Effect of load position on physiological and perceptual responses during load carriage with an internal frame backpack

The purpose of this study was to determine the effect of load position in an internal frame backpack on physiological and perceptual variables. Ten female participants walked on a level treadmill for 10?min carrying 25% of their body weight in a high, central, or low position. The variables measured included oxygen consumption (VO₂), heart rate (HR), respiratory exchange ratio (R), respiratory rate (RR), minute ventilation (VE), and rating of perceived exertion (RPE). VO₂, VE, and RPE were significantly lower in the high position (18.6?±?2.3?ml/kg/min, 31.7?±?5.0?l/min, 2.8?±?0.8, respectively) compared to the low position (22.2?±?3.0?ml/kg/min, 38.6?±?7.5?l/min, 3.7?±?1.0, respectively). HR, R, and RR did not change significantly as the load was moved from the high (129.8?±?16.8, 0.89?±?0.06, 30.3?±?4.2, respectively) to the low position (136.0?±?25.3, 0.92?±?0.04, 33.8?±?5.2, respectively). The results of this study suggest that load placement is an important factor in the physiological and perceptual responses to load carriage, and that packing heavy items high in the backpack may be the most energy efficient method of carrying a load on the back.     

Effects of backpack load placement on pulmonary capacities of normal schoolchildren during upright stance

Backpack carriage affects posture, physiological costs and physical performance. Limited literature concerning the effects of backpack load placement on pulmonary capacities of schoolchildren has been reported. The objective was to assess the effects of backpack load placement on pulmonary capacities of normal schoolchildren. Forced vital capacity (FVC), forced expiratory volume in 1 s (FEV₁), peak expiratory flow (PEF), and forced expiratory flow (FEF_25–75%) were measured in 22 normal schoolchildren with a mean age of 12 years during free standing and when carrying a backpack of 15% bodyweight with its center of gravity positioned at T7, T12 and L3. The main effect of load was found to be significant for FVC and FEV₁. However, no significant effect of load placements on the pulmonary function of schoolchildren was found. Manipulation of load placements may not alleviate the restrictive effects exerted on the pulmonary function resulted from backpack load carriage.

Relevance to industry

Daily carriage of a school backpack on the musculoskeletal health of children and adolescents has become an area of concern. Restrictive effects on the pulmonary function due to backpack carriage were reported and it is useful to explore whether these effects could be alleviated by manipulating the backpack center of gravity level.     

Effects of load carriage, load position, and walking speed on energy cost of walking

PURPOSE: The purpose of this study was to examine the effects of load, load position, and walking speed on the energy cost of walking per unit distance (Cw: ml/kg/m). METHODS: Eight young male subjects walked on a treadmill at various speeds with and without load in the hands, on the back, and on the legs. The Cw values were determined from the ratio of 2-min steady-state oxygen consumption (Vo2) above resting value (net Vo2) to the walking speed (v): Cw = net Vo2/v. RESULTS: An energy-saving phenomenon was observed when the load was carried on the back at slower speeds. This phenomenon diminished at faster speeds, particularly when walking faster than 90 m/min. It was also observed when the load was carried in the hands at slower speeds. CONCLUSIONS: These findings partly supported our hypothesis that an energy-saving phenomenon would be observed due to an interaction between rotative torque around the center of body mass and excessive burden on the lower muscles as a function of speed.     

The effect of load distribution within military load carriage systems on the kinetics of human gait

Military personnel carry their equipment in load carriage systems (LCS) which consists of webbing and a Bergen (aka backpack). In scientific terms it is most efficient to carry load as close to the body's centre of mass (CoM) as possible, this has been shown extensively with physiological studies. However, less is known regarding the kinetic effects of load distribution. Twelve experienced load carriers carried four different loads (8, 16, 24 and 32 kg) in three LCS (backpack, standard and AirMesh). The three LCS represented a gradual shift to a more even load distribution around the CoM. Results from the study suggest that shifting the CoM posteriorly by carrying load solely in a backpack significantly reduced the force produced at toe-off, whilst also decreasing stance time at the heavier loads. Conversely, distributing load evenly on the trunk significantly decreased the maximum braking force by 10%. No other interactions between LCS and kinetic parameters were observed. Despite this important findings were established, in particular the effect of heavy load carriage on maximum braking force. Although the total load carried is the major cause of changes to gait patterns, the scientific testing of, and development of, future LCS can modify these risks.     

