Journal of KEMA
INTRODUCTIONPeople use various types of bags in their daily lives, including backpack, handbag, and shoulder bag.1-3 The preference of the bag varies according to age, backpacks are mainly used by children and shoulder bag or handbag are mostly used by adults. 2,4 The weight of bag acts as an extrinsic asymmetrical load that affects the body's characteristics. 5,6 When a person carries a shoulder bag over one shoulder, s/he unconsciously changes shoulders and spinal alignment to maintain balance. 6,7 The spine is deviated laterally away from the load, and the shoulder is elevated, which increases stress in the lower limb joints and may also affect dynamic balance during gait. [6][7][8] Many studies have investigated the effects of asymmetrical loads on posture and muscle activity during gait. 1,6,8 Asymmetric loads applied to the left side cause a shift in the lumbosacral joint moment dominance to the right side during the left-right single support phase.9 Fowler et al. (2006) quantified the kinematics of spine and stature loss induced by carrying an asymmetric load. 10 A shoulder bag increases the asymmetry of the trunk during gait. Purpose The purpose of this study was to investigate the effects of same-sided and cross-body carrying on the activity of the upper trapezius and erector spinae muscles in standing position.
Study designControlled laboratory study, with a pretest-posttest design.Methods 20 healthy students were asked to carry the shoulder bag, placing it either on a shoulder on the same side of the body as the bag (same-sided load) or in cross-body fashion in standing position. We used surface electromyography to measure the activities of both upper trapezius and erector spinae muscles. We analyzed the data by using paired t-test and compared muscle activity in two methods. The alpha level was set at 0.05.
ResultsThe activity of the right upper trapezius and left erector spinae muscles differed significantly between the two carrying methods (p<0.05), showing significantly less activity under the cross-body condition. The activity of the left trapezius and right erector spinae muscles did not differ significantly between the two carrying methods (p>0.05).
ConclusionsWe suggest that proper carrying method for shoulder bag is needed to help prevent musculoskeletal pain caused by asymmetrical muscle activity.