I don't ride with clipless pedals--I'm still using the ancient technology of toe clips. Just when I think that maybe I should switch, I read things like this and wonder why on earth anyone would want to try them! FWIW, I've never fallen as a result of the toe clips, and I also don't have to use my hands to get myself out of them--I have them set up so they are plenty tight but can get in and out just by slipping my foot in the cage. I only adjust them when I'm wearing a different pair of shoes.

Sarah