Increasing backpack load affects adolescent stair descent gait, with loads up to 15% and 20% body weight causing posterior body tilt, compensatory trunk anterior tilt, and increased hip flexion torques that may elevate injury risk.
Key Findings
Results
Posterior tilt angles (COM-COP inclination angle in the sagittal plane) increased significantly with increasing backpack load during stair descent.
Sixteen healthy male students participated (age = 12.9 ± 0.6 years)
Four loaded conditions were tested
Significant increases observed at gait cycle percentages 0%-42%, 48%-53%, and 58%-91%
Statistical significance at p < 0.01
Results
Trunk anterior tilt angles increased significantly with increasing backpack load during specific phases of stair descent.
Significant increases observed at gait cycle percentages 9-33% and 51-65%
Statistical significance at p < 0.01
Trunk forward flexion was interpreted as a compensatory response to posterior body tilt
Results
Coefficient of variation (CV) of stride length increased significantly with increasing backpack load.
p < 0.01
Increased CV of stride length indicates reduced gait stability and consistency
This was identified as an indicator of balance control deterioration
Results
COM-Step edge separation decreased with increasing backpack load during stair descent.
p < 0.01
Reduced COM-Step edge separation suggests decreased safety margin relative to the step edge
This finding was interpreted as an indicator of increased fall risk
Results
Hip flexion torque, rectus femoris activation, and hip stiffness increased significantly at loads of 15% and 20% body weight.
Significant increases in hip flexion torque observed at gait cycle percentages 25-40% and 45-51% (p < 0.01)
Rectus femoris activation increased significantly at 15% BW and 20% BW loads
Hip stiffness also increased significantly at these load levels
These muscular and mechanical adjustments were interpreted as compensatory responses to balance perturbation
Discussion
At loads up to 15% body weight, adolescents' bodies tended to tilt backwards relative to the support foot during the single stance phase of stair descent.
The backward tilt prompted compensatory activation of hip flexors and anterior trunk tilt
This compensation was associated with increased hip flexion torques
The adjustment became more pronounced with increasing backpack load
Excessive forward trunk flexion was identified as potentially increasing the risk of forward falls
Lu Z, Mao C, Tan Y, Liu T, Li X, Li Z, et al.. (2026). Corrigendum to "The impact of backpack load on adolescent stair descent safety and injury risk" [J. Biomech. 166 (2024) 112029].. Journal of biomechanics. https://doi.org/10.1016/j.jbiomech.2026.113215