Gait AnalysisNCT06992518
The Effect of Bag Carrying Style on Gait Parameters in Healthy Adults
An observational study of Gait Analysis and 3D Gait Analysis, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
Trial summary
This observational crossover study aims to evaluate how different bag carrying styles-backpack, shoulder bag, and handbag-may affect gait parameters in healthy adults. Fifteen participants will walk under four conditions (no bag and each of the three bag types with a load of 15% of body weight), with the order… Read more about this study
- Who is it for?
- Ages 18 to 30 yearsHealthy volunteers can take part
- Conditions the study is for
- Gait Analysis, 3D Gait Analysis
- How many people
- 15 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Oct 2023to 1 Sep 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 30 years
- All sexes
- Healthy volunteers accepted
- Adult
Study population: The study population consisted of 15 healthy volunteers who were selected using a simple random sampling method from among those who volunteered at Acıbadem Altunizade Hospital.
Who may be able to join
- 18-30 years of age,
- score above 45 on the New York Posture Analysis (NYPA)
- lower extremity muscle strength values measured with myometer greater than 24,
- No strenuous physical activity 48 hours before
- Being cooperative with the measurements and tests, and volunteering to participate in the study
Who cannot join
- Having a diagnosed orthopedic or neurological problem,
- Having visual problems,
- Having a body mass index of 30 kg/m² or more,
- Having pain complaints due to a history of trauma in the last 1 month,
- Having a leg length difference of more than 0.5 cm
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Istanbul University - Cerrahpasa, Faculty of Health Sciences, Büyükçekmece Campus, Alkent 2000 Mah. Yiğittürk Street No:5/9/1, Büyükçekmece/Istanbul, Turkey
Istanbul, büyükçekmece, 34500
About this study
Official title: The Effect of Bag Carrying Style on Gait Parameters in Healthy Adults: A Cross Sectional Study
This observational crossover study aims to evaluate how different bag carrying styles-backpack, shoulder bag, and handbag-may affect gait parameters in healthy adults. Fifteen participants will walk under four conditions (no bag and each of the three bag types with a load of 15% of body weight), with the order randomized. Gait will be assessed using a 3D motion capture system with integrated force plates. Posture and lower extremity muscle strength will also be evaluated for baseline characterization.
Read the detailed description
This observational crossover study was conducted at a university-based Gait Analysis Center between October 2023 and October 2024, following ethical approval from the University Medical Research Ethics Committee (approval number: 2022-19/07, dated 09.12.2022). The study aimed to evaluate how different bag carrying styles-specifically, carrying a backpack, a shoulder bag, and a handbag-may influence gait parameters in healthy adults.
Fifteen volunteers aged 18 to 30 years who met predefined inclusion criteria were enrolled. Baseline posture was evaluated using the New York Posture Analysis (NYPA), and lower extremity muscle strength was assessed with a handheld myometer to ensure a consistent starting profile across participants. These values were recorded for characterization purposes only and were not analyzed in association with gait outcomes.
Each participant completed walking trials under four different conditions: walking without a bag, with a backpack, with a shoulder bag, and with a handbag. The order of these conditions was randomized for each participant. For each loaded condition, bags were adjusted to carry 15% of the individual's body weight. Participants walked barefoot at a self-selected pace on a 10-meter walkway while gait data were collected using a 3D motion analysis system (Vicon) integrated with force plates. Reflective markers were placed on anatomical reference points on the lower extremities.
Spatial-temporal, kinematic, and kinetic gait parameters were recorded in each condition, including stride length, cadence, joint angles, and joint power. Rest periods of at least three minutes were provided between walking conditions to reduce fatigue. All measurements were performed during a single session.
This study used a prospective crossover design in which each participant was observed under all four conditions. No therapeutic or clinical interventions were applied. The goal was to observe within-subject variability in gait characteristics associated with temporary exposure to different bag-carrying styles under standardized laboratory conditions.
- Conditions
- Gait Analysis, 3D Gait Analysis
- Keywords
- Posture, 3D Gait Analysis, Bag Carrying Styles, Healthy Adults
What is being measured
The primary outcome is the main question the study is designed to answer.
Kinetic Gait Parameters
Peak joint power values will be assessed using the Vicon 3D gait analysis system with integrated force plates. The following parameters will be recorded bilaterally under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag):
Maximum ankle power, maximum knee power, maximum hip power Unit of Measure: Watts per kilogram (W/kg)
Measured: Baseline
Kinematic Gait Parameters
Joint angles will be calculated using 3D motion capture data for both right and left lower limbs during barefoot walking under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag). The following maximum joint angles will be measured bilaterally:
Ankle dorsiflexion, ankle plantarflexion, knee flexion, knee extension, hip flexion, hip extension, hip abduction, hip adduction, anterior pelvic tilt Unit of Measure: Degrees (°)
Measured: Baseline
Spatiotemporal Gait Parameters
Spatiotemporal gait parameters will be measured using a 3D motion analysis system equipped with reflective markers and force platforms. The following variables will be assessed under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag):
Step length (meters), cadence (steps per minute), gait speed (meters per second), single support time (seconds), double support time (seconds) Each parameter will be recorded bilaterally where applicable. Values will be averaged from two selected trials per condition.
