What do chiropractors say about children with heavy backpacks?

Your chiropractor knows this can result in poor posture and a misaligned spine. The longer a child carries the extra weight he or she may have pain, muscle stiffness, and problems with flexibility and range of motion. Backpack wearing can significantly increase the child's potential for injury.



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Tight, narrow straps that dig into your shoulders can cause tingling, numbness, and weakness in your arms and hands. Carrying a heavy pack can make people more likely to fall, particularly on stairs or other places where the backpack puts the wearer off balance.

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Scoliosis is not a condition caused by carrying a heavy load (not even a very heavy one). Scoliosis is also not caused by childhood sports injuries, heavy backpacks full of books or hiking gear. Heavy loads may cause back, neck and shoulder pain, but scoliosis develops in different ways.

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A loaded backpacking pack should not weigh more than about 20 percent of your body weight. (If you weigh 150 pounds, your pack should not exceed 30 pounds for backpacking.) A loaded day hiking pack should not weigh more than about 10 percent of your body weight.

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Lighten the load: Use the bathroom scale to check that a pack isn't over 10% to 20% of your child's body weight. For example, a child who weighs 80 pounds shouldn't carry a backpack that weighs more than 8 to 16 pounds.

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Walking outdoors with a