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Adjust Your Child's Backpack

Backpack Misuse Can Lead to Chronic Back Pain

By Dr. Nukaya & Dr. Arrington

Back pain is pervasive among American adults, but a new and disturbing trend is emerging. Young children are suffering from back pain much earlier than previous generations, and the use of overweight backpacks is a contributing factor.

This new back pain trend among youngsters isn’t surprising when you consider the disproportionate amounts of weight they carry in their backpacks - often slung over just one shoulder. A study conducted in Italy found that the average child carries a backpack that would be the equivalent of a 39-pound burden for the average adult man, or a 29-pound load for the average adult woman. Of those children in the study who carried heavy backpacks to school, 60 percent had experienced back pain as a result.

The results of these types of studies are especially important as more and more school districts forcing students to carry their books with them all day long. The ACA believes that limiting the backpack’s weight to no more than 10 percent of the child’s body weight and urging the use of ergonomically correct backpacks are possible solutions.

What Can You Do? Try the following tips to help prevent the needless pain that backpack misuse could cause the students in your household.

  • Make sure your child’s backpack weighs no more than 10 percent of his or her body weight. A heavier backpack will cause your child to bend forward in an attempt to support the weight on his or her back, rather than on the shoulders, by the straps.
  • The backpack should never hang more than four inches below the waistline. A backpack that hangs too low increases the weight on the shoulders, causing your child to lean forward when walking.
  • A backpack with individualized compartments helps in positioning the contents most effectively.
  • Make sure that pointy or bulky objects are packed away from the area that will rest on your child’s back.
  • Bigger is not necessarily better. More room means your child will carry more.
  • Urge your child to wear both shoulder straps. Lugging the backpack around by one strap can cause the disproportionate shift of weight to one side.
  • Wide, padded straps are very important. Non-padded straps are uncomfortable, and can dig into your child’s shoulders.
  • The shoulder straps should be adjustable so the backpack can be fitted to your child’s body. Straps that are too loose can cause the backpack to dangle uncomfortably and cause spinal misalignment and pain.
  • If the backpack is still too heavy, talk to your child’s teacher. Ask if your child could leave the heaviest books at school, and bring home only lighter hand-out materials or workbooks. Or encourage your local school district to purchase textbooks on digital formats.

What Can Chiropractic Do For You and Your Child? If you have additional questions about neck or back pain and what chiropractic care can do for your family call us today for a complimentary examination and consultation.

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August 23, 2026