Unit of Measure: Multiple (m, steps/min, s)
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 May 2025
- Study start1 Oct 2023
- Primary completion1 Aug 2024
- Study completion1 Sep 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Gait AnalysisStudies of the same condition, open and under way.
- More trials run by Istanbul University - CerrahpasaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case crossover
- Time perspective
- Prospective
- Enrolment
- 15 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul University - Cerrahpasa
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gökçen Erol, Istanbul University - Cerrahpasa
- Investigators
- Yıldız ANALAY AKBABA, Assoc. Prof, PT, Study director, Istanbul University-Cerrahpasa,Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06992518
- Sponsor's protocol ID
- GErol2
- Status last verified
- May 2025
- First submitted
- 9 May 2025
- Last updated
- 28 May 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be made available to other researchers
Publications
Ozgul B, Akalan NE, Kuchimov S, Uygur F, Temelli Y, Polat MG. Effects of unilateral backpack carriage on biomechanics of gait in adolescents: a kinematic analysis. Acta Orthop Traumatol Turc. 2012;46(4):269-74. doi: 10.3944/aott.2012.2678.
PubMed 22951758Cottalorda J, Rahmani A, Diop M, Gautheron V, Ebermeyer E, Belli A. Influence of school bag carrying on gait kinetics. J Pediatr Orthop B. 2003 Nov;12(6):357-64. doi: 10.1097/01.bpb.0000078270.58527.1f.
PubMed 14530691Connolly BH, Cook B, Hunter S, Laughter M, Mills A, Nordtvedt N, Bush A. Effects of backpack carriage on gait parameters in children. Pediatr Phys Ther. 2008 Winter;20(4):347-55. doi: 10.1097/PEP.0b013e31818a0f8f.
PubMed 19011525Alamoudi, M., Travascio, F., Onar-Thomas, A., Eltoukhy, M., & Asfour, S. (2018). The effects of different carrying methods on locomotion stability, gait spatio-temporal parameters and spinal stresses. International Journal of Industrial Ergonomics, 67, 81-88.
Ahn, J. (2006). The effects of asymmetric load of shoulder bag on trunk and pelvis movement patterns of normal adult during gait. The Graduate School of Health and Environment Yonsei University, Master's thesis.
Abaraogu UO, Ugwa WO, Onwuka E, Orji E. Effect of single and double backpack strap loading on gait and perceived exertion of young adults. J Back Musculoskelet Rehabil. 2016;29(1):109-15. doi: 10.3233/BMR-150605.
PubMed 26406186
Study at a glance
From the registry record, last updated by the sponsor on 28 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Bag Carrying Style on Gait Parameters in Healthy Adults: A Cross Sectional Study
- ClinicalTrials.gov ID
- NCT06992518
- Acronym / sponsor ID
- GErol2
- Conditions
- Gait Analysis, 3D Gait Analysis
- Keywords
- Posture, 3D Gait Analysis, Bag Carrying Styles, Healthy Adults
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 15 participants (actual)
- Lead sponsor
- Istanbul University - CerrahpasaUniversity, hospital or other
- Study start
- 1 Oct 2023 (actual)
- Primary completion
- 1 Aug 2024 (actual)
- Study completion
- 1 Sep 2024 (actual)
- First posted
- 28 May 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This observational crossover study aims to evaluate how different bag carrying styles-backpack, shoulder bag, and handbag-may affect gait parameters in healthy adults. Fifteen participants will walk under four conditions (no bag and each of the three bag types with a load of 15% of body weight), with the order randomized. Gait will be assessed using a 3D motion capture system with integrated force plates. Posture and lower extremity muscle strength will also be evaluated for baseline characterization.
Detailed description
This observational crossover study was conducted at a university-based Gait Analysis Center between October 2023 and October 2024, following ethical approval from the University Medical Research Ethics Committee (approval number: 2022-19/07, dated 09.12.2022). The study aimed to evaluate how different bag carrying styles-specifically, carrying a backpack, a shoulder bag, and a handbag-may influence gait parameters in healthy adults.
Fifteen volunteers aged 18 to 30 years who met predefined inclusion criteria were enrolled. Baseline posture was evaluated using the New York Posture Analysis (NYPA), and lower extremity muscle strength was assessed with a handheld myometer to ensure a consistent starting profile across participants. These values were recorded for characterization purposes only and were not analyzed in association with gait outcomes.
Each participant completed walking trials under four different conditions: walking without a bag, with a backpack, with a shoulder bag, and with a handbag. The order of these conditions was randomized for each participant. For each loaded condition, bags were adjusted to carry 15% of the individual's body weight. Participants walked barefoot at a self-selected pace on a 10-meter walkway while gait data were collected using a 3D motion analysis system (Vicon) integrated with force plates. Reflective markers were placed on anatomical reference points on the lower extremities.
