(1) Background: the effects of load carriage packs on human gait biomechanics, physiology and metabolism depend on the weight carried, the design of the pack and its interaction with the user. (2) Methods: An extensive search in the PubMed database was performed to find all the relevant articles using the following keywords: backpack, rucksack, backpack ergonomy and sports backpack; 60 articles were included. (3) Results and significance: Double pack (DP) and T-pack (TP) designs are recommended solutions for school children, compared with backpacks (BP). For soldiers and hikers, a backpack remains the best compromise. A hip belt is recommended for BPs as well as for the back of DPs. Shorter and stiffer shoulder straps combined with a higher and tighter load placement on the back provide the best combination in terms of balance, muscle activation and energy expenditure. It is, therefore, possible to determine guidelines for designing the optimal load carriage system, depending on the application. (4) Conclusions: based on the available evidence, DP and TP are advantageous in terms of posture. DP is better than conventional BPs in terms of balance and muscle activation, but has the disadvantage of limited visibility, thermal sensation and obstructed ventilation. In general, it is desirable not to exceed 40% of body mass (BM).

This study investigates the thermal insulation and moisture management of three types of mountaneering boots and simulated hiking activities under controlled environmental conditions with two elite athletes. Temperature and humidity were determined with six wireless probes placed on the most exposed parts of the foot (hallux, middle toe, little toe, dorsum, ankle and sole). Thermal images were taken to record the thermal insulation of each sample. Methodologically, the study aims to simulate every movement and activity of alpinism in order to realistically evaluate the conditions of use of this kind of footwear (also taking into account the lacing pressure exerted on the foot). Based on the results obtained, in a further step it will be possible to define the best solution in terms of combination of materials by creating a comfort scale for hiking boots.