Falls are a major cause of hospitalisation in the elderly and people with impaired balance or strength. A fall may cause a vicious cycle: the bad experience leads to a fear of falling, which makes people avoid exercise. Not exercising leads to worse balance and muscle condition. Weakness and a lack of balance cause more falls.
To prevent falls, people should train their sense of balance and their stabilising muscles, but in a way that does not risk injury via falls during training. One device that would allow practising balance while preventing falling over is a rigid wide-flared skirt attached above a person’s centre of gravity (the attachment could be almost under the armpits). The hem of the skirt would be above the ground when the body is upright, but its edge would touch the ground if the body tilts too much in any direction. Support from the rigid skirt would then prevent further tipping in that direction. The lack of support in a central position (and for slight tilts around it) allows practising balance, for example by standing on one leg and trying to stay upright. The principle is the same as for helper wheels (training wheels) on childrens’ bicycles, which are off the ground while the bike is in a central position, but touch the road and stop too great a tilt to the side once the bike tips away from the centre. Other analogies to the rigid skirt are hands-free crutches pointing in all directions simultaneously, or a walking frame that surrounds the body, as opposed to being pushed in front.
The advantage of the skirt for fall prevention over crutches or a walking frame is that the skirt is hands-free. The advantage over a fixed training frame, or somewhat slack ropes tied to the upper body that also prevent a fall, is that the skirt moves with the person. This makes training easier by allowing walking and jogging.
The skirt can be home-made from many materials, such as tent poles or bamboo sticks tied or duct taped to a belt at the top and a hula hoop at the bottom. Using modern materials such as carbon fiber ski poles can make the skirt light, yet strong and rigid.
Of course the rigid skirt looks strange and attracts notice if not too many people are using it. On the one hand, the skirt does not have to be used in public if in-home training is enough. On the other hand, the first walking frame or the first crutches must also have looked strange to bystanders, but are now accepted mobility aids that almost nobody reacts negatively or even curiously to.
For using the skirt on the street, one problem is the wide-flared base (about 2m in diameter) that makes it difficult to pass other pedestrians. One (expensive) solution is to make the skirt out of sticks that can be moved independently and add a robotic controller that keeps the skirt narrow if the body is upright, but when the tilt angle becomes large enough, flares the skirt out in the direction of the tilt to stop the fall. Flaring the skirt means moving the sticks outward and lengthening them.