The Effect of Inclination on Spatiotemporal Gait Parameters in Special Forces Operators Under Tactical Load

Background: Special Forces Operators often carry out missions in conditions where the use of motor vehicles is impossible. Additional external load across areas with variable inclination may reduce walking efficiency and consequently limit the combat capability of soldiers. The aim of the study was to determine how ground inclination affects the spatiotemporal structure of gait in Special Forces Operators (SFO) with different military loads. Methods: The study included 50 operators from Polish special forces units. Measurements of walking were performed using the h/p/cosmos Gaitway 1D + 3D treadmill. Tests were conducted at four uphill inclination levels: 0%, 5%, 10%, and 15%. Each participant completed trials both without external load and with a 27 kg load (helmet, tactical vest, and backpack). Statistical analyses were performed using the Friedman test, the Durbin-Conover post hoc test, and linear mixed models (LMM) to assess interaction effects. The Robinson Symmetry Index (SI) was calculated to assess asymmetry between the dominant and non-dominant limbs. Results: Increasing inclination caused statistically significant changes in the spatiotemporal structure of gait. The greatest modifications were observed at 10-15% inclinations, particularly under the maximum load of 27 kg. A significant shortening of step length and gait cycle time was noted, while cadence showed a slight upward trend, especially at a 15% inclination with the highest load. Step width remained stable. Conclusions: Ground inclination, especially when combined with the additional mass of military equipment, significantly affects the locomotion of Special Forces Operators. The stable SI values and consistent step width indicate a high level of gait stability and effective adaptive mechanisms. However, the extent of spatiotemporal modifications observed at inclinations of 10-15% with a 27 kg load may increase the risk of overuse injuries among operators.