Asymmetrical load-carrying while stepping down a curb in young adults

Background: Asymmetrical load-carrying while walking requires modifications in joint forces to compensate the extra mass and ensure body stability, particularly when the environment is uneven, such as with a curb. Carrying a bag with one hand (dominant or non-dominant) may constrain the movement of the arm, altering the interlimb coordination of the upper limbs. Prior studies did not show changes in interlimb coordination when a light load was attached to the wrist, but the use of a bag to carry the load can be potentially disturbing since exaggerated movements of the bags may compromise balance. In this case, changes in interlimb coordination would be expected to minimize bag movements. However, it is not clear if these changes in interlimb coordination would be sufficient to affect the curb negotiation task. Research question: We investigated the effect of asymmetric load-carrying using different bag types with the dominant and non-dominant hands on upper limb coordination and walking adaptations in a curb negotiation task in young adults. Methods: Seventeen young adults walked and stepped down a curb while carrying a bag with 7% of their body mass. The experimental conditions were to walk without the bag, carrying the bag (with and without strap) using the dominant and non-dominant hand. Results: Carrying the bag reduced the anti-phase pattern and increased the right or left shoulder phases, depending on the side used to carry the bag. It means that the limb that carried the load almost did not move while stepping down the curb. Load transportation did not influence foot-curb negotiation variables. Significance: Our study indicates that a mild load and the bag influenced the interlimb coordination of the upper limbs. Despite that, young adults compensated for the disturbance caused by the load carriage and did not compromise the curb negotiation task.