Spatial-temporal, kinematic, and kinetic gait parameters were recorded in each condition, including stride length, cadence, joint angles, and joint power. Rest periods of at least three minutes were provided between walking conditions to reduce fatigue. All measurements were performed during a single session.
This study used a prospective crossover design in which each participant was observed under all four conditions. No therapeutic or clinical interventions were applied. The goal was to observe within-subject variability in gait characteristics associated with temporary exposure to different bag-carrying styles under standardized laboratory conditions.
Study design
- Observational model
- Case crossover
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 30 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
- Study population
- The study population consisted of 15 healthy volunteers who were selected using a simple random sampling method from among those who volunteered at Acıbadem Altunizade Hospital.
Key inclusion criteria (5 listed)
- 18-30 years of age,
- score above 45 on the New York Posture Analysis (NYPA)
- lower extremity muscle strength values measured with myometer greater than 24,
- No strenuous physical activity 48 hours before
- Being cooperative with the measurements and tests, and volunteering to participate in the study
Key exclusion criteria (5 listed)
- Having a diagnosed orthopedic or neurological problem,
- Having visual problems,
- Having a body mass index of 30 kg/m² or more,
- Having pain complaints due to a history of trauma in the last 1 month,
- Having a leg length difference of more than 0.5 cm
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Kinetic Gait Parameters
Time frame: Baseline
Peak joint power values will be assessed using the Vicon 3D gait analysis system with integrated force plates. The following parameters will be recorded bilaterally under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag): Maximum ankle power, maximum knee power, maximum hip power Unit of Measure: Watts per kilogram (W/kg)
Kinematic Gait Parameters
Time frame: Baseline
Joint angles will be calculated using 3D motion capture data for both right and left lower limbs during barefoot walking under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag). The following maximum joint angles will be measured bilaterally: Ankle dorsiflexion, ankle plantarflexion, knee flexion, knee extension, hip flexion, hip extension, hip abduction, hip adduction, anterior pelvic tilt Unit of Measure: Degrees (°)
Spatiotemporal Gait Parameters
Time frame: Baseline
Spatiotemporal gait parameters will be measured using a 3D motion analysis system equipped with reflective markers and force platforms. The following variables will be assessed under four bag-carrying conditions (no bag, backpack, shoulder bag, handbag): Step length (meters), cadence (steps per minute), gait speed (meters per second), single support time (seconds), double support time (seconds) Each parameter will be recorded bilaterally where applicable. Values will be averaged from two selected trials per condition. Unit of Measure: Multiple (m, steps/min, s)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 May 2025.
- Results publication: PubMed 22951758Ozgul B, Akalan NE, Kuchimov S, Uygur F, Temelli Y, Polat MG. Effects of unilateral backpack carriage on biomechanics of gait in adolescents: a kinematic analysis. Acta Orthop Traumatol Turc. 2012;46(4):269-74. doi: 10.3944/aott.2012.2678.
- Results publication: PubMed 14530691Cottalorda J, Rahmani A, Diop M, Gautheron V, Ebermeyer E, Belli A. Influence of school bag carrying on gait kinetics. J Pediatr Orthop B. 2003 Nov;12(6):357-64. doi: 10.1097/01.bpb.0000078270.58527.1f.
- Results publication: PubMed 19011525Connolly BH, Cook B, Hunter S, Laughter M, Mills A, Nordtvedt N, Bush A. Effects of backpack carriage on gait parameters in children. Pediatr Phys Ther. 2008 Winter;20(4):347-55. doi: 10.1097/PEP.0b013e31818a0f8f.
- Results publicationAlamoudi, M., Travascio, F., Onar-Thomas, A., Eltoukhy, M., & Asfour, S. (2018). The effects of different carrying methods on locomotion stability, gait spatio-temporal parameters and spinal stresses. International Journal of Industrial Ergonomics, 67, 81-88.
- Results publicationAhn, J. (2006). The effects of asymmetric load of shoulder bag on trunk and pelvis movement patterns of normal adult during gait. The Graduate School of Health and Environment Yonsei University, Master's thesis.
- Results publication: PubMed 26406186Abaraogu UO, Ugwa WO, Onwuka E, Orji E. Effect of single and double backpack strap loading on gait and perceived exertion of young adults. J Back Musculoskelet Rehabil. 2016;29(1):109-15. doi: 10.3233/BMR-150605.
- Individual participant dataSharing planned: No. Individual participant data will not be made available to other researchers
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Yıldız ANALAY AKBABA, Assoc. Prof, PT study director
Istanbul University-Cerrahpasa,Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Gait Analysis and 3D Gait Analysis, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Kinetic Gait Parameters (time frame: Baseline). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06992518, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 May 2025.