Subjective perceptions of load carriage on the head and back in Xhosa women

The purpose of this study was to compare the subjective perceptual responses to both head-loading and back-loading in a group of Xhosa women. Thirty two women were divided into three groups based on their experience of head-loading and walked on a treadmill on two occasions, head-loading and back-loading, at a self selected walking speed for four minutes with a variety of loads until pain or discomfort caused the test to be terminated or a load of 70% body mass was successfully carried. After each workload there was a one minute rest period during which the women indicated feelings of pain or discomfort in particular areas of the body via visual analogue scales. At the end of each test the women were asked to complete further questionnaires relating to pain and discomfort and on completion of the second test were also asked to compare the two loading conditions. Finally the women were interviewed to establish their history of load carriage and associated pain and discomfort. The data indicate that whilst back-loading was generally associated with more areas of discomfort than head-loading, the pain and discomfort in the neck associated with head-loading was the predominant factor in the termination of tests and that this was independent of head-loading experience. This early termination meant that, on average, the women could carry greater loads on their backs than on their heads. The study suggests that further work needs to be carried out to establish viable alternatives to head-loading for rural dwellers in Africa

No 'free ride' for African women:a comparison of head-loading versus back-loading among Xhosa women

Although contrasting evidence exists in the literature as to the economy of head-loading, there is a notion that head-loading is an extremely economical method of load carriage. This has become known as the ‘free ride’ hypothesis and, although untested, it is widely accepted. The purpose of this study was to test the ‘free ride’ hypothesis for head-load carriage among African women by comparing the relative economy of head-loading and back-loading. Twenty-four Xhosa women walked on a level treadmill, attempting to carry loads of between 10% and 70% of their body mass (BM) using both a backpack and a head basket. All 24 women carried at least 25% of their BM in both conditions. The relative economy of load carriage was calculated for loads of 10% to 25% of BM. Results indicated that the ‘free ride’ was not a generalisable phenomenon, with both methods realising economy scores close to unity (1.04 ± 0.19 and 0.97 ± 0.15 for head-loading and back-loading, respectively). The results did, however, reveal significant individual differences in economy scores and it is suggested that analysis of such individual differences in future may well be instructive in understanding mechanisms associated with greater economy in load carriage

A kinetic comparison of back-loading and head-loading in Xhosa women

The purpose of this study was to compare the kinetic responses associated with ground reaction force measurements to both head-loading and back-loading in a group of Xhosa women. Altogether, 16 women were divided into two groups based on their experience of head-loading. They walked over a force plate in three conditions: unloaded or carrying 20 kg in either a backpack or on their head. The most striking finding was that there was no difference in kinetic response to head-loading as a consequence of previous experience. Considering the differences between the load carriage methods, most changes were consistent with increasing load. Head-loading was, however, associated with a shorter contact time, smaller thrust maximum and greater vertical force minimum than back-loading. Both loading conditions differed from unloaded walking for a number of temporal variables associated with the ground contact phase, e.g. vertical impact peak was delayed whilst vertical thrust maximum occurred earlier. Statement of Relevance: Consideration of the kinetics of head and back load carriage in African women is important from a health and safety perspective, providing an understanding of the mechanical adaptations associated with both forms of load carriage for a group of people for whom such load carriage is a daily necessity

The Extra Load Index as a method for comparing the relative economy of load carriage systems

The Extra Load Index (ELI) has been proposed as a suitable method of assessing the relative economy of load carriage systems. The purpose of this study was to determine, based on empirical evidence, that the ELI can accommodate variations in both body composition and added load. In total, 30 women walked carrying loads of up to 70% body mass at self-selected walking speeds whilst expired air was collected. In addition, each of the women had body composition assessed via dual energy X-ray absorptiometry. Results show that the ELI is independent of body composition variables, the magnitude of additional loads and the speed of progression. Consequently, it is suggested that it represents an appropriate method of comparing load carriage systems in both scientific and commercial arenas. Statement of Relevance:This paper demonstrates that ELI is independent of body composition, added load and speed and is therefore an appropriate method to generalise comparisons of load carriage systems. It has the advantage of being easily understood by manufacturers and consumers whilst retaining appropriate scientific precision

A comparison of the physiological consequences of head-loading and back-loading for African and European women

The aim is to quantify the physiological cost of head-load carriage and to examine the ‘free ride’ hypothesis for head-load carriage in groups of women differing in their experience of head-loading. Twenty-four Xhosa women [13 experienced head-loaders (EXP), 11 with no experience of head-loading (NON)] attempted to carry loads of up to 70% of body mass on both their heads and backs whilst walking on a treadmill at a self-selected walking speed. Expired air was collected throughout. In a second study nine women, members of the British Territorial Army, carried similar loads, again at a self-selected speed. Maximum load carried was greater for the back than the head (54.7 ± 15.1 vs. 40.8 ± 13.2% BM, P <0.0005). Considering study one, head-loading required a greater oxygen rate than back-loading (10.1 ± 2.6 vs. 8.8 ± 2.3 ml kg bodymass−1 min−1, P = 0.043, for loads 10–25% BM) regardless of previous head-loading experience (P = 0.333). Percentage changes in oxygen consumption associated with head-loading were greater than the proportional load added in both studies but were smaller than the added load for the lighter loads carried on the back in study 1. All other physiological variables were consistent with changes in oxygen consumption. The data provides no support for the ‘free ride’ hypothesis for head-loading although there is some evidence of energy saving mechanisms for back-loading at low speed/load combinations. Investigating the large individual variation in response may help in identifying combinations of factors that contribute to improved economy

