Multidimensional Aspects of Slips and Falls

Abstract

The study of slips and falls has traditionally focused on body kinematics and tribology. However, this strictly mechanical approach does not allow scientists to assess the importance of each component in relation to the complete system, and thus it lacks integration. The purpose of this chapter is to present and demonstrate the components of a broad analysis for in-depth understanding of slips and falls while walking on level surfaces. In most slip-and-fall studies, balance analysis is simplified and attributed to the point of heel contact. To determine sufficient fall prevention strategies, however, one must analyze balance before the critical moment of lost control. Such an approach requires the sciences of biomechanics, mechanics, anatomy, and neuromuscular control, as well as tribology. Causes of slips and falls are complex, and prevention approaches are often reactive, driven by high-injury trends and lawsuits. Prevention strategies need to be more proactive: Understanding the causes of accidents can help in identifying and correcting hazards before they cause problems. Examples include reporting incidents, selecting the right flooring, selecting footwear, and implementing proper floor-cleaning procedures. A combined effort among all members of the organization, including communication across the entire work system, is critical to the success of slip-and-fall prevention efforts.