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Accessible Exterior Surfaces Technical Article

RESULTS OF HUMAN SUBJECT TESTING

Characteristics of Study Participants

Thirty-nine (39) subjects (23 female, 16 male) participated. Subjects were classified into one of four groups:

1) No disability – no known disability or mobility limitation; 2) Ambulatory with limited mobility – persons whose mobility was impaired, but who did not use any type of assistive device for ambulation; 3) Ambulatory with assistive device – persons with a mobility limitation who used an assistive device, such as crutches, a cane, a walker, a surgical implant or prosthetic limb; or 4) Wheelchair user – manual wheelchair users (Table 3). The subjects within each disability category had a wide range of fitness and ability levels.

A statistically significant correlation between total energy required for the ADAAG course and the energy required for each surface (except sand) indicates that for a given subject the level of community mobility is related to the “accessibility” of outdoor surfaces.

On the surfaces objectively measured as firm and stable, subjects with higher fitness levels had lower heart rate and RPE scores (i.e., walking was less difficult). On dirt, wood chips, and engineered wood fibers J and K, fitness level was correlated with all measures of surface “accessibility.” Higher fitness levels resulted in lower energy consumption, higher velocity, lower heart rate, and lower RPE.

Table 3. Demographic Characteristics of Study Participants (Mean ± 1 SD, (min - max)

Dis G N Age (yrs) Yrs with Disability
All F 23 35.9 ± 9.0 (22 - 49) 15 ± 12 (3 - 47)
  M 16 34.3 ± 7.7 (24 - 46) 11 ± 9 (3 - 29)
NoDis F 7 32.7 ± 9.1 (22 - 45) NA
  M 7 33.2 ± 7.7 (24 - 44) NA
AwLM F 8 37.4 ± 10.6 (22 - 47) 17 ± 15 (3 - 47)
  M 1 44.5 (44.5) 3 (3)
AwAD F 4 36.5 ± 8.0 (25 - 41) 12 ± 9 (3 - 24)
  M 2 30.7 ± 8.3 (25 - 37) 14 ± 9 (7, 20)
Wc F 4 37.5 ± 8.4 (29 - 49) 13 ± 13 (5 - 32)
  M 6 35.0 ± 8.1 (26 - 46) 11 ± 9 (3 - 29)
Dis = Disability NoDis = No known disability
G = Gender AwLM = Ambulatory with limited mobility
N = Number of subjects AwAD = Ambulatory with assistive devices
NA = Not applicable Wc = Manual wheelchair user
All = All subjects combined  

Energy Requirements for Different Surfaces

The energy consumption results are shown in the following table and figures.

Table 4. Average Energy Consumption (mlO2/kg/m) for Each Surface by Subject Group

  Energy Consumption above Resting Values
  Rest ADAG RDOL ASPP RDMX PAFN DIRP CPBR EWFK EWFJ SAND
NoDis 2.42 0.10 0.09 0.10 0.09 0.09 0.11 0.10 0.10 0.11 0.16
AwLM 2.50 0.14 0.15 0.12 0.14 0.15 0.16 0.16 0.14 0.18 0.12
AwAD 2.95 0.12 0.15 0.18 0.16 0.18 0.18 0.21 0.21 0.22 0.26
Wc 3.05 0.14 0.10 0.12 0.12 0.10 0.20 0.28 0.31 0.37 1.31
Rest = Resting energy consumption (mlO2/kg/min) AwLM  Ambulatory with limited mobility
NoDis  No known disability Wc  Manual wheelchair use
AwAD  Ambulatory with assistive devices  
Line graph showing average energy consumption for all subjects combined

Figure 8. Average Energy Consumption for All Subjects Combined

Line graph showing average energy consumption for subjects with no disability, ambulatory with limited mobility, and ambulatory with assistive devices

Figure 9. Average Energy Consumption for Subjects with No Disability (NoDis), Ambulatory with Limited Mobility (AwLM), and Ambulatory with Assistive Devices (AwAD)

Line graph showing average energy consumption for subjects with no disability and manual wheelchair users

Figure 10. Average Energy Consumption for Subjects with No Disability (NoDis)and Manual Wheelchair Users (Wc)

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