Although a significant amount of research has examined the biomechanical effects of carrying a load on human walking, most has focussed on fore and aft loads, or evenly balanced loads. In addition, most research on human walking no longer considers footprint analysis, despite its ease of use and its effectiveness in studies of balance. However, one project, with a small number of subjects, suggested that people carrying a heavy load in one hand (e.g., a suitcase or toolbox) make two sorts of adjustments to the placement of their feet on the substrate. The first and most obvious change is a decrease in foot angle (in-toeing) on the unloaded side. This puts the anterior part of the foot further under the center of mass when carrying a load in the contralateral hand and has been amply documented in subsequent studies. The second and more subtle change is a decrease in step width, a practice which also moves the foot on the unloaded side closer to the center of mass. However, tests subsequent to the original study did not show a consistent or significant use of this technique. This discrepancy between original and subsequent results in step width can be explained by the level of expertise which various subjects have. Experience carrying heavy loads may be required for most subjects to develop ways of accommodating loads. For this project, subjects were tested under two conditions: carrying an empty canvas bag; carrying the same bag with 21% of their body weight in it. All subjects walked on paper runners, wearing paint-soaked socks to leave footprint trails. Subjects were asked to walk once with no weights followed by three more times with weights. They were then given 10–15min of practice with the weighted bag, then asked to repeat the protocol, for a total of eight trials (two unweighted and six weighted). Foot angle and step width were measured for all trials. Results show that practice does indeed make a difference in the use of a narrower step when carrying a heavy load. Specifically, the first three weighted trials show a decrease in step width that is nonsignificant, but the last three evince a significant reduction as compared to unweighted trials. In addition, lifetime experience carrying a heavy load led to more immediate changes in foot placement. We conclude that the initial study involved subjects who already had experience carrying a unilateral heavy load and that, as with other activities, mechanically more effective movements are acquired with greater experience and practice.
