Below is some of the information that AOTA and clinicians across the country will be sharing with teachers, administrators, parents, medical professionals and child caregivers during the month of September.
Backpack Strategies for
Parents and Students
aching backs and shoulders? Tingling arms? Weakened muscles? Stooped posture? Does your child
have these symptoms after wearing a heavy school backpack? Carrying too much weight in a pack or
wearing it the wrong way can lead to pain and strain. Parents can take steps to help children load and
wear backpacks the correct way to avoid health problems.
Loading a Pack
• A child’s backpack should weigh no more than about 10% of his or her
body weight. This means a student weighing 100 pounds shouldn’t
wear a loaded school backpack heavier than about 10 pounds.
• Load heaviest items closest to the child’s back (the back of the pack).
• Arrange books and materials so they won’t slide around in the
backpack.
• Check what your child carries to school and brings home. Make sure
the items are necessary for the day’s activities.
• If the backpack is too heavy or tightly packed, your child can hand
carry a book or other item outside the pack.
• If the backpack is too heavy on a regular basis, consider using a book bag on wheels if your child’s
school allows it.
Wearing a Pack
• Distribute weight evenly by using both straps. Wearing a pack slung over
one shoulder can cause a child to lean to one side, curving the spine and
causing pain or discomfort.
• Select a pack with well-padded shoulder straps. Shoulders and necks have
many blood vessels and nerves that can cause pain and tingling in the
neck, arms, and hands when too much pressure is applied.
• Adjust the shoulder straps so that the pack fits snugly on the child’s back.
A pack that hangs loosely from the back can pull the child backwards and
strain muscles.
• Wear the waist belt if the backpack has one. This helps distribute the pack’s
weight more evenly.
• The bottom of the pack should rest in the curve of the lower back. It should
never rest more than four inches below the child’s waistline.
• School backpacks come in different sizes for different ages. Choose the right size pack for your child
as well as one with enough room for necessary school items.
Need More Information?
For more facts on backpack safety, see “Backpack Facts: What’s All the Flap About?”
If you would like to consult an occupational therapy practitioner about an ergonomic evaluation
regarding backpacks, computer use, or other learning-related issues, talk to your child’s teacher about
whether a referral to occupational therapy is appropriate. Your physician, other health professionals,
and your school district’s director of special education may also be able to recommend an occupational
therapy practitioner.
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