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Bollard Et Al.
Bollard Et Al.
DESCRIPTIVE REPORT
ABSTRACT
Elderly pedestrians are particularly at risk on the roads. The objective of this study was to investigate the walking
speed of elderly adults and determine if it allows the safe clearance of pedestrian crossings. The increasing
elderly population and high fatality rates of this age group on Irish roads necessitate this investigation. Fifty-
two community-dwelling adults over the age of 65 years completed a 10-meter walk test. Acceleration and
steady-state walking speed were accounted for. Twenty traffic-light-controlled pedestrian crossings were ana-
lyzed within a 1 kilometer radius of 4 day care centers in Kilkenny, Ireland. Values were recorded for the distance
of the crossings and time of the light signals. The mean acceleration of the 52 participants was 0.20 ± 0.15 ms−2
(mean ± SD) and the mean steady-state walking speed was 0.82 ± 0.27 ms−1. In total, 30% of the pedestrian
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crossings investigated would not have permitted this sample of participants enough time to safely cross the
road given the time of the green and amber light signals. Over 96% of participants would have been unable to
cross a road of average distance on the amber signal alone. A substantial number of elderly adults walked slower
than the speed required to safely cross the road.
142
Physiotherapy Theory and Practice 143
1994). The majority of road accidents involving older on the size of the community or environment. They
pedestrians in Ireland occur in daylight (Martin, found that the distances and velocities required for
Hand, Trace, and O'Neill, 2010). independent ambulation in the community are often
Robinett and Vondran (1988) highlighted that greater than objectives set at most rehabilitation
ambulation distances and velocities vary depending settings.
Walker et al Los Angeles, Group 1: 100 60 and over Unknown Group 1: Participants in group 2
(1987) USA Group 2: 50 69.8 m/ demonstrated an ability to
minute increase their walking
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This study focused on traffic-light-controlled ped- crossings, to compare the values measured at these
estrian crossings within a 1 kilometer radius of 4 day crossings to the recommended guidelines, and to
care centers for the elderly in Kilkenny, Ireland. In determine if they allow the safe clearance of elderly
2003, the Department of Transport, the Department pedestrians.
of the Environment, Heritage and Local Government, In Ireland, life expectancy is 76.8 years for men and
and the Dublin Transportation Office published the 81.6 years for women (Central Statistics Office, 2009).
“Traffic Management Guidelines” (Department of These figures demonstrate an increase in life expect-
Transport, 2003). These are non-statutory guidelines ancy for both men and women when compared with
that present recommendations relating to traffic plan- figures from the period 2002–2006. Therefore, pre-
ning, traffic management, speed restraint measures, viously published studies would have been assessing
and public transport and facilities for vulnerable a younger population of elderly pedestrians (Hoxie
road users. These guidelines recommend that “the and Rubenstein, 1994). A consequence of this
green pedestrian aspect time is fixed at 6 seconds”. increased life expectancy is an increase in the elderly
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They also recommend that “the amber pedestrian population. Since 1961, Ireland has seen an increase
aspect varies with the width of the road, allowing a in the number of adults aged 65 years and older
second for each 1.2 meters of road width that ped- (Central Statistics Office, 2008). This increase
estrian's cross”. This demands a minimum walking enhances the importance of this study at this present
speed of 1.2 ms−1 for a pedestrian to complete cross- time.
ing a road safely, if they enter the crossing as the green Analysis of pedestrian crossings has attracted a sig-
light changes to amber. This speed is in agreement nificant amount of attention and research. However,
with the recommended minimum walking speed on the results of these studies are of limited relevance to
roads in the USA (United States Federal Highway pedestrians in this country considering the location
Administration, 2003) and the UK (Department for of these studies. This present study, to the author's
Transport, 2005). knowledge, is the first of its kind in this location.
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Numerous research studies have examined the The increasing elderly population and the high
walking speed of elderly pedestrians (Amosun, fatality and injury rates of this age group on Irish
Burgess, Groenveldt, and Hodgson, 2007; Andrews roads necessitate this investigation. It is hoped that
et al, 2010; Hoxie and Rubenstein, 1994; Knoblauch, the results will contribute to the work already pub-
Pietrucha, and Nitzburg, 1996; Langlois et al, 1997; lished. The primary aim of this study was therefore
Walker et al, 1987). A brief review of the main findings to investigate the walking speed of elderly Irish
of these studies is contained in Table 1. In reviewing adults and to establish if it allows the safe clearance
the literature, it is evident that a progression of age is of pedestrian crossings.
