Back to school should not be the start of aches and pains, but for many kids it can mean visits to a doctor’s office. Every year before school begins I write an article addressing backpack usage. Unbelievably, that time has arrived again. So, if you’ve read my articles before, please indulge me while I address what I believe is a very important matter.The Sept. 8, 2003, issue of The Times Herald featured an article that expressed concern over children and their backpacks. It stated: “Trudging their way around the school campus or to the bus stop, hunched over kids could be dealing themselves a lifetime of back pain, experts warn.”A 2000 U.S. Consumer Product Safety Commission estimates that, when backpacks are used incorrectly, more than 13,260 injuries in children 5 to 18 years old are treated at hospital emergency rooms, doctors’ offices and clinics. CPSC also cites the statistic that backpack-related injuries are up more than 300 percent since 1996. The American Academy of Orthopedics stated that backpack injury is a significant problem for children. The issue has become so widespread that in 2003 the California State Assembly passed legislation forcing school districts to develop ways of reducing the weight of students’ backpacks.The following information was garnered in an online survey conducted last year of more than 200 chiropractors responding from across North America.
- 89 percent of chiropractors surveyed responded that they have seen patients (ages 5 to 18) reporting back, neck or shoulder pain caused by heavy backpacks
- 71 percent of chiropractors presently seeing such patients responded that they are currently seeing one to four patients (ages 5 to 18) reporting back, neck or shoulder pain caused by heavy backpacks
- 20 percent of chiropractors presently seeing such patients responded that they are currently seeing five to nine patients (ages 5 to 18) reporting back, neck or shoulder pain caused by heavy backpacks
- 9 percent of chiropractors presently seeing such patients responded that they are currently seeing 10 or more patients (ages 5 to 18) due to back, neck or shoulder pain caused by heavy backpacks
- Make sure your child’s backpack weighs no more than 10 to 15 percent of his or her body weight. Pack only what is needed for the day. Carry a book or two by hand to relieve the load if necessary. If the backpack forces the wearer to lean forward to carry, it’s overloaded.
- Organize your child’s supplies and books so that the heaviest items are closest to the center of the back and all compartments are used.
- When lifting a heavy backpack, remind your child to bend using both knees and apply one shoulder strap at a time. Always avoid slinging the pack onto your back.
- Persuade your child to make frequent locker stops and not carry all books throughout the day.
- Choose right: The proper size backpack is 75 percent of the length of the back, approximately the space between the shoulder blades and the waist. The backpack should never hang more than 4 inches below that waistline.
- Urge your child to wear both shoulder straps; and wide, padded straps are very important.
- The shoulder straps should be adjustable so the backpack can be fitted to your child’s body.
- Some students are opting for a messenger-type book bag. Students should avoid these single-strap bags for carrying school books and supplies. If they are used, shoulder straps should be alternated from one side to the other and care should be taken not to overload the pack.
