Participants were twelve 70+ kg male strength-trained athletes and one passenger child with a mass of 29 kg. The male participants walked three times over a force plate embedded in an eight metre walkway for each of three conditions: carrying no load, a 29 kg backpack, or a 29 kg passenger. Variables were compared using a repeated measures ANOVA test with a Bonferroni correction. Both load conditions produced compensatory trunk flexion; trunk flexion increased from no load to piggybacking to backpacking. Trunk range of motion was similar for no load and piggybacking, but increased to backpacking. The backpack load caused greater resultant and total magnitude of torque than the passenger load. The trunk extensors dominated with no load and piggybacking and the trunk flexors dominated with backpacking. Many of the significant differences between conditions suggest that piggybacking is biomechanically more similar to natural gait than is backpacking.

The aim of this study was to determine the combined effects of high-heeled shoes and load carriage on gait and posture adaptation. Furthermore, the adaptation of gait and posture to the combined two conditions was examined by a comparison of the measured parameters between experienced and novice groups. 30 participants underwent a quantitative measurement of temporospatial, kinematic, and kinetic parameters of hip, knee, and ankle on both loaded and unloaded limbs using 3D motion analysis. Double support time and stride length increased during high-heeled gait and the magnitude of alteration was greater with a load. Increased plantarflexion was main cause of raised heel. Ankle plantarflexor moment increased with high-heeled but decreased with load carriage. As a result, plantarflexor moment diminished, in addition knee extensor moment exaggerated further. Hip extensor moment increased with heel height but not with load weight, however, hip angle was affected only by the load.

The aim of this study was to determine the combined effects of high-heeled shoes and load carriage on gait and posture adaptation. Furthermore, the adaptation of gait and posture to the combined two conditions was examined by a comparison of the measured parameters between experienced and novice groups. 30 participants underwent a quantitative measurement of temporospatial, kinematic, and kinetic parameters of hip, knee, and ankle on both loaded and unloaded limbs using 3D motion analysis. Double support time and stride length increased during high-heeled gait and the magnitude of alteration was greater with a load. Increased plantarflexion was main cause of raised heel. Ankle plantarflexor moment increased with high-heeled but decreased with load carriage. As a result, plantarflexor moment diminished, in addition knee extensor moment exaggerated further. Hip extensor moment increased with heel height but not with load weight, however, hip angle was affected only by the load.

The aim of the study was to examine the muscle activities of fifteen male participants (23.44 ±2.63 years) during unilateral hockey bag load carrying of different weights (10%, 20%, and 30% bodyweight) and sizes (small and large). Walking without a hockey bag was the control condition. The results showed that increased peak and integrated EMG occurred with an increased load weight in the semitendinosus, gastrocnemius, rectus abdominis, and vastus medialis. The left rectus femoris and left semitendinosus were both significantly greater than the right corresponding muscle. Carrying the large hockey bag produced greater peak EMG in the right rectus abdominis and the right rectus femoris, whereas the right vastus medialis showed a larger peak EMG in the small hockey bag. It was concluded that the posterior-lateral carrying style of hockey bag load carriage explained the results being similar to both backpack and side pack load carriage studies.

This thesis consisted of two main research themes: 1) The biomechanics of military load carriage, and 2) injuries and discomfort caused by load carriage. Although different in their methodological approaches, the two sections are linked and integral to each other. Harman et al (2000) suggest that the biomechanical analysis of military load carriage, and in particular the study of ground reaction forces (GRF), is relevant to the understanding and prevention oflower extremity injuries. The general aims of the biomechanical analysis of load carriage were to determine the effect that heavy load carriage, rifle carriage and load distribution has on GRF parameters. In addition to determining the mechanisms behind these potential changes, base-line data for British military load carriage systems (LCS) were also established. An important factor for the thesis was to consider the LCS as a single unit (where possible) and not its individual components, for example the backpack alone. The final biomechanical study involved a 3D, bi-Iateral gait analysis of load carriage; with this type of analysis being rare in the published literature. Results from the biomechanical studies showed that GRF parameters increased proportionally to applied load, even when heavy loads of up to 40 kg were carried. Also seen was an increase in mediolateral impulse and stance time with greater carried load. Another area which has received little or no attention in the literature is the effect of rifle carriage on gait. This thesis showed that rifle carriage changed basal gait patterns as observed in the GRF parameters. The most noteworthy results were an increase in impact peak and mediolateral impulse. The mechanism behind these changes is most likely to be a restriction of natural arm swing induced by rifle carriage. Distributing load more evenly around the body had limited effect on the GRF parameters measured. However, some important changes were observed. These were an increase in force minimum and a decrease in maximum braking force at the heaviest load. The latter effect has been strongly linked to an increase in the incidence of foot blisters within the literature. Finally, the gait analysis study showed significant increases in joint moments and torques with carried load. Also observed was a decrease in stride length and increase in percentage double support and stance. The main kinematic differences were a decrease in range of motion at the knee and pelvis rotation, and an increase in pelvis tilt as load is added. Four further studies were conducted in an effort to determine the discomfort and injury caused by load carriage. The first 3 studies collected sUbjective discomfort data via interviews, questionnaires and the use of comfort ratings. All of which were collected either during or after a prolonged period of load carriage by military personnel. Results gleaned from these studies showed that the upper limb is susceptible to short term discomfort following load carriage, whereas the lower limb is not. The lower limb may be at an increased risk of developing medium to long term injuries such as joint degradation and stress fractures. However, foot pain was rated as the most uncomfortable skeletal region of the body following a 1 hour field march with load, and blisters were experienced by around 60% of participants. Shoulder discomfort commences almost as soon as load is added and increases steadily with time. However, foot discomfort seems to increase more rapidly once the discomfort first materialises. This early development of shoulder or foot pain may be a risk factor for severe pain or non-completion of a period of prolonged load carriage. Finally, females experienced more discomfort in the hip joint and feet compared to males. (Continues...).