A pilot investigation of load-carrying on the head and bone mineral density in premenopausal, black African women

Although the influence of weight bearing activity on bone mass has been widely investigated in white women, few studies have been conducted in black, African populations. We investigated bone mineral density (BMD) in black South African women, with and without a history of load-carrying on the head. We also investigated whether load carrying may offer protection against low BMD in users of injectable progestin contraception (IPC). Participants were 32 black, South African women (22.4±3.2 yrs). Load carrying history was determined by questionnaire and interview and participants were grouped as load carriers (LC; n=18) or non load carriers (NLC; n=14). Ten women were using IPC and 6 were load-carriers. Total body (TB), lumbar spine (LS) and total hip (H) BMD were measured by dual energy X-ray absorptiometry. There were no differences in BMD between LC and NLC, and after controlling for age and BMI using two-tailed partial correlations. IPC users had lower BMD at all sites compared to non IPC users (p<0.05) and there were no associations between load carrying and BMD in this group. When IPC users were excluded from analysis, LC had higher LS BMD than NLC (p<0.005). Correlations were found between the weight of load carried and LS BMD (r=0.743, p<0.005), and between years of load carrying and LS and TB BMD (r=0.563, r=0.538 respectively; both p<0.05). Load carrying on the head may offer osteogenic benefits to the spine but these benefits did not appear in women using IPC

Peripheral arterial disease and intermittent claudication: Efficacy of short term upper body strength training, dynamic exercise training, and advice to exercise at home

Objective: To compare 2 training programmes and advice to exercise at home on physiological adaptations in patients with peripheral arterial disease (PAD). Design: 30 patients with a typical history of PAD and intermittent claudication randomised to either a upper body strength training programme (UBST), dynamic (walking, cycling, circuit) conventional exercise rehabilitation programme (CER) or advice to walk as “much as possible” at home (CONT). Before and after intervention groups performed a standard graded treadmill exercise test (GTET) and a 6 minute walk test (SMWT) to determine peak physiological parameters and walking distances. Maximal walking distance (MWD), pain free walking distance (PFWD), VO2peak, heart rate and perceived pain were measured. Results: MWD on the GTET increased significantly in the CER group compared to the CONT and UBST group [93.9 ±79 vs 7.0 ±19.8 vs 7.3 ±46 %; CER vs UBST vs CONT P=0.003]. Similarly VO2peak increased with CER compared to the CONT and UBST group [28.4 ±20 vs. -6.2 ±15 vs -1.0 ±21 %; CER VS UBST vs CONT P=0.004]. During the SMWT the CER and UBST group improved in PFWD compared to the CONT group [37 ±47 vs 27 ±71 vs -30 ±29 %; CER vs UBST vs CONT P=0.03] and perceived pain decreased in the CER group compared to the UBST group [-24 ±39 vs 27±48 %; CER vs UBST P=0.01]. Conclusion: CER improves physiological parameters and walking distances more than UBST does. CER is effective within 6 weeks. Verbal encouragement to exercise is an ineffective form of management

Factors predicting walking intolerance in patients with peripheral arterial disease(PAD) and intermittent claudication

Objective: It is not clear which physiological variables determine walking intolerance in patients with peripheral arterial disease (PAD). Design: The physiological response to a graded treadmill exercise test (GTT) in patients with PAD was characterized. Setting: Patients were recruited from the Department of Vascular Surgery at Groote Schuur Hospital, Cape Town, South Africa. Subjects: 31 patients diagnosed with PVD were included in the study. Outcome measures: During a GTT, peak oxygen consumption (VO2peak), peak minute ventilation (VEpeak), peak heart rate and peak venous lactate concentrations were measured. These variables were compared to those measured in a comparison group previously studied in this laboratory. Ankle brachial index was measured at rest and after exercise. During the GTT maximum walking distance (MWD) and pain free walking distance (PFWD) were measured to determine walking tolerance. Results: Peak venous lactate concentrations did not correlate significantly with either PFWD (r=-0.08; P=0.3) or MWD (r=-0.03; P=0.4). Resting ABI did not correlate with either MWD (r=008; P=0.3) or PFWD (r=-0.15; P=0.15). Subjects terminated exercise at significantly (

A Cross-species Comparison of Facial Morphology and Movement in Humans and Chimpanzees Using the Facial Action Coding System (FACS)

A comparative perspective has remained central to the study of human facial expressions since Darwin’s (1872) insightful observations on the presence and significance of cross-species continuities and species-unique phenomena. However, cross-species comparisons are often difficult to draw due to methodological limitations. We report the application of a common methodology, the Facial Action Coding System (FACS) to examine facial movement across two species of hominoids, namely humans and chimpanzees. The Facial Action Coding System (FACS: Ekman & Friesen, 1978) has been employed to identify the repertoire of human facial movements. We demonstrate that FACS can be applied to other species, but highlight that any modifications must be based on both underlying anatomy and detailed observational analysis of movements. Here we describe the ChimpFACS and use it to compare the repertoire of facial movement in chimpanzees and humans. While the underlying mimetic musculature shows minimal differences, important differences in facial morphology impact upon the identification and detection of related surface appearance changes across these two species