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CompletedNCT06992518Updated May 28, 2025

The Effect of Bag Carrying Style on Gait Parameters in Healthy Adults

An observational study in Gait Analysis and 3D Gait Analysis, sponsored by Istanbul University - Cerrahpasa. Completed at 1 site in Turkey. Open to participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-28.

Sponsored by Istanbul University - Cerrahpasa · Observational

Study type
Observational
Model
Case-crossover
Time perspective
Prospective
Enrollment
15
Ages
18 Years to 30 Years
Sex
All
01

Study summary

This observational crossover study aims to evaluate how different bag carrying styles-backpack, shoulder bag, and handbag-may affect gait parameters in healthy adults. Fifteen participants will walk under four conditions (no bag and each of the three bag types with a load of 15% of body weight), with the order randomized. Gait will be assessed using a 3D motion capture system with integrated force plates. Posture and lower extremity muscle strength will also be evaluated for baseline characterization.

Read the detailed description

This observational crossover study was conducted at a university-based Gait Analysis Center between October 2023 and October 2024, following ethical approval from the University Medical Research Ethics Committee (approval number: 2022-19/07, dated 09.12.2022). The study aimed to evaluate how different bag carrying styles-specifically, carrying a backpack, a shoulder bag, and a handbag-may influence gait parameters in healthy adults.

Fifteen volunteers aged 18 to 30 years who met predefined inclusion criteria were enrolled. Baseline posture was evaluated using the New York Posture Analysis (NYPA), and lower extremity muscle strength was assessed with a handheld myometer to ensure a consistent starting profile across participants. These values were recorded for characterization purposes only and were not analyzed in association with gait outcomes.

Each participant completed walking trials under four different conditions: walking without a bag, with a backpack, with a shoulder bag, and with a handbag. The order of these conditions was randomized for each participant. For each loaded condition, bags were adjusted to carry 15% of the individual's body weight. Participants walked barefoot at a self-selected pace on a 10-meter walkway while gait data were collected using a 3D motion analysis system (Vicon) integrated with force plates. Reflective markers were placed on anatomical reference points on the lower extremities.

Spatial-temporal, kinematic, and kinetic gait parameters were recorded in each condition, including stride length, cadence, joint angles, and joint power. Rest periods of at least three minutes were provided between walking conditions to reduce fatigue. All measurements were performed during a single session.

This study used a prospective crossover design in which each participant was observed under all four conditions. No therapeutic or clinical interventions were applied. The goal was to observe within-subject variability in gait characteristics associated with temporary exposure to different bag-carrying styles under standardized laboratory conditions.

02

Conditions studied

  • Gait Analysis
  • 3D Gait Analysis

Keywords

  • Posture
  • 3D Gait Analysis
  • Bag Carrying Styles
  • Healthy Adults
03

In context

Lead sponsor

Istanbul University - Cerrahpasa is the lead sponsor of 680 studies on the registry; 208 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

The study population consisted of 15 healthy volunteers who were selected using a simple random sampling method from among those who volunteered at Acıbadem Altunizade Hospital.

Inclusion criteria

  • 18-30 years of age,
  • score above 45 on the New York Posture Analysis (NYPA)
  • lower extremity muscle strength values measured with myometer greater than 24,
  • No strenuous physical activity 48 hours before
  • Being cooperative with the measurements and tests, and volunteering to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Having a diagnosed orthopedic or neurological problem,
  • Having visual problems,
  • Having a body mass index of 30 kg/m² or more,
  • Having pain complaints due to a history of trauma in the last 1 month,
  • Having a leg length difference of more than 0.5 cm
05

Study design

Observational model
Case-crossover
Time perspective
Prospective
Enrollment
15 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Kinetic Gait Parameters

    Peak joint power values will be assessed using the Vicon 3D gait analysis system with integrated force plates. The following parameters will be recorded bilaterally under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag): Maximum ankle power, maximum knee power, maximum hip power Unit of Measure: Watts per kilogram (W/kg)

    Time frame: Baseline

  2. Kinematic Gait Parameters

    Joint angles will be calculated using 3D motion capture data for both right and left lower limbs during barefoot walking under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag). The following maximum joint angles will be measured bilaterally: Ankle dorsiflexion, ankle plantarflexion, knee flexion, knee extension, hip flexion, hip extension, hip abduction, hip adduction, anterior pelvic tilt Unit of Measure: Degrees (°)

    Time frame: Baseline

  3. Spatiotemporal Gait Parameters

    Spatiotemporal gait parameters will be measured using a 3D motion analysis system equipped with reflective markers and force platforms. The following variables will be assessed under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag): Step length (meters), cadence (steps per minute), gait speed (meters per second), single support time (seconds), double support time (seconds) Each parameter will be recorded bilaterally where applicable. Values will be averaged from two selected trials per condition. Unit of Measure: Multiple (m, steps/min, s)

    Time frame: Baseline

07

Study locations

1 site
  • Istanbul University - Cerrahpasa, Faculty of Health Sciences, Büyükçekmece Campus, Alkent 2000 Mah. Yiğittürk Street No:5/9/1, Büyükçekmece/Istanbul, Turkey
    Istanbul, Büyükçekmece 34500, Turkey
08

References and documents

Publications

  • Ozgul B, Akalan NE, Kuchimov S, Uygur F, Temelli Y, Polat MG. Effects of unilateral backpack carriage on biomechanics of gait in adolescents: a kinematic analysis. Acta Orthop Traumatol Turc. 2012;46(4):269-74. doi: 10.3944/aott.2012.2678. PubMed 22951758 ↗
  • Cottalorda J, Rahmani A, Diop M, Gautheron V, Ebermeyer E, Belli A. Influence of school bag carrying on gait kinetics. J Pediatr Orthop B. 2003 Nov;12(6):357-64. doi: 10.1097/01.bpb.0000078270.58527.1f. PubMed 14530691 ↗
  • Connolly BH, Cook B, Hunter S, Laughter M, Mills A, Nordtvedt N, Bush A. Effects of backpack carriage on gait parameters in children. Pediatr Phys Ther. 2008 Winter;20(4):347-55. doi: 10.1097/PEP.0b013e31818a0f8f. PubMed 19011525 ↗
  • Alamoudi, M., Travascio, F., Onar-Thomas, A., Eltoukhy, M., & Asfour, S. (2018). The effects of different carrying methods on locomotion stability, gait spatio-temporal parameters and spinal stresses. International Journal of Industrial Ergonomics, 67, 81-88.
  • Ahn, J. (2006). The effects of asymmetric load of shoulder bag on trunk and pelvis movement patterns of normal adult during gait. The Graduate School of Health and Environment Yonsei University, Master's thesis.
  • Abaraogu UO, Ugwa WO, Onwuka E, Orji E. Effect of single and double backpack strap loading on gait and perceived exertion of young adults. J Back Musculoskelet Rehabil. 2016;29(1):109-15. doi: 10.3233/BMR-150605. PubMed 26406186 ↗

Individual participant data

Plan to share: No — Individual participant data will not be made available to other researchers

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06992518
Lead sponsor
Istanbul University - Cerrahpasa
Responsible party
Gökçen Erol (MSc, PT, Istanbul University - Cerrahpasa) — Principal investigator
First posted
May 28, 2025
Start date
Oct 1, 2023
Primary completion
Aug 1, 2024
Completion
Sep 1, 2024
Last update
May 28, 2025

Study contacts

Yıldız ANALAY AKBABA, Assoc. Prof, PT
study director · Istanbul University-Cerrahpasa,Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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