Modern ballistic armor can protect soldiers against gunfire and shrapnel. The added weight and movement restriction of armor on the extremities may negatively impact soldier performance. Loading the limbs with weight has been found to increase metabolic cost in locomotion and alter gait kinematics. It was hypothesized that increases in metabolic cost and alterations in gait kinematics would result from the use of extremity armor. Fifteen healthy U.S. Army men walked (1.34 m/s) and ran (2.46 m/s) on a level treadmill with three different levels of extremity armor configuration: a no armor condition (4.3 lbs) that consisted of minimal clothing, combat boots, and a helmet; a partial extremity armor configuration (27.2 lbs) that consisted of an armor vest and extremity armor on the upper arms and thighs plus the minimal clothing; and a full extremity armor configuration (29.2 lbs) that consisted of forearm and shank armor in addition to the partial extremity armor configuration. In walking and running on the treadmill, metabolic cost normalized to body mass increased significantly when extremity armor was worn, as compared to the no armor condition. No difference was found in metabolic cost scaled to total mass (body mass + mass of armor), indicating no effect of mass placement. When walking on the treadmill, double support time was the only temporal variable found to increase with use of extremity armor; no differences between partial and full armor configurations were found. Range of motion (ROM) of the ankle decreased in walking with extremity armor, while hip and knee ROMs increased with the use of extremity armor. In running, only hip ROM and trunk lean increased significantly with the use of extremity armor, while no difference was found between the two extremity armor configurations. In conclusion, use of extremity armor on soldiers walking and running on a level treadmill resulted in a metabolic cost increase as the mass of the armor increased and did affect gait kinematics. The distal placement of the armor on the extremities at the low mass tested did not significantly affect metabolic cost or gait kinematics.

Thoracic loads (i.e., a heavy backpack) commonly used in occupational and recreational settings significantly challenge human physiological systems and increase the work of breathing, which may promote respiratory muscle fatigue and negatively impacts whole body performance during physical tasks. Accordingly this thesis: (Chapter number: II) designed a laboratory based protocol that closely reflects occupational demands and (III) assessed the effect that load carriage (LC) has upon physiological and respiratory muscle function. Consequently the thesis addressed (IV) acute, (V) chronic and (VI) functional inspiratory muscle loading strategies to assess the limitations and trainability of the respiratory muscles to load carriage performance. The novel laboratory protocol, performed wearing a 25 kg backpack load, combined submaximal load carriage (LC; 60 min treadmill march at 6.5 km·h-1) and self-paced time trial exercise (LCTT; 2.4 km) to better reflect the physiological demands of occupational performance (between trials mean difference -0.34 ± 0.89 min, coefficient of variation 10.5%). Following LC, maximal inspiratory muscle pressure (PImax) and maximal expiratory muscle pressure (P¬Emax) were reduced by 11% and 13% respectively (P<0.05), and further by 5% and 6%, respectively (P< 0.05), after LCTT. Acute inspiratory loading (2 × 30 forced inspiratory efforts 40% PImax) following an active warm-up (10 min lactate turnpoint) failed to improve LCTT despite a transient increase in PImax of ~7% (P<0.05). Chronic inspiratory loading (6 wk, 50% PImax, 30 breaths twice daily) increased PImax (31%, p<0.05) reduced HR and perceptual responses post-LC, and improved LCTT (8%, P< 0.05) with no change in a placebo control. Combining IMT with functional core muscle exercises improved PImax and LCTT by 7% and 4% respectively (P< 0.05), which was greater than traditional IMT alone. Acute, chronic and functional inspiratory muscle loading strategies did not protect against respiratory muscle or locomotor muscle fatigue during LC and LCTT.

