Exercise & Training

Corrigendum to "The impact of backpack load on adolescent stair descent safety and injury risk" [J. Biomech. 166 (2024) 112029].

TL;DR

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

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

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

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

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

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

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

Have a question about this study?

Citation

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