associated with a slower walking speed (Bohannon,
1997; Callisaya et al, 2008; Shumway-Cook et al,
2007; Winter, Palta, Frank, and Walt, 1990). Bohan-
non and Andrews (2011) clearly highlighted the METHODS
effect of age on gait speed through the results of
their meta-analysis. They reported a mean gait speed Study population
of 94.3 cm/second for women and 96.8 cm/second
for men aged 80–99 years. All of the above mentioned A quantitative cross-sectional design was used. Ethical
studies which examine the walking speed of elderly approval was obtained prior to the commencement of
pedestrians have analyzed the overall gait speed. the study from the University College Dublin (UCD)
However, these studies have neglected to consider Human Ethics Committee – Life Science (Reference:
the acceleration phase or the subsequent steady-state LS-09-98-Bollard–Fleming).
speed. Knowledge of these values may contribute to First permission was attained to recruit subjects
the design of pedestrian crossings and thus ameliorate from 4 day care centers in Kilkenny, Ireland. The sub-
the safety of these vulnerable road users. This present jects were community-dwelling healthy adults aged
study examined the acceleration and steady-state 65 years and over. Fifty-five subjects volunteered for
speed of elderly pedestrians. participation in the study. A medical health question-
The research presented by Langlois et al (1997) naire, adapted from one developed by Amosun,
assumed that the pedestrian crossings would meet the Burgess, Groenveldt, and Hodgson (2007) was used
recommended guidelines and impose a minimum to assess the suitability of subjects for inclusion in
speed of 1.2 ms−1 on pedestrians when crossing the the study. Any subjects under 65 years of age or with
road. This present study however, does not make that medically unstable neurological conditions were
assumption. It aimed to analyze a sample of pedestrian excluded from participation. Three subjects were
excluded on the basis of age; therefore 52 subjects In response to the second question, the authors
were recruited and tested in total. Age, the use of investigated the speed necessary to safely clear a
walking aids and the prevalence of disease was sample of pedestrian crossings. A total of 20 ped-
documented. Subjects were given written and oral estrian crossings were identified within a 1 kilometer
information about the purpose, procedure, risks, and radius of the day care centers in Kilkenny. The dis-
benefits of participation in the study. Once subjects tance of each crossing was measured from curb to
fully understood the extent of their role in the curb using a trundle wheel (Amosun, Burgess,
research, they were asked to sign a UCD approved Groenveldt, and Hodgson, 2007). The distance was
consent form declaring their understanding and con- recorded in meters. A digital split-timer stop watch
senting to participation. was used to time the interval of the green and amber
light signals of each crossing.
Outcome measures
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Data analysis
Two primary questions were formulated in order to
achieve the aim of this study. The first question The data were analyzed using the Statistical Package
addressed the walking speed of older adults. The for the Social Sciences version 15 for Windows and
second question addressed the speed necessary to Microsoft Excel Software. Descriptive analysis was
safely clear a sample of pedestrian crossings. used to describe the participants of the study and the
The outcome measure used to address the first characteristics of the pedestrian crossings (mean, stan-
question was the 10-meter walk test. Gait speed dard deviation, minimum, and maximum).
measurements in healthy elderly adults have been
proven to have high intra-rater reliability (Bohannon,
1997) and high test–retest reliability (Steffen, RESULTS
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TABLE 3 Timing of the pedestrian crossing light signals. these values, the required walking speed to safely
clear the crossings was calculated at 0.62 ±
Mean SD Minimum Maximum 0.21 ms−1 (range: 0.16 – 1.02 ms−1).
Assuming these participants were to start walking at
Green light signal (s) 8.19 2.08 3.98 11.83
the initial appearance of the green light signal on each
Amber light signal (s) 7.27 1.45 4.98 9.7
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previous studies which are detailed in Table 1. In Possible reasons for this reduced gait speed in
2001, the US Department of Transportation elderly adults have been addressed. It is acknowledged
published ‘Guidelines and Recommendations to that pedestrians are not advised to commence walking
Accommodate Older Drivers and Pedestrians”. on the appearance of the amber light, but inevitably
These recommend a walking speed of 0.85 ms−1 at some must inadvertently do so. However these
pedestrian crossings to accommodate older ped- results illustrate the immense difficulty pedestrians
estrians (Staplin, Lococo, Byington, and Harkey, may have crossing the road if they do not commence
2001). Despite this however; the minimum recom- walking at the initial appearance of the green light
mended walking speed remains at 1.2 ms−1. signal on roads in the vicinity of Kilkenny.