During field observations of professional movers, it was noticed that some experienced movers carried loads posterior to their pelvis. The purpose of this study was two-fold: (1) to assess the biomechanical differences between hand-held load carriage anterior (AC) and posterior (PC) to the pelvis; and, (2) to determine if an assistive load carriage device could reduce muscle effort while carrying loads either anterior or posterior to the pelvis. In the first laboratory study, an electromyographic (EMG) analysis was conducted while participants carried a load on a treadmill using AC and PC techniques. The subjects conducted three trials of AC and PC techniques while EMG data were being collected. All trial data were normalized to their respective iMVE values. An amplitude probability distribution function (APDF) was used to compare EMG amplitudes between carrying techniques. Results indicated that PC reduced EMG activity of the erector spinae (>50% reduction), trapezius, and anterior deltoid (p<0.05) as well as increasing EMG activity in the posterior deltoid (p<0.05). Eighty percent of the subjects reported that the PC method felt awkward. Due to its awkwardness, many individuals may not use the PC technique; thus, the second purpose of the study was to design an assistive movers’ pack to aid in AC and PC techniques and make the PC method easier to perform. In the second study, subjects were asked to walk unloaded while EMG was recorded. The subjects then performed the AC and PC methods with and without the assistive device. All EMG signals were normalized to unloaded gait followed by EMG APDF analyses. Findings from the first study were confirmed, in that PC, compared to AC significantly reduced erector spinae activity (p<0.05) and focused shoulder activity to the posterior deltoid. Secondly, the assistive device effectively reduced flexor digitorum activity (>40% reduction, p<0.03) and anterior deltoid activity (>75% reduction, p=0.5) in both AC and PC. Erector spinae EMG remained similar to their respective unassisted conditions. The assistive load carriage device may be an effective ergonomic tool in both AC and PC techniques. Subjective surveys indicate that the assistive device decreased the awkwardness in performing the PC technique. / Thesis (Master, Kinesiology & Health Studies) -- Queen's University, 2008-09-29 16:58:19.305

Special Weapons and Tactics (SWAT) operators are specially trained personnel that are required to carry equipment to perform high risk tasks. Given the need to carry this equipment, it is important to understand the potentially deleterious effect that the additional load may have on tactical performance. Furthermore, it is important to identify physical fitness characteristics that are associated with the potential decrement in performance. Therefore, the purpose of this study was to evaluate the effect of load carriage on tactical performance and identify fitness characteristics associated with any decrement in performance. Twelve male operators performed a simulated tactical test (STT) on a live firing range with (loaded condition) and without external equipment (unloaded condition) and completed a battery of physical fitness assessments. Time to complete the STT in the loaded condition increased by 7.8% compared to the unloaded condition. Nine of the 13 STT tasks were performed significantly slower in the loaded condition. VO2peak was negatively associated and fatigue index was positively associated with the overall STT delta time. These findings indicate that a higher aerobic capacity and lower anaerobic fatigability are related to a greater resilience to carrying a load while performing tactical tasks.

There is a high prevalence of musculoskeletal symptoms (MSS) among manual material handling (MMH) workers. However, limited investigations have been undertaken among one large group of workers using a particular MMH method called traditional posterior load carriage (PLC). Such load carriage is typically done without the use of an assistive device (e.g., backpack) in developing countries, and involves exposure to known risk factors for MSS such as heavy loads, non-neutral postures, and high levels of repetition. The current work was completed to investigate the characteristics of the PLC task and physical effects on workers, and to evaluate a practical intervention that may help improve the task. The first study investigated, through structured interviews with 108 workers, the types, prevalence, and impacts of MSS. PLC workers incur a relatively high MSS burden, primarily in the lower back, but also in the feet, knees, shoulders, and neck. These MSS were reported to interfere with daily activity, but only few workers sought medical treatment. Workers suggested several task improvements including the use of a belt, hook, or backpack/frame, and changes in the carriage method. The second and third study investigated, in a laboratory setting involving nine healthy males, the effects of load mass and size, and the use of a simple intervention, respectively, on factors related to low back pain risks during PLC. Increasing load mass caused increased torso flexion, lumbosacral flexion moment, abdominal muscle activity, and torso movement stability in the frontal plane. Increasing load size also caused higher torso flexion, peak torso angular velocity and acceleration, and abdominal muscle activity. Complex interactive effects of load mass and size were found on paraspinal muscle activity and slip risk. The intervention, involving a simple frame to support a load, and use with a higher load placement was found to be potentially beneficial as indicated by reduced lumbosacral moment and ratings of perceived discomfort in several anatomical regions compared to the traditional PLC. Outcomes of this research can facilitate future ergonomic guidelines and interventions to improve working conditions and occupational health and safety for PLC workers. / Ph. D.