Back To School Safety: Avoiding Backpack Injury

Media Contact: Simi Singer
E-mail: simi.singer@cshs.org
Telephone: 1-310-423-7798

Tips for helping your kids wear their backpacks safely

LOS ANGELES, August 10, 2006 – While it seems that every child carries a backpack during the  school year, most parents – and children – are unaware of the potential injury that too-heavy packs  can cause.  

With school starting in just a few weeks, Dr. Leonel Hunt, director of spine trauma at Cedars-Sinai  Institute for Spinal Disorders and Orthopedic Center, offers some advice to reduce the back and  shoulder pain that as many as half of all school children experience each year.

“While backpacks are considered the most efficient way to carry books and other items kids need  for school, it’s important they weigh less than 15 percent of a child’s body weight,” says Hunt.  “Otherwise, over time, a child can experience back pain and soreness that can lead to problems  that may require medical treatment.”

Compared to satchels or briefcases, backpacks are considered safer because they distribute  weight evenly across the body and are supported by the back and abdominal muscles.  Children  and teens also prefer them because they are fashionable, hold more items, and come with multiple  compartments that help them to stay organized.      

But despite their usefulness, a major study recently reported by the American Physical Therapy  Association has found that more than 50 percent of children surveyed carry backpacks that are too  heavy.

“When a backpack is filled with heavy books and incorrectly positioned, the weight’s force can pull  your child backward.  To compensate, your child may bend forward at the hips or arch his or her  back, causing the spine to compress unnaturally, “said Hunt.  “This can lead to shoulder, neck and  back pain.”

Wearing a backpack on one shoulder can also cause the child to lean to one side to compensate  for the extra weight and can also lead to pain.  In severe cases, children can develop a condition  called “scapular winging,” which occurs when the nerve that supplies the shoulder muscle  becomes pinched, causing the muscle to not function properly.

Girls and younger children may be especially at risk for backpack-related injuries because they are  smaller and often carry loads that are heavier in proportion to their body weight.

“If your child complains of pain, or if you notice that one of your child’s shoulder blades is not  moving or not symmetrical, a doctor should be consulted,” says Hunt.  
To help your child wear a backpack safely, Dr. Hunt recommends the following:

1. Keep backpack use limited to necessities only.  See that your child cleans out his or her  backpack daily by removing any items that can be left at home or in a locker.

2. Distribute weight evenly.  Encourage your child to wear both straps of the backpack  whenever he or she carries it. This will help distribute the weight of the backpack evenly  across the back and promote good posture.    

3. Recognize signs that the backpack is too heavy.  Pay attention to whether your child is  slouched or leaning to one side when wearing a backpack or is experiencing any type of  back pain, tingling or numbness in the shoulders or arms.  

4. Select the proper backpack.  Enhance comfort and safety by purchasing a backpack with  multiple compartments, so that weight is more evenly distributed.  Padded straps can also  help prevent straps from cutting into shoulders.  Newer backpacks with wheels are also an  option, provided that the handle extends long enough to allow children to stand upright  while pulling it.  The backpack and wheels must also be sturdy enough so that it does not  topple over.

5. Pick up the backpack properly.  Teach your child how to pick up his or her backpack by  demonstrating how to bend at the knees and grasp the pack with both hands before putting  it on.   

“Pain and injury caused by backpacks can be avoided,” says Hunt. “Encourage your child to pay  attention to this issue in September and throughout the school year.”

The Cedars-Sinai Orthopedic Center is a comprehensive and advanced center dedicated to the  evaluation, diagnosis and treatment of orthopedic diseases, disorders and injuries.  The center,  which also offers minimally invasive and reconstructive surgery, treats both children and adults.  


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The first of seven hospitals in California whose nurses have been honored with the prestigious Magnet designation, Cedars-  Sinai Medical Center is one of the largest nonprofit academic medical centers in the Western United States. For 18  consecutive years, it has been named Los Angeles’ most preferred hospital for all health needs in an independent survey of  area residents. Cedars-Sinai is internationally renowned for its diagnostic and treatment capabilities and its broad spectrum  of programs and services, as well as breakthroughs in biomedical research and superlative medical education. It ranks  among the top 10 non-university hospitals in the nation for its research activities and is fully accredited by the Association for  the Accreditation of Human Research Protection Programs, Inc. (AAHRPP).          

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