The effects of load placement on the EMG activity of the low back muscles during load carrying by men and women

An electromyographic (EMG) study of the lumbar paraspinal muscles during load carrying was undertaken in a group of 24 healthy subjects, 12 male and 12 female. Two different magnitude loads (10% and 20% of the subject's body weight) and four different carrying positions were compared with walking without an external load. Results indicated changes in back muscle activity showing a significant interaction between load magnitude and carrying position. Compared to walking without an external load, lumbar paraspinal EMG activity showed slight decreases when loads were carried in a backpack position or in the hand ipsilateral to the muscle. EMG activity contralateral to the hand carrying the load was significantly increased. Significant increases occurred when loads were carried anterior to the chest with the arms and a significant difference was found between male and female subjects for this carrying position. These findings have implications for the selection of carrying methods.     

Neuromuscular and cardiovascular responses of Royal Marine recruits to load carriage in the field

Cardiovascular and neuromuscular responses of 12 male Royal Marine recruits (age 22 ± 3 years, body mass 80.7 ± 6.8 kg, VO(2)max 52.3 ± 2.7 ml kg(-1) min(-1)) were measured during 19.3 km of load carriage walking at 4.2 km h(-1) and carrying 31.0 kg. Heart rate during load carriage was 145 ± 10 beats·min(-1) (64 ± 5 %HRR) and showed a negative relationship with body mass (r = -0.72, P = 0.009) but no relationship with VO(2)max (ml kg(-1) min(-1); r = -0.40, P = 0.198). Load carriage caused a decrease in vertical jump height (8 ± 9%) and power (5 ± 5%) (P < 0.001). Change in vertical jump power showed a positive relationship with body mass (r(2) = 0.40, P = 0.029) but no relationship to VO(2)max (ml kg(-1) min(-1); r(2) = 0.13, P = 0.257). In conclusion, load carriage caused a reduction in vertical jump performance (i.e. decreased neuromuscular function). Lighter individuals were disadvantaged when carrying absolute loads, as they experienced higher cardiovascular strain and greater decreases in neuromuscular function.     

Evaluation of the effect of backpack load and position during standing and walking using biomechanical,physiological and subjective measures

Recommendations on backpack loading advice restricting the load to 10% of body weight and carrying the load high on the spine. The effects of increasing load (0%–5%–10%–15% of body weight) and changing the placement of the load on the spine, thoracic vs. lumbar placement, during standing and gait were analysed in 20 college-aged students by studying physiological, biomechanical and subjective data. Significant changes were: (1) increased thorax flexion; (2) reduced activity of M. erector spinae vs. increased activation of abdominals; (3) increased heart rate and Borg scores for the heaviest loads. A trend towards increased spinal flexion, reduced pelvic anteversion and rectus abdominis muscle activity was observed for the lumbar placement. The subjective scores indicate a preference for the lumbar placement. These findings suggest that carrying loads of 10% of body weight and above should be avoided, since these loads induce significant changes in electromyography, kinematics and subjective scores. Conclusions on the benefits of the thoracic placement for backpack loads could not be drawn based on the parameter set studied.     

