Physiological and biomechanical effects on the human musculoskeletal system while carrying a suspended-load backpack

Many people need to carry heavy loads in a backpack to perform occupational, military, or recreational tasks. Suspended-load backpacks have been shown to reduce dynamic peak forces acting on the body and lower an individual's metabolic cost during walking. However, little is known about the physiological and biomechanical effects of a suspended-load backpack on the human musculoskeletal system. The goal of this study was to determine the impact of different types of backpacks on metabolic cost, joint kinetics, gait kinematics, and muscle activity while individuals carried the same load of 15 kg at a walking speed of 5 km/h and running speed of 7 km/h on an instrumented treadmill. A group of six healthy participants participated in experiments in which two different backpacks were worn under three different conditions: suspended-load backpack working condition (SLB_ON), suspended-load backpack locking condition (SLB_OFF), and ordinary backpack condition (ORB). The results showed that carrying the backpack in the SLB_ON condition can reduce lower limb muscle activities and biological joint work while decreasing the metabolic cost by 15.25 ± 4.21% and 8.81 ± 2.46% during walking and 12.53 ± 2.39% and 6.99 ± 2.37% during running compared to carrying the backpack in the SLB_OFF and the ORB conditions, respectively. However, the SLB_ON condition may cause increased shoulder strain and dynamic stability and balance problems. These results suggest that the control of load movement in a suspended-load backpack should be considered when locomotion performance is optimized in future studies.