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Selecting and Using Backpacks Safely

Here are some suggestions from experts in health care and ergonomics that can help your child avoid injury from carrying a backpack:

Proper backpack fit

  • It should be lightweight.
  • It should not be larger than the child's back.
  • Backpacks should not extend more than 4 inches below the child's waist.
  • Wide, padded, adjustable straps distribute the load over the shoulders.
  • A waist strap helps distribute the weight and transfer the load to the hips; this is especially important for students with thin bodies.
  • A padded back adds comfort.
  • A lumbar support in the padding will help prevent slouching.
  • Separate compartments keep items organized and prevent shifting of weight.
  • A strap between the shoulders prevents slouching.
  • Bigger is not better because more weight can be carried.
  • Backpacks on wheels may be advisable.

    Correct backpack use

  • Children should be instructed to use both shoulder straps.
  • Tighten the shoulder straps so that the backpack hangs slightly below the shoulders with no more that 4 inches hanging below the waist line (belly button, not the hips).
  • Use the waist and chest straps.
  • Wear the pack only when necessary.

    Safe backpack weight

    Both the American Academy of Orthopedic Surgeons and American Physical Therapy Association recommend these backpack weight limits:

  • 60 lbs. can carry a maximum of a 5 lb. backpack
  • 60-75 lbs. can carry 10 lbs.
  • 100 lbs. can carry 15 lbs.
  • 125 lbs. can carry 18 lbs.
  • 150 lbs. can carry 20 lbs.
  • 200 lbs. can carry 25 lbs.
  • No one should carry more than 25 lbs. in a backpack.
  • Pack only the essentials.
  • Pack heavier items at the bottom to transfer the weight to the hips.
  • Separate compartments help keep the load from shifting.
  • Flat items should rest against the back to keep bulky or pointy items away from the child's back.
  • Determine whether additional weight of sports or musical equipment will be carried.

    Prepared by Kimberlee Dunn RN, BS, MS, School Nurse, The Wellington School, Columbus, Ohio.

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