Mechanical Predictors of Discomfort during Load Carriage.

Discomfort during load carriage is a major issue for activities using backpacks (e.g. infantry maneuvers, children carrying school supplies, or outdoor sports). It is currently unclear which mechanical parameters are responsible for subjectively perceived discomfort. The aim of this study was to ide...

Full description

Bibliographic Details
Main Authors: Patrick D Wettenschwiler, Silvio Lorenzetti, Rolf Stämpfli, René M Rossi, Stephen J Ferguson, Simon Annaheim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4631336?pdf=render
_version_ 1811306119910391808
author Patrick D Wettenschwiler
Silvio Lorenzetti
Rolf Stämpfli
René M Rossi
Stephen J Ferguson
Simon Annaheim
author_facet Patrick D Wettenschwiler
Silvio Lorenzetti
Rolf Stämpfli
René M Rossi
Stephen J Ferguson
Simon Annaheim
author_sort Patrick D Wettenschwiler
collection DOAJ
description Discomfort during load carriage is a major issue for activities using backpacks (e.g. infantry maneuvers, children carrying school supplies, or outdoor sports). It is currently unclear which mechanical parameters are responsible for subjectively perceived discomfort. The aim of this study was to identify objectively measured mechanical predictors of discomfort during load carriage. We compared twelve different configurations of a typical load carriage system, a commercially available backpack with a hip belt. The pressure distribution under the hip belt and the shoulder strap, as well as the tensile force in the strap and the relative motion of the backpack were measured. Multiple linear regression analyses were conducted to investigate possible predictors of discomfort. The results demonstrate that static peak pressure, or alternatively, static strap force is a significant (p<0.001) predictor of discomfort during load carriage in the shoulder and hip region, accounting for 85% or more of the variation in discomfort. As an additional finding, we discovered that the regression coefficients of these predictors are significantly smaller for the hip than for the shoulder region. As static peak pressure is measured directly on the body, it is less dependent on the type of load carriage system than static strap force. Therefore, static peak pressure is well suited as a generally applicable, objective mechanical parameter for the optimization of load carriage system design. Alternatively, when limited to load carriage systems of the type backpack with hip belt, static strap force is the most valuable predictor of discomfort. The regionally differing regression coefficients of both predictors imply that the hip region is significantly more tolerant than the shoulder region. In order to minimize discomfort, users should be encouraged to shift load from the shoulders to the hip region wherever possible, at the same time likely decreasing the risk of low back pain or injury.
first_indexed 2024-04-13T08:38:42Z
format Article
id doaj.art-37c01e068f75474992164c99df6cc826
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-13T08:38:42Z
publishDate 2015-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-37c01e068f75474992164c99df6cc8262022-12-22T02:54:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011011e014200410.1371/journal.pone.0142004Mechanical Predictors of Discomfort during Load Carriage.Patrick D WettenschwilerSilvio LorenzettiRolf StämpfliRené M RossiStephen J FergusonSimon AnnaheimDiscomfort during load carriage is a major issue for activities using backpacks (e.g. infantry maneuvers, children carrying school supplies, or outdoor sports). It is currently unclear which mechanical parameters are responsible for subjectively perceived discomfort. The aim of this study was to identify objectively measured mechanical predictors of discomfort during load carriage. We compared twelve different configurations of a typical load carriage system, a commercially available backpack with a hip belt. The pressure distribution under the hip belt and the shoulder strap, as well as the tensile force in the strap and the relative motion of the backpack were measured. Multiple linear regression analyses were conducted to investigate possible predictors of discomfort. The results demonstrate that static peak pressure, or alternatively, static strap force is a significant (p<0.001) predictor of discomfort during load carriage in the shoulder and hip region, accounting for 85% or more of the variation in discomfort. As an additional finding, we discovered that the regression coefficients of these predictors are significantly smaller for the hip than for the shoulder region. As static peak pressure is measured directly on the body, it is less dependent on the type of load carriage system than static strap force. Therefore, static peak pressure is well suited as a generally applicable, objective mechanical parameter for the optimization of load carriage system design. Alternatively, when limited to load carriage systems of the type backpack with hip belt, static strap force is the most valuable predictor of discomfort. The regionally differing regression coefficients of both predictors imply that the hip region is significantly more tolerant than the shoulder region. In order to minimize discomfort, users should be encouraged to shift load from the shoulders to the hip region wherever possible, at the same time likely decreasing the risk of low back pain or injury.http://europepmc.org/articles/PMC4631336?pdf=render
spellingShingle Patrick D Wettenschwiler
Silvio Lorenzetti
Rolf Stämpfli
René M Rossi
Stephen J Ferguson
Simon Annaheim
Mechanical Predictors of Discomfort during Load Carriage.
PLoS ONE
title Mechanical Predictors of Discomfort during Load Carriage.
title_full Mechanical Predictors of Discomfort during Load Carriage.
title_fullStr Mechanical Predictors of Discomfort during Load Carriage.
title_full_unstemmed Mechanical Predictors of Discomfort during Load Carriage.
title_short Mechanical Predictors of Discomfort during Load Carriage.
title_sort mechanical predictors of discomfort during load carriage
url http://europepmc.org/articles/PMC4631336?pdf=render
work_keys_str_mv AT patrickdwettenschwiler mechanicalpredictorsofdiscomfortduringloadcarriage
AT silviolorenzetti mechanicalpredictorsofdiscomfortduringloadcarriage
AT rolfstampfli mechanicalpredictorsofdiscomfortduringloadcarriage
AT renemrossi mechanicalpredictorsofdiscomfortduringloadcarriage
AT stephenjferguson mechanicalpredictorsofdiscomfortduringloadcarriage
AT simonannaheim mechanicalpredictorsofdiscomfortduringloadcarriage