ryan S. Garten,et al.  Physiological responses to simulated stair climbing in professional firefighters wearing rubber and leather boots , 2009, European Journal of Applied Physiology.

[24]  J Huck,et al.  Protective clothing systems: A technique for evaluating restriction of wearer mobility. , 1988, Applied ergonomics.

[25]  I Holmér The role of performance tests, manikins and test houses in defining clothing characteristics relevant to risk assessment. , 1999, The Annals of occupational hygiene.

[26]  Aftab E. Patla,et al.  Review article Understanding the roles of vision in the control of human locomotion , 1997 .

[27]  Maury A. Nussbaum,et al.  Effects of wearing chemical protective clothing on text entry when using wearable input devices , 2007 .

[28]  E. McAuley,et al.  Gait adjustments in older adults: activity and efficacy influences. , 1998, Psychology and aging.