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      The effects of backpack carriage on gait kinematics and kinetics of schoolchildren

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      Scientific Reports
      Nature Publishing Group UK

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          Abstract

          There has been a growing concern among clinical and educational practitioners, as well as, policy makers on the use of backpacks by schoolchildren. On a daily basis, pupils spend a significant amount of time carrying stuffed and heavy backpacks. The aim of this study was to investigate the effects of backpack carriage with different loads on spatiotemporal parameters of gait, plantar pressure and force distribution under different foot regions in schoolchildren. We have assessed fifty-seven primary school students (7–9 years-old) performing four walks of 10 m (carrying 0%, 10%, 15% of body mass in the backpack and the load they brought to school). A floor-based photocell system was used to collect the gait kinematics and insoles capacitive pressure sensors the kinetics. Children walked slower and at lower cadence with the load brought to school than in the other three conditions. There was no significant main effect on stride length. Backpack carriage with different loads did have a significant effect on plantar pressure and force distribution. We noted that heavier the load, higher the pressure and force under different foot regions. Our findings highlight that gait biomechanics of children (such as stride kinematics and pressure under the feet) is affected by carrying loads in the backpacks.

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          Most cited references30

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          Systematic review of observational (behavioral) measures of pain for children and adolescents aged 3 to 18 years.

          Observational (behavioral) scales of pain for children aged 3 to 18 years were systematically reviewed to identify those recommended as outcome measures in clinical trials. This review was commissioned by the Pediatric Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (www.immpact.org). In an extensive literature search, 20 observational pain scales were identified for review including behavior checklists, behavior rating scales, and global rating scales. These scales varied in their reliance on time sampling and inclusion of physiological items, facial and postural items, as well as their inclusion of multiple dimensions of assessment (e.g., pain and distress). Each measure was evaluated based on its reported psychometric properties and clinical utility. Scales were judged to be indicated for use in specific acute pain contexts rather than for general use. Two scales were recommended for assessing pain intensity associated with medical procedures and other brief painful events. Two scales were recommended for post-operative pain assessment, one for use in hospital and the other at home. Another scale was recommended for use in critical care. Finally, two scales were recommended for assessing pain-related distress or fear. No observational measures were recommended for assessing chronic or recurrent pain because the overt behavioral signs of chronic pain tend to habituate or dissipate as time passes, making them difficult to observe reliably. In conclusion, no single observational measure is broadly recommended for pain assessment across all contexts. Directions for further research and scale development are offered.
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            Validity of the Optogait photoelectric system for the assessment of spatiotemporal gait parameters.

            The purpose of this study was to evaluate the discriminant and concurrent (criterion-related) validity of a recently introduced floor-based photocell system (Optogait, Microgate, Bolzano, Italy) with a validated electronic walkway for the assessment of spatiotemporal gait parameters. Fifteen patients (mean age±standard deviation: 65±7 years) with total knee arthroplasty and 15 healthy matched control subjects were asked to walk at different velocities while gait variables were recorded simultaneously by the two instruments. The Optogait and the criterion instrument detected the same differences in walking parameters between patients and controls. Intraclass correlation coefficients ranged between 0.933 (swing time) and 0.999 (cycle time, cadence and walking speed). Cycle time and stance time were significantly longer, while swing time, step length, cadence and walking speed were significantly lower for Optogait (p<0.001) compared to the criterion instrument. The Optogait system demonstrated high discriminant and concurrent validity with an electronic walkway for the assessment of spatiotemporal gait parameters in orthopedic patients and healthy controls. However, the two measuring instruments cannot be used interchangeably for quantitative gait analysis, and further validation of floor-based photocell technology is warranted. Copyright © 2012 IPEM. Published by Elsevier Ltd. All rights reserved.
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              Gender-age environmental associates of adolescent low back pain.

              This paper describes adolescent low back pain and tests its associations with environmental features of backpack load, time spent carrying loads, time sitting, and time playing sport, using data from 1269 adolescents in twelve volunteer high schools in Adelaide, South Australia. Backpacks were the preferred method of load carrying, two-thirds of wearers preferring to carry the load over two shoulders. The average load weighed 5.3 kg (approximating 10% of body weight). The youngest students carried approximately the same amount as the oldest students. Girls were more likely than boys to report recent low back pain, and there were gender- and age-specific associations between recent low back pain, the amount of time spent sitting, the backpack load and time spent carrying it, and time playing sport. Body mass was not a confounder of any association. These findings support ongoing concerns regarding environmental contributions to adolescent low back pain.

                Author and article information

                Contributors
                tiago.barbosa@nie.edu.sg
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                4 March 2019
                4 March 2019
                2019
                : 9
                : 3364
                Affiliations
                ISNI 0000 0001 2224 0361, GRID grid.59025.3b, Physical Education and Sports Science Academic Group, National Institute of Education, , Nanyang Technological University, ; Singapore, Singapore
                Article
                40076
                10.1038/s41598-019-40076-w
                6399442
                30833621
                d915ef8c-f1bc-435e-9e33-1e9ce6a23191
                © The Author(s) 2019

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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                : 23 September 2018
                : 8 February 2019
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