A Survey of Ramp and Stair Use among Older Adults

Abstract

Forty-three community-dwelling adults aged 57 to 95 participated in survey exploring characteristics of ramp use by older ambulant people. Twenty-three respondents said they ascended ramps instead of stairs most of the time, and 14 said they ascended ramps some of the time. Similar numbers were reported for descent. Overall, respondents felt less fatigued, less likely to trip, and more comfortable when using ramps rather than stairs for ascending one level. When descending one level, balance, tripping, and comfort were the strongest determinants of ramp use. Respondents indicated that descent was more problematic, particularly in regard to balance and tripping. The presence of handrails often determined the choice of route. Results from this survey provided the basis for an experiment evaluating the abilities of older people to traverse ramps of various slopes. The ADA Accessibility Guidelines implicitly assume that a ramp accommodates everyone. This study indicates that entrances should have both ramps and stairs.

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