ArticleBMC musculoskeletal disorders2021
Effects of body size and load carriage on lower-extremity biomechanical responses in healthy women.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- Effect of exertion on the biomechanics of walking with load carriage and running in young, healthy women.Scientific reports · 2026Article
- Identification of modifiable gait parameters predictive of simulated tibial stress-fracture risk in men and women.Frontiers in physiology · 2026Article
- Clothing and individual equipment for the female soldier: developing a framework to improve the evidence base which informs future design and evaluation.BMJ military health · 2025Review
- Effects of an active ankle exoskeleton on the walking biomechanics of healthy men.Frontiers in bioengineering and biotechnology · 2025Article
- Effect of walking with an active ankle exoskeleton on the biomechanical responses of the lumbar spine.Frontiers in bioengineering and biotechnology · 2025Article
- Occupational Injuries of Spanish Wildland Firefighters: A Descriptive Analysis.Healthcare (Basel, Switzerland) · 2024Article
- 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
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMusculoskeletal injuries, such as stress fractures, are the single most important medical impediment to military readiness in the U.S. Army. While multiple studies have established race- and sex-based risks associated with a stress fracture, the role of certain physical characteristics, such as body size, on stress-fracture risk is less conclusive.
methodsIn this study, we investigated the effects of body size and load carriage on lower-extremity joint mechanics, tibial strain, and tibial stress-fracture risk in women. Using individualized musculoskeletal-finite-element-models of 21 women of short, medium, and tall statures (n = 7 in each group), we computed the joint mechanics and tibial strains while running on a treadmill at 3.0 m/s without and with a load of 11.3 or 22.7 kg. We also estimated the stress-fracture risk using a probabilistic model of bone damage, repair, and adaptation.
resultsUnder all load conditions, the peak plantarflexion moment for tall women was higher than those in short women (p < 0.05). However, regardless of the load condition, we did not observe differences in the strains and the stress-fracture risk between the stature groups. When compared to the no-load condition, a 22.7-kg load increased the peak hip extension and flexion moments for all stature groups (p < 0.05). However, when compared to the no-load condition, the 22.7-kg load increased the strains and the stress-fracture risk in short and medium women (p < 0.05), but not in tall women.
conclusionThese results show that women of different statures adjust their gait mechanisms differently when running with external load. This study can educate the development of new strategies to help reduce the risk of musculoskeletal injuries in women while running with external load.
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