Characterization of the protective capacity of flooring systems using force-deflection profiling.

'Safety floors' aim to decrease the risk of fall-related injuries by absorbing impact energy during falls. Ironically, excessive floor deflection during walking or standing may increase fall risk. In this study we used a materials testing system to characterize the ability of a range of floors to absorb energy during simulated head and hip impacts while resisting deflection during simulated single-leg stance. We found that energy absorption for all safety floors (mean (SD)=14.8 (4.9)J) and bedside mats (25.1 (9.3)J) was 3.2- to 5.4-fold greater than the control condition (commercial carpet). While footfall deflections were not significantly different between safety floors (1.8 (0.7)mm) and the control carpet (3.7 (0.6)mm), they were significantly higher for two bedside mats. Finally, all of the safety floors, and two bedside mats, displayed 3-10 times the energy-absorption-to-deflection ratios observed for the baseline carpet. Overall, these results suggest that the safety floors we tested effectively addressed two competing demands required to reduce fall-related injury risk; namely the ability to absorb substantial impact energy without increasing footfall deflections. This study contributes to the literature suggesting that safety floors are a promising intervention for reducing fall-related injury risk in older adults.