This study established that 30% of the pedestrian This work has found a serious road safety issue in
crossings investigated would not have permitted this that the results show no standardization or uniformity
sample of participants enough time for safe clearance in relation to the time-aspect of the pedestrian cross-
of the road given the time of the green signal, from a ings. None of the 20 traffic-light-controlled pedestrian
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standing start, to the appearance of the red signal. crossings examined were in keeping with the rec-
This was ascertained by comparing the mean time ommendations of the “Traffic Management Guide-
taken by the participants to accelerate and walk the lines” (Department of Transport, 2003). This is
remaining distance of each pedestrian crossing, to the similar to findings in Cape Town, South Africa
total time of the amber and green light signals. It (Amosun, Burgess, Groenveldt, and Hodgson,
emerged that 6 of the total 20 pedestrian crossings did 2007). For this reason, the results of this study cannot
not allow the participants sufficient time to safely clear be generalized to all Irish or European roads but they
the road, considering the distance of the road, and the are limited to those in the vicinity of Kilkenny,
average comfortable walking speed of the participants. Ireland; however, the lack of uniformity in this sample
This is assuming that the participant starts walking at of crossings, in itself, perhaps indicates a lack of stan-
the initial appearance of the green light signal. It takes dardization of timing of crossings may be a wider road
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into consideration their acceleration in the first safety issue that requires further research. The exclu-
2.5 meter and their steady-state walking speed in the re- sion criterion for the study was kept to a minimum,
maining distance individualized to each pedestrian without risking the safety of the participants. It was
crossing. The mean total time of the amber and green hoped that this would enable the walking speed
light signals of these six pedestrian crossings was results to be generalized and to be representative of
13.31 seconds and the mean distance of these crossings the elderly population at large, however, the lack of uni-
was 11.52 meters. In light of this evidence, it seems that formity both precludes this and indicates there is a
a significant number of pedestrian crossings do not serious road safety issue to be addressed.
allow sufficient time for elderly pedestrians to complete The findings of this study help to disclose the safety of
crossing the roads at their normal and comfortable elderly, day care center attendees on pedestrian cross-
walking speed in the vicinity of Kilkenny. ings. The prevention of this problem demands a multi-
This study also reports that 96.2% of participants disciplinary approach, with physiotherapy as one such
would have been unable to cross a road of average discipline. These findings are relevant clinically and
distance on the amber light signal alone. This was should have a bearing on the physiotherapy profession
established by comparing the mean time of the with regards to the rehabilitation of elderly commu-
amber light signals of the 20 pedestrian crossings nity-dwelling adults. Robinett and Vondran (1988)
(7.27 seconds), to the time taken by each participant highlighted that ambulation distances and velocities
(in the 10-meter walk test) to walk the average distance vary depending on the size of the community or environ-
of the pedestrian crossings (9.29 meters) at their ment. They found that the distances and velocities re-
steady-state walking speed. This is assuming that the quired for independent ambulation in the community
participant crosses the road coinciding with the are often greater than objectives set at most rehabilitation
appearance of the amber light signal, without a need settings. This must be taken into consideration by clini-
to accelerate but maintaining their normal and com- cians. The effectiveness of exercise programs at improv-
fortable steady-state walking speed. It concluded that ing gait speed in the elderly is evident from various
50 of the total 52 participants took longer than studies (Chandler, Duncan, Kochersberger, and Stu-
7.27 seconds to walk this distance. Only two partici- denski, 1998; Lopopolo et al, 2006).
pants would have had sufficient time to transverse There are several limitations within this study that
the crosswalk in this scenario. These participants must be acknowledged. The sample size and the
were two males; aged 80 and 87 years who took geographic area of study were quite small. This study
6.60 and 7.09 seconds, respectively, to walk the analyzed a smaller number of participants compared
9.29 meters at their steady-state walking speed. to previous publications. Future studies should
further investigate this concept using more locations Andrews AW, Chinworth SA, Bourassa M, Garvin M, Benton D,
and larger sample sizes with the aim of providing Tanner S 2010 Update on distance and velocity requirements
for community ambulation. Journal of Geriatric Physical
more precise data. This study required participants to Therapy 33: 128–134
walk on a level surface, with no obstacles or distrac- Bohannon RW 1997 Comfortable and maximum walking speed of
tions. Different factors influence the walking speed of adults aged 20–79 years: Reference values and determinants.
pedestrians. These aforementioned factors were not Age and Ageing 26: 15–19
taken into account in this study. Amosun, Burgess, Bohannon RW, Andrews AW 2011 Normal walking speed – a
descriptive meta-analysis. Physiotherapy 97: 182–189
Groenveldt, and Hodgson (2007) reported a similar Callisaya ML, Blizzard L, Schmidt MD, McGinley JL, Srikanth VD
limitation in their study. Further studies should con- 2008 Sex modifies the relationship between age and gait: A
sider these facts while ensuring the safety of partici- population-based study of older adults. Journal of Gerontology:
pants. The participants of this study were analyzed Medical Sciences. 63A: 165–170
while walking at a normal and comfortable walking Central Statistics Office 2008 Census of Population, 2006. Dublin,
Stationary Office
speed. Therefore, it is not known if the participants
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Lopopolo RB, Greco M, Sullivan D, Craik RL, Mangione KK 2006 Staplin L, Lococo K, Byington S, Harkey D 2001 Guidelines
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