A tube cleaning implement with elongate shaft supporting a brush in a median section and similar scrapers or wipers fitted to opposite ends of the shaft to provide for a scrape-brush-scrape cleaning action of tube interiors, and to provide a reversible implement having extended useful life. The method includes rolling an adhesive roll of the traction-enhancing device against the sole of the shoe. With the server, an initial examination of the at least one or more diagnostic questions is conducted.