Anterior load carriage tasks are common and can lead to musculoskeletal disorders such as lower back pain. The objectives of this study were to develop a wearable carriage aid and examine its effectiveness on physical demands while considering the potential moderating influence of the carried load. The study consisted of two within-subject factors: device and load. For the former, two levels were tested: with and without the device worn. For the latter, two loads were examined: 15 and 30% of each individual’s body mass. Sixteen participants walked on a treadmill for five minutes at a constant speed for each condition. Physical demands were quantified using objective (EMG-based) and subjective (discomfort) measures. Wearing the device reduced static and median anterior deltoid, trapezius, and biceps brachii muscle activations. Increasing the carried load increased most physical demand measures. Two significant Device $\times$ Load interactions were observed; for the anterior deltoid and trapezius median activation measures, the influence of increasing load was lower when the device was worn. While slightly increasing perceived discomfort in the lower back, wearing the device reduced shoulder, neck, and hand/wrist discomfort. While the study demonstrated a potential for the device, future work is required under more realistic and diverse testing conditions.

Carriage tasks are common and can lead to shoulder and lower back injuries. Wearable carriage aids have shown mixed effects on local physical demand measures. This study examined the impact of a wearable carriage aid on whole-body physiological measures (normalized oxygen consumption, minute ventilation, respiratory rate, and heart rate) to obtain a more comprehensive assessment regarding aid effectiveness. Additionally, this study investigated the effect of wearing the device on perceived balance. The potential moderating effect of carried load mass was considered. The examination was conducted while walking on a treadmill at a constant speed (2 km/h) for 5 min and was completed by 16 participants. Wearing the device reduced normalized oxygen consumption (~14%), minute ventilation (~7%), and heart rate (~3%), while substantially improving perceived balance (~61%). These effects were consistent across examined carried load levels. Although this study highlighted the potential for the developed aid, future studies are required for more diverse and realistic testing conditions.