Heavy schoolbags are common among school-aged adolescents, yet biomechanical consequences across developmental stages and between sexes remain poorly defined, especially in low- and middle-income countries. This study investigated the effect of schoolbag carriage on gait in South African adolescents. A total of 186 injury-free adolescents (ages 12-18) completed barefoot walking trials over a pressure platform under unloaded and loaded conditions. Spatiotemporal and kinetic gait parameters were recorded and normalized to body height and weight. Analyses included (1) comparison of schoolbag mass by sex and grade (ie, school year); (2) evaluation of gait by loading condition, grade, and sex; and (3) prediction of loaded-condition gait parameters by relative schoolbag mass. Grades 8 to 11 carried higher absolute loads and grade 8 carried highest relative loads, with 58% exceeding 15% body mass, but no sex differences were found. Load carriage increased stance and double support time; reduced swing phase; and elevated vertical forces, pressures, and loading rates. Females exhibited higher forefoot and midfoot pressures and narrower step width. Relative schoolbag mass predicted greater forefoot/heel loads, lower midfoot loads, and narrower step width. Schoolbag carriage imposes substantial biomechanical demands, particularly in early adolescence and among females, emphasizing need for age- and sex-specific guidelines to mitigate long-term musculoskeletal risk.
Gambelli et al. (Thu,) studied this question.