Effects of backpack load and positioning on nonlinear gait features in young adults

Nonlinear Analyses Distinguish Load Carriage Dynamics in Walking and Standing: A Systematic Review

Load carriage experiments are typically performed from a linear perspective that assumes that movement variability is equivalent to error or noise in the neuromuscular system. A complimentary, nonlinear perspective that treats variability as the object of study has generated important results in movement science outside load carriage settings. To date, no systematic review has yet been conducted to understand how load carriage dynamics change from a nonlinear perspective. The goal of this systematic review is to fill that need. Relevant literature was extracted and reviewed for general trends involving nonlinear perspectives on load carriage. Nonlinear analyses that were used in the reviewed studies included sample, multiscale, and approximate entropy; the Lyapunov exponent; fractal analysis; and relative phase. In general, nonlinear tools successfully distinguish between unloaded and loaded conditions in standing and walking, although not in a consistent manner. The Lyapunov exponent and entropy were the most used nonlinear methods. Two noteworthy findings are that entropy in quiet standing studies tends to decrease, whereas the Lyapunov exponent in walking studies tends to increase, both due to added load. Thus, nonlinear analyses reveal altered load carriage dynamics, demonstrating promise in applying a nonlinear perspective to load carriage while also underscoring the need for more research.

Can increased load carriage affect lower limbs kinematics during military gait?

The aim of this study was to investigate if increased load carriage, in male military personnel, can affect the lower limbs kinematics. Twelve male military volunteers from the Portuguese Army were recruited and evaluated in an unloaded and loaded gait condition. Linear kinematics and lower limbs joint angle at heel strike, midstance and toe off were calculated. The stance, swing and double support times were found to be different between load conditions (p < 0.05). There was an interaction between load and limb (p < 0.05) for joint angles, during midstance, with limbs performing different movements in the frontal plane during loaded gait. Load increase had a different effect on the right knee, with a reduction in the abduction (valgus). This study may be beneficial in offering suggestion to improve the performance of gait with load and in an attempt to help prevent possible injuries. Practitioner summary: Increased load can affect lower limbs of male soldiers at the pelvic, hip and knee angles on the frontal plane, which can alter the joint force distribution. While these alterations may indicate protective mechanics, load management procedures should be implemented along with gait monitoring to avoid negative effects in performance.

Kinetic and Kinematic Effects of Asymmetrical Loading of the Lower Limb During High-Speed Running

CONTEXT

Light lower-limb wearable resistance has little effect on running biomechanics. However, asymmetrical wearable resistance may potentially alter the kinetics and kinematics of high speed, enabling greater loading or unloading of an injured or rehabilitative lower limb.

DESIGN

A cross-sectional study design was used to quantify the influence of asymmetric calf loading on the kinematics and kinetics during 90% maximum sprinting velocity.

METHODS

Following a familiarization session, 12 (male = 7 and female = 5) physically active volunteers ran at 90% of maximal velocity. In random order, participants ran with zero (0) wearable resistance and with loads of 300 g (L300) and 600 g (L600) fixed to one shank. A nonmotorized treadmill quantified vertical and horizontal kinetics and step kinematics. The kinetics and kinematics of the loaded (L0, L300, and L600) and unloaded (UL; UL0, UL300, and UL600) limbs were compared.

RESULTS

Vertical step ground reaction force of the loaded limb tended to increase between unloaded and 300 and 600 conditions (effect size [ES] = 0.48 to 0.76, all P ≤ .12), while the horizontal step force of the UL tended to decrease (ES = 0.54 to 1.32, all P ≤ .09) with greater external loading. Step length increased in the UL in 0 versus 300 and 600 conditions (ES = 0.60 to 0.70, all P ≤ .06). Step frequency decreased in the ULs in unloaded versus 300 and 600 conditions (ES = 0.73 to 1.10, all P ≤ .03). Mean step velocity tended to be greater in the ULs than the 300 and 600 conditions (ES = 0.52 to 1.01, all P ≤ .10). Only 4 of 16 variables were significantly different between the 300 and 600 conditions.

CONCLUSIONS

Asymmetrical shank resistance could be used during high-speed running to reduce or increase the kinetic loading of an injured/rehabilitative limb during return to play protocols. Asymmetrical wearable resistance could also be used to alter step kinematics in runners with known asymmetries. Finally, meaningful alterations in high-speed running biomechanics can be achieved with only 300 g of shank loading.

Effects of additional load at different heights on gait initiation: A statistical parametric mapping of center of pressure and center of mass behavior

The purpose of this study was to investigate the effects of different vertical positions of an asymmetrical load on the anticipatory postural adjustments phase of gait initiation. Sixty-eight college students (32 males, 36 females; age: 23.65 ± 3.21 years old; weight: 69.98 ± 8.15 kg; height: 1.74 ± 0.08 m) were enrolled in the study. Ground reaction forces and moments were collected using two force platforms. The participants completed three trials under each of the following random conditions: no-load (NL), waist uniformly distributed load (WUD), shoulder uniformly distributed load (SUD), waist stance foot load (WST), shoulder stance foot load (SST), waist swing foot load (WSW), and shoulder swing foot load (SSW). The paired Hotelling’s T-square test was used to compare the experimental conditions. The center of pressure (COP) time series were significantly different for the SUD vs. NL, SST vs. NL, WST vs. NL, and WSW vs. NL comparisons. Significant differences in COP time series were observed for all comparisons between waist vs. shoulder conditions. Overall, these differences were greater when the load was positioned at the shoulders. For the center of mass (COM) time series, significant differences were found for the WUD vs. NL and WSW vs. NL conditions. However, no differences were observed with the load positioned at the shoulders. In conclusion, only asymmetrical loading at the waist produced significant differences, and the higher the extra load, the greater the effects on COP behavior. By contrast, only minor changes were observed in COM behavior, suggesting that the changes in COP (the controller) behavior are adjustments to maintain the COM (controlled object) unaltered.

