Copyright 2011 American Academy of Orthopaedic Surgeons
Backpack Safety

Backpacks are a popular and practical way for children and teenagers to carry schoolbooks and supplies. They are designed to distribute the weight of the load among some of the body's strongest muscles. When used correctly, backpacks can be a good way to carry the necessities of the school day.

Tips for Proper Use of Backpacks

Backpacks that are too heavy or are worn incorrectly can cause problems for children and teenagers. Improperly used backpacks may injure muscles and joints. This can lead to severe back, neck, and shoulder pain, as well as posture problems.

Although they are linked to posture problems, heavy backpacks do not cause scoliosis. Scoliosis is a sideways curve of the spine that often shows up in children during adolescence.

The following guidelines can help your family use backpacks safely.

Choosing the Right Backpack

The correct use of both of the wide, well-padded shoulder straps will help distribute the weight of the backpack.
When choosing a backpack, look for some of the following features.

  • Wide, padded shoulder straps
  • Two shoulder straps
  • Padded back
  • Waist strap
  • Lightweight backpack
  • Rolling backpack
Injury Prevention

Always use both shoulder straps. Tighten the straps so that the pack is close to the body.
To prevent injury when using a backpack, do the following:

  • Always use both shoulder straps
  • Tighten the straps
  • Pack light
  • Organize
  • Remove items
  • Lift properly
  • Build muscle strength
Tips for Parents

Parents also can help.

  • Encourage your child or teenager to tell you about pain or discomfort that may be caused by a heavy backpack.
  • Do not ignore any back pain in a child or teenager.
  • Talk to the school about lightening the load.
  • Be sure the school allows students to stop at their lockers throughout the day. Team up with other parents to encourage changes.
  • If your child has back pain that does not improve, consider buying a second set of textbooks to keep at home.
Last reviewed: April 2011

Reviewed by members of POSNA (Pediatric Orthopaedic Society of North America)

AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS "Find an Orthopaedist" program on this website.
Copyright 2011 American Academy of Orthopaedic Surgeons
Related Topics
Back Pain in Children (http://orthoinfo.aaos.org/topic.cfm?topic=A00036)
Idiopathic Scoliosis in Children and Adolescents (http://orthoinfo.aaos.org/topic.cfm?topic=A00353)
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