Backpacks:
Today’s Fashion or Fashion Disaster
By Gwenn Schurgin
O’Keeffe, MD, FAAP
Your
Childs’s Health, Parents
and Kids and MetroWest
Daily News
July
26, 2005
A
child’s backpack is an amazing amalgam
of fashion and function. As our children get
solidly into elementary school and beyond,
the look of the bag becomes as important as
what is inside – and perhaps even more
so. They must have some sort of magical power
because they can hold a seemingly endless
array of stuff. Given how large these bags
become when fully loaded, it’s not a
surprise that few backpacks are actually carried
on backs. You’ll see them everywhere
else, however: slung over shoulders, pulled
on wheels, sitting on the ground, and even
airborne. If your children are in any of these
categories, then a lifetime of back woes likely
has already begun.
Backpack’s are
one of the leading causes of injury to children
with more than 7000 children injured last
year due to overloaded backpacks according
to the U.S.
Consumer Product Safety Commission.
Back experts recommend that backpacks weigh
no more than 10-15% of a child’s weight
but many kids carry at least 20% of their
weight. The type of injuries caused by backpacks
are more varied than you may realize. The
most typical injuries are shoulder and back
strain from improper backpack use and overloading.
Shoulders and backs are not the only part
of the body at risk from backpacks, however.
Many children each year actually injure their
feet, toes and legs from tripping over heavy
backpacks put on the ground to give their
owner’s backs a break. Head trauma and
lacerations have also been reported from children
using their backpacks as impromptu balls.
Backpacks indeed put the entire body at risk.
Helping our children
not only choose a proper backpack but wear
it correctly will dramatically reduce a child’s
chance of injury. According to Dr. Maurice
Albright, Pediatric Orthopedist at Massachusetts
General Hospital, most back and shoulder pain
in children is avoidable by simply wearing
the backpacks correctly and resisting the
temptation to sling the back from one shoulder.
Additionally, the straps should hold the bag
close to the body fairly snugly. Spreading
the contents throughout all the compartments
will help distribute the weight more evenly
in the bag but in the end it’s the overall
weight that matters.
Just like with clothes, backpacks are actually
sized. Just like we would never have our children
wear adult sized shoes, we need to be careful
they are not hauling adult size backpacks.
In addition to the weight of the actual pack,
a fully loaded backpack may end up weighing
more than your child! True outdoor stores
such as LL
Bean and EMS have lines of backpacks
designed just for children but you can find
similar items at local retail stores. When
buying a backpack, there are a number of issues
to consider. The ideal backpack will have
wide shoulder straps and have straps for each
shoulder; weight can not be distributed evenly
over one shoulder and places too much strain
on that one joint. Padded backs and waist
straps are other features that help distribute
the load in the bag more evenly. It’s
also important to be careful the backpack
itself is not too heavy.
Rolling backpacks can
provide a relief from back strain. However,
many kids walk to school and pulling a backpack
may be difficult depending on the weather
and condition of the sidewalks. And, many
schools have multiple floors. Most kids, including
teenagers, would have difficulty hauling a
typical wheeled backpack up 1-2 stairs let
alone an entire flight or more.
Part of the issue is
certainly the amount of school materials kids
need to trek to classes each day. Many schools
strive to keep the school day flowing by not
allowing kids to return to lockers between
classes. As a result, many kids end of trekking
a huge amount of weight all day long. If your
child is in this position, talk to your child’s
school about alternatives to help decrease
the amount of weight needed to carry each
day.
Keep in mind that while
most backpack injuries are weight and use
related, some are due to tripping over packs
put on the ground. A few kids a year do break
toes and sprain ankles and wrists from tripping
over heavy backpacks put on the ground to
give their wearer a much needed break.
If your child does
complain of pain, ice and ibuprofen can provide
short term pain relief but ultimately your
child will need an evaluation by a doctor
to make sure a more significant injury has
not occurred. Any injury associated with a
deformity or substantial pain should be evaluated
right away.
So, as you embark on
back-to-school shopping, add backpack fitting
to the list and have kids try a few on for
size and comfort. In the end, your child will
find a backpack that provides the fashion
statement they desire with the safety and
fit features you know they need.
© 2005-2006 Pediatrics
Now.
All rights reserved. PEDIATRICS NOW is a trademark
of Pediatrics Now.
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