Finite element analysis of lumbar spine with different backpack positions in parachuting landing

The purpose of this study was to investigate the lumbar spine stress with different backpack positions in parachuting landing using a finite element model of lumbar vertebra 1-5. The backpack gravity center was set at three positions (posterior-high (case PH), posterior-low (case PL), and anterior-low (case AL)) respectively. In results, the peak Von-Mises stresses of the matrix, nucleus, fibers, endplate and ligament in case AL were 2.765 MPa, 0.534 MPa, 6.561 MPa, 4.045 MPa and 1.790 MPa respectively, lower than those in case PL (6.913 MPa, 1.316 MPa, 20.716 MPa, 10.917 MPa and 5.147 MPa respectively) and case PH (7.328 MPa, 1.394 MPa, 22.147 MPa, 11.617 MPa and 5.464 MPa respectively). In conclusion, setting the gravity center of backpack at anterior-low position would reduce lumbar spine stress and reduce lumbar spine injuries.

Load Position and Weight Classification during Carrying Gait Using Wearable Inertial and Electromyographic Sensors

Lifting and carrying heavy objects is a major aspect of physically intensive jobs. Wearable sensors have previously been used to classify different ways of picking up an object, but have seen only limited use for automatic classification of load position and weight while a person is walking and carrying an object. In this proof-of-concept study, we thus used wearable inertial and electromyographic sensors for offline classification of different load positions (frontal vs. unilateral vs. bilateral side loads) and weights during gait. Ten participants performed 19 different carrying trials each while wearing the sensors, and data from these trials were used to train and evaluate classification algorithms based on supervised machine learning. The algorithms differentiated between frontal and other loads (side/none) with an accuracy of 100%, between frontal vs. unilateral side load vs. bilateral side load with an accuracy of 96.1%, and between different load asymmetry levels with accuracies of 75-79%. While the study is limited by a lack of electromyographic sensors on the arms and a limited number of load positions/weights, it shows that wearable sensors can differentiate between different load positions and weights during gait with high accuracy. In the future, such approaches could be used to control assistive devices or for long-term worker monitoring in physically demanding occupations.

Bimanual load carriage alters sway patterns and step width

Many workplace falls occur during tasks involving carrying a load with both hands. Successful balance and gait during bimanual load carrying may be attributed to the adaptability of a system to navigate changing environments (e.g. construction site). This study investigates how bimanual load carrying affects adaptability of balance and gait, using 0%, 5%, and 10% of body mass in 14 young adults. Regularity of balance, and measures of range and center of pressure distance, and gait measures of stride length and step width were quantified using sample entropy. When carrying 5% load, anterior-posterior balance became less adaptable relative to 0%. As load increased from 0% to 5%-10%, step width narrowed and variability increased significantly, indicating possible increased fall risk while walking. Healthy, young adults may be at an increased risk of falls when carrying a load due to a loss in adaptability in a dynamic workplace environment.

Joint range of motion entropy changes in response to load carriage in military personnel

BACKGROUND

Overuse accounts for 82% of injuries in military personnel, and these occur predominantly in the spine and lower limbs. While non-linear analyses have shown changes in overall stability of the movement during load carriage, individual joint contributions have not been studied. The concept of entropy compensation between task, organism and environmental constraints is studied at a joint level.

RESEARCH QUESTION

The aim of this study was to investigate whether using different methods of loading by military personnel would have an effect on the sample entropy of the joint ranges of motion.

METHODS

Eleven male reserve infantry army soldiers (age: 22 ± 2 years; height: 1.80 ± 0.06 m; mass: 89.3 ± 14.4 kg) walked an outdoor, 800 m course under 5 load conditions: unloaded, 15 kg backpack, 25 kg backpack, 15 kg webbing and backpack and 25 kg webbing and backpack. Kinematic data was recorded at 240 Hz using the Xsens motion capture system. The ranges of motion (ROM) of the spine, hips and knee were calculated for each gait cycle. Mean ROM, coefficient of variation (CV) of the ROM and the sample entropy of the ROM were compared between conditions.

RESULTS

Spine side flexion ROM decreased significantly from the control condition in all loaded conditions, while sample entropy of the spine side flexion ROM increased in some conditions with no significant change in CV. Conversely, the hip flexion ROM increased significantly from the control, while sample entropy of the hip flexion ROM decreased.

SIGNIFICANCE

These results suggest that entropy compensation may propagate at a joint level. Understanding that a decrease in certainty with which a joint angle is selected, may be accompanied by an increase at a neighbouring joint. This could be significant in monitoring injuries as a result of environmental or task constraints.