Effect of load mass on posture, heart rate and subjective responses of recreational female hikers to prolonged load carriage

Load carriage has been associated with a risk of upper and lower limb musculoskeletal disorders with women suffering significantly higher injury rates than their male counterparts. Despite this injury risk, there are limited evidence-based guidelines for recreational hikers, particularly female recreational hikers, regarding safe backpack loads. The purpose of the present study was to determine how variations in load mass affected the heart rate, posture and subjective responses of women during prolonged walking to provide evidence for a load mass limit for female recreational hikers. Heart rate (HR), posture and ratings of perceived exertion (RPE) and discomfort were collected for 15 female experienced recreational hikers (22.3 ± 3.9 years) while they hiked for 8 km at a self-selected pace under four different load conditions (0%, 20%, 30% and 40% of body weight (BW)). Although HR was not significantly affected by load mass or walking distance, increasing load mass and distance significantly affected posture, RPE and discomfort of the upper body. Carrying a 20% BW load induced significant changes in trunk posture, RPE and reported shoulder discomfort compared to the unloaded condition. The 20% BW load also resulted in a mean RPE rating of ‘fairly light’, which increased to ‘hard’ when carrying a 40% BW load. As load carriage distance increased participants reported significantly increased shoulder, neck and upper back discomfort. Based on the changes to posture, self-reported exertion and discomfort when carrying loads of 20%, 30% and 40% BW over 8 km, it was concluded that a backpack load limit of 30% BW should be recommended for female recreational hikers during prolonged walking.     

Subjective perceptions of load carriage on the head and back in Xhosa women

The purpose of this study was to compare the subjective perceptual responses to both head-loading and back-loading in a group of Xhosa women. Thirty two women were divided into three groups based on their experience of head-loading and walked on a treadmill on two occasions, head-loading and back-loading, at a self selected walking speed for 4 min with a variety of loads until pain or discomfort caused the test to be terminated or a load of 70% body mass was successfully carried. After each workload there was a 1 min rest period during which the women indicated feelings of pain or discomfort in particular areas of the body via visual analogue scales. At the end of each test the women were asked to complete further questionnaires relating to pain and discomfort and on completion of the second test were also asked to compare the two loading conditions. Finally the women were interviewed to establish their history of load carriage and associated pain and discomfort. The data indicate that whilst back-loading was generally associated with more areas of discomfort than head-loading, the pain and discomfort in the neck associated with head-loading was the predominant factor in the termination of tests and that this was independent of head-loading experience. This early termination meant that, on average, the women could carry greater loads on their backs than on their heads. The study suggests that further work needs to be carried out to establish viable alternatives to head-loading for rural dwellers in Africa.     

Systematic review on the proteomic profile of Mycobacterium tuberculosis exposed to drugs

The authors present an overview about proteomics studies in Mycobacterium tuberculosis exposed to some anti‐tuberculosis drugs and new candidates, using two‐dimensional gel electrophoresis and mass spectrometry. To date, that the authors have knowledge, this is the first studies that was performed specifically in M. tuberculosis using systematic review on electronic literature conducted in three databases using the following search terms: tuberculosis OR mycobacterium tuberculosis, proteome OR proteomics, and mass spectrometry electrospray ionization OR matrix‐assisted laser desorption ionization OR two‐dimensional gel electrophoresis. By electronic search, 622 abstracts of the original articles published from November 2003 to March 2016 were selected. After the selection, four articles fulfill proposed criteria and were included in this study. The studies reported changes in the protein profile of M. tuberculosis after exposure to isoniazid, ethambutol, streptomycin, ofloxacin, moxifloxacin and two new drugs candidates, SQ109 and ATB107. In conclusion, the proteins changes were related to the synthesis of mycolic acids, cellular metabolism pathways, bacterial stress and starvation.     

Field observations to determine the influence of population size,location and individual factors on pedestrian walking speeds

This study measures pedestrian walking speeds in New Zealand to estimate the influences on mean walking speeds as these concern urban planning and pedestrian facility design. Research was conducted using field observations of walking speeds under different conditions: gradient and urban/rural townships. The data show complex interrelationships between environment, personal characteristics of pedestrian and physical factors. Mean walking speeds between 80–95 m/min are observed. These results do not support the idea that walking speeds are indicative of pace of life. Rather, walking speeds are proposed as being an indicator of the environment's ‘walkability’, as a walking speed that closely reflects that of the mean population is a key indicator of the successful design of pedestrian facilities.