Newswise, January 21, 2016 — Winter precipitation can bring an
increased risk for slips and falls on the ice and snow. Julia Henderson-Kalb,
M.S., OTR/L an instructor in the Department of Occupational Science and
Occupational Therapy at Saint Louis University, recommends some simple steps to
minimize fall risk.
Safety begins before you leave the house. Shoe choice can
impact stability. Henderson-Kalb recommends avoiding boots or shoes with smooth
soles or heels. Instead, wear shoes or boots that provide traction on snow and
ice; boots made of non-slip rubber or neoprene with grooved soles are best.
A heavy, bulky coat that will cushion you if you should fall
is also a wise idea, Henderson-Kalb said.
“During the day, wear sunglasses to help you see better and
avoid hazards,” she said. “Make sure whatever you wear doesn't block your
vision.”
In addition to keeping your line of vision clear, it is
important to remember to not overdo it. While it may be tempting to grab all
your groceries in one load to more quickly escape the cold, it could impact
your stability.
“You want to leave your hands and arms free to balance
yourself. It’s better to make more trips,” she said. “Beware if you are
carrying a heavy backpack or other load — your sense of balance will be off.”
If there is snow or ice on the ground, Henderson-Kalb
recommends bending slightly and walking flat-footed. “Put your center of
gravity directly over your feet as much as possible,” she said. “Take short
steps or shuffle. It also helps to stop occasionally to break momentum.”
Extending your arms out to your sides can help to maintain balance.
Look ahead when you walk. Walking along the grassy edge of snow- or ice-covered
sidewalks or driveways provides better traction. Use hand railings when walking
on steps.
“In cold temperatures, assume that all wet, dark areas on
pavements are slippery and icy,” she said. “Some spots can be nearly invisible
layers of ice even if they just look wet.”
In addition to planning for weather-related delays in traffic,
taking your time on foot is also a good idea.
“Allowing more time lets you focus on safety and to be aware
of the surroundings, both of which are important to avoid falling in winter
weather,” Henderson-Kalb said. “Walking more slowly will also help your
reaction time to changes in traction.”
What happens if you do find yourself slipping?
* Anytime you are walking on possibly slick surfaces, keep
your hands out of your coat pockets. This lowers your center of gravity while
walking and increases balance.
“You can help break your fall with your hands free if you do
start to slip, although this does increase the risk of a wrist injury.
* If you fall backwards, quickly tuck your head forward, chin to chest. Try to extend your arms away from your body and “slap” the ground with your palms and forearms. This maneuver will help prevent your head, wrists and elbows from hitting the ground.
* If you fall to the side, try to allow your forearm to make contact with the ground first, not your hand. Lift your head to the opposite shoulder and continue to roll.
* If you fall forward, try to roll to one side, and follow the same procedure as if you were falling to the side.
If you do fall, the first thing to do is assess yourself for
injuries. If you have struck your head or you think you have broken a bone,
attempt to get help before moving. If you think you are uninjured, go ahead and
try to get up.
“If you have not hit your head, it is helpful to get off the
cold surface rather than staying on it,” Henderson-Kalb said.
She recommends turning over onto your hands and knees. Take
one foot and place it between your hands, then bring the other foot between
your hands. Trying to keep feet shoulder width apart, push yourself up from
there.
The bottom line on walking in snowy and icy conditions is be
prepared, be aware and be careful.
Long a leader in educating health professionals, Saint Louis
University offered its first degree in an allied health profession in 1929.
Today the Doisy College of Health Sciences offers degrees in
physical therapy, athletic training education, clinical laboratory science,
nutrition and dietetics, health informatics and information management, health
sciences, medical imaging and radiation therapeutics, occupational science and
occupational therapy, and physician assistant education.
The college's unique curriculum prepares students to work with
health professionals from all disciplines to ensure the best possible patient
care.
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