Slip and fall accidents are widespread in workplaces and on walkways. Slipping is generally initiated by a sudden change in the flooring properties or due to a low available traction at the shoe–floor interface. To measure shoe-floor traction, mechanical slip and fall risk estimation devices are typically employed. However, to date, such existing devices are lab-based, bulky, and are unable to simulate realistic slip biomechanics and measure whole footwear traction in realistic contaminated floorings at the same time. Moreover, these devices are expensive and not available in low- or lower-middle-income countries with limited awareness regarding slip testing. To overcome these challenges, in this work, a biofidelic, portable, and low-cost slip testing device was developed. A strategic three-part subassembly was designed for the application of normal load, slipping speed, and heel strike angle for its modularity. The developed slip tester was extensively tested and validated for its performance using 10 formal footwears and two floorings, under dry and wet conditions. The results indicated that the slip tester was accurate, repeatable, and reliable in differentiating traction measurements across varying combinations of shoes, contaminants, and floorings. The instrumentation performance of the slip tester was found to also capture the differences between different shoe tread patterns in the presence of fluid films. The developed device is anticipated to significantly impact the clinical, industrial, and commercial performance testing of footwear traction in realistic slippery flooring conditions, especially in the low- or middle-income countries.

Slippery flooring often leads to unintentional slips and falls, which results in traumatic injuries. To reduce slipping risks, adequate traction at the shoe and flooring contact is essential. In addition, viscous slippery contaminants like water or oil reduce a floor’s traction performance and increase slipping hazards. In this work, the effect of commonly available protective floor coatings on the traction performance of safety-labelled shoes was extensively studied. The study included three floor coatings, namely acid-based etchant coating, epoxy floor paint, and polyurethane, which were tested across five safety shoes. The coated floorings were tested using a robotic slip-testing device in dry and in the presence of water and machine oil—as separate contaminants. The application of floor coatings produced varying surface roughness for the flooring. Significant traction was generated by the etchant coating for the dry flooring, epoxy coating for the wet flooring, and polyurethane coating for all flooring conditions. A comparison of uncoated and coated floorings showed a high effectiveness of generating traction with epoxy coating on wet flooring and polyurethane coating on both wet and oily conditions. The study results are novel and are anticipated to provide valuable guidelines for the selection of slip-resistant coatings for different slippery floorings, and to reduce risks related to slips and falls.

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Foot-related problems are prevalent across the globe, and this issue is aggravated by the presence of diabetes mellitus. Diabetic-foot-related issues include extreme foot pain, plantar corns, and diabetic foot ulcers. To assess these conditions, accurate characterization of plantar pressure is required. In this work, an in-shoe, low-cost, and multi-material pressure measuring insole, based on a piezoresistive material, was developed. The device has a high number of sensors, and was tested on 25 healthy volunteers and 25 patients with different degrees of diabetes. The working range of the device was observed to be 5 kPa to 900 kPa, with an average hysteresis error of 3.25%. Plantar pressure was found to increase from healthy to diabetic volunteers, in terms of both standing and walking. In the case of the diabetic group, the-high pressure contact area was found to strongly and positively correlate (R2 = 0.78) with the peak plantar pressure. During the heel strike phase, the diabetic volunteers showed high plantar pressure on the medial heel region. In regard to the toe-off phase, the central forefoot was found to be a prevalent site for high plantar pressure across the diabetic volunteers. The developed device is expected not only to assist in the prediction of diabetic ulceration or re-ulceration, but also to provide strategies and suggestions for foot pressure alleviation and pain mitigation.

Traumatic injuries caused due to slipping and falling are prevalent in India and across the globe. These injuries not only hamper quality of life but are also responsible for huge economic and compensation burdens. Unintentional slips usually occur due to inadequate traction between the shoe and floor. Due to the economic conditions in low and middle-income countries, the public tends to buy low-cost footwear as an alternative to costly slip-resistant shoes. In this study, ten high-selling formal shoes under $25 were considered. These shoes were tested on three commonly available dry floorings and across contaminated common floor surfaces (i.e., water and floor cleaners). The traction performance of the shoes was quantified by using a biofidelic slip tester. The majority of formal shoes were not found to produce the slip-resistant performance across common slippery surfaces. Shoes with softer outsoles exhibited increased slip-resistant performance (R2 = 0.91). Shoe outsoles with less-to-no treads at the heel region showed poor traction performance as compared to other shoes. The apparent contact area was found as an important metric influencing the slip risks in dry and wet slipping conditions (R2 = 0.88). This research is anticipated to help the public and footwear manufacturers select safer shoes to reduce slip-and-fall incidents.