
declares no relevant financial relationships
with ineligible companies.
[18] Armstrong, N.C., Smith, S.J.R., Risius, D.,
Doyle, D., Wardle, S.L., Greeves, J.P., House,
J.R., Tipton, M., & Lomax, M., Cognitive
performance of military men and women
during prolonged load carriage. BMJ Mil
Health, Vol.169, No.1, 2023, pp. 37-45.
doi:10.1136/bmjmilitary-2021-002000.
[19] Legg, S.J. & Cruz, C.O., Effect of single and
double strap backpacks on lung function.
Ergonomics, Vol.47, No.3, 2004, pp. 318-323.
doi:10.1080/0014013032000157878.
[20] Stuempfle, K.J., Drury, D.G., & Wilson, A.L.,
Effect of load position on physiological and
perceptual responses during load carriage with
an internal frame backpack. Ergonomics,
Vol.47, No.7, 2004, pp. 784-789.
doi:10.1080/0014013042000193264.
[21] Daffin, L., Innes, S., & Stuelcken, M.,
Changing the horizontal position of a fixed
backpack load: The effect on postural stability
in young adults. Work, Vol.76, No.3, 2023,
pp. 1099-1104. doi:10.3233/WOR-230044.
[22] Faghy, M.A., Shei, R.J., Armstrong, N.C.D.,
White, M., & Lomax, M., Physiological
impact of load carriage exercise: Current
understanding and future research directions.
Physiol Rep, Vol.10, No.21, 2022, pp.
e15502. doi: 10.14814/phy2.15502.
[23] Phillips, D.B., Ehnes, C.M., Stickland, M.K.,
& Petersen, S.R., The impact of thoracic load
carriage up to 45 kg on the cardiopulmonary
response to exercise. Eur J Appl Physiol,
Vol.116, No.9, 2016, pp. 1725-1734.
doi:10.1007/s00421-016-3427-6.
[24] Sheir-Neiss, G.I., Kruse, R.W., Rahman, T.,
Jacobson, L.P., & Pelli, J.A., The association
of backpack use and back pain in adolescents.
Spine (Phila Pa 1976), Vol.28, No.9, 2003,
pp. 922-930.
doi:10.1097/01.BRS.0000058725.18067.F7.
[25] Pau, M., Corona, F., Leban, B., & Pau, M.,
Effects of backpack carriage on foot-ground
relationship in children during upright stance.
Gait Posture, Vol.33, No.2, 2011, pp. 195-
199. doi:10.1016/j.gaitpost.2010.10.096.
[26] Grimmer, K., Dansie, B., Milanese, S.,
Pirunsan, U., & Trott, P., Adolescent standing
postural response to backpack loads: a
randomised controlled experimental study.
BMC Musculoskelet Disord, Vol.3, 2002, pp.
10. doi: 10.1186/1471-2474-3-10.
[27] Looney, D.P., Doughty, E.M., Figueiredo,
P.S., Vangala, S.V., Pryor, J.L., Santee, W.R.,
McClung, H.L., & Potter, A.W., Effects of
modern military backpack loads on walking
speed and cardiometabolic responses of US
Army Soldiers. Appl Ergon, Vol.94, 2021, pp.
103395. doi:10.1016/j.apergo.2021.103395.
[28] Boffey, D., Harat, I., Gepner, Y., Frosti, C.L.,
Funk, S., & Hoffman, J.R., The Physiology
and Biomechanics of Load Carriage
Performance. Mil Med, Vol.184, No.1-2,
2019, pp. e83-e90. doi:
10.1093/milmed/usy218.
[29] Faghy, M.A. & Brown, P.I., Thoracic load
carriage-induced respiratory muscle fatigue.
Eur J Appl Physiol, Vol.114, No.5, 2014, pp.
1085-1093. doi:10.1007/s00421-014-2839-4.
[30] Scales, J., Coleman, D., & Brown, M.,
Multiday load carriage decreases ability to
mitigate ground reaction force through
reduction of ankle torque production. Appl
Ergon, Vol.101, 2022, pp. 103717.
doi:10.1016/j.apergo.2022.103717.
[31] Birrell, S.A. & Haslam, R.A., The effect of
military load carriage on 3-D lower limb
kinematics and spatiotemporal parameters.
Ergonomics, Vol.52, No.10, 2009, pp. 1298-
1304. doi:10.1080/00140130903003115.
[32] Huang, L., Yang, Z., Wang, R., & Xie, L.,
Physiological and biomechanical effects on
the human musculoskeletal system while
carrying a suspended-load backpack. J
Biomech, Vol.108, 2020, pp. 109894.
doi:10.1016/j.jbiomech.2020.109894.
[33] Simpkins, C., Ahn, J., & Yang, F., Effects of
anterior load carriage on gait parameters: A
systematic review with meta-analysis. Appl
Ergon, Vol.98, 2022, pp. 103587.
doi:10.1016/j.apergo.2021.103587.
[34] Phillips, D.B., Stickland, M.K., & Petersen,
S.R., Physiological and performance
consequences of heavy thoracic load carriage
in females. Appl Physiol Nutr Metab, Vol.41,
No.7, 2016, pp. 741-748. doi:10.1139/apnm-
2016-0002.
[35] Arcidiacono, D.M., Lavoie, E.M., Potter,
A.W., Vangala, S.V., Holden, L.D., Soucy,
H.Y., Karis, A.J., Friedl, K.E., Santee, W.R.,
& Looney, D.P., Peak performance and
cardiometabolic responses of modern US
army soldiers during heavy, fatiguing vest-
borne load carriage. Appl Ergon, Vol.109,
2023, pp. 103985.
doi:10.1016/j.apergo.2023.103985.
[36] Beekley, M.D., Alt, J., Buckley, C.M.,
Duffey, M., & Crowder, T.A., Effects of
heavy load carriage during constant-speed,
WSEAS TRANSACTIONS on BIOLOGY and BIOMEDICINE
DOI: 10.37394/23208.2024.21.18
Chungil Lee, Jiho Choi, Hojoon Jo,
Jiyeon Lee, Dongyeop Lee, Jiheon Hong,
Jaeho Yu, Seonggil Kim, Jinseop Kim