ArticleBMC musculoskeletal disorders2017
A cross-sectional study of the effects of load carriage on running characteristics and tibial mechanical stress: implications for stress-fracture injuries in women.
Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 45 citations in OpenAlex.
- Impact of exercise-induced fatigue on the risk of stress fractures in the tibia during smash landing in female badminton players.Scientific reports · 2026Article
- Lower Limb Stiffness During a Loaded Walk and Run Over Different Surfaces.Journal of applied biomechanics · 2025Article
- Effects of an active ankle exoskeleton on the walking biomechanics of healthy men.Frontiers in bioengineering and biotechnology · 2025Article
- Short-term effects of running exercise on pinch strength, grip strength, and manual dexterity of the dominant and non-dominant hands.Ergonomics · 2024Article
- Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review.Journal of foot and ankle research · 2023Article
- Effect of stride length on the running biomechanics of healthy women of different statures.BMC musculoskeletal disorders · 2023Article
- Differences in running biomechanics between young, healthy men and women carrying external loads.Frontiers in bioengineering and biotechnology · 2023Article
- Musculoskeletal Model for Assessing Firefighters' Internal Forces and Occupational Musculoskeletal Disorders During Self-Contained Breathing Apparatus Carriage.Safety and health at work · 2022Article
- Article
- Bone stress injuries.Nature reviews. Disease primers · 2022Review
- Mean femoral cartilage thickness is higher in athletes as compared with sedentary individuals.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Effects of body size and load carriage on lower-extremity biomechanical responses in healthy women.BMC musculoskeletal disorders · 2021Article
- Training-Induced Acute Neuromuscular Responses to Military Specific Test during a Six-Month Military Operation.International journal of environmental research and public health · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLoad carriage is associated with musculoskeletal injuries, such as stress fractures, during military basic combat training. By investigating the influence of load carriage during exercises on the kinematics and kinetics of the body and on the biomechanical responses of bones, such as the tibia, we can quantify the role of load carriage on bone health.
methodsWe conducted a cross-sectional study using an integrated musculoskeletal-finite-element model to analyze how the amount of load carriage in women affected the kinematics and kinetics of the body, as well as the tibial mechanical stress during running. We also compared the biomechanics of walking (studied previously) and running under various load-carriage conditions.
resultsWe observed substantial changes in both hip kinematics and kinetics during running when subjects carried a load. Relative to those observed during running without load, the joint reaction forces at the hip increased by an average of 49.1% body weight when subjects carried a load that was 30% of their body weight (ankle, 4.8%; knee, 20.6%). These results indicate that the hip extensor muscles in women are the main power generators when running with load carriage. When comparing running with walking, finite element analysis revealed that the peak tibial stress during running (tension, 90.6 MPa; compression, 136.2 MPa) was more than three times as great as that during walking (tension, 24.1 MPa; compression, 40.3 MPa), whereas the cumulative stress within one stride did not differ substantially between running (15.2 MPa · s) and walking (13.6 MPa · s).
conclusionsOur findings highlight the critical role of hip extensor muscles and their potential injury in women when running with load carriage. More importantly, our results underscore the need to incorporate the cumulative effect of mechanical stress when evaluating injury risk under various exercise conditions. The results from our study help to elucidate the mechanisms of stress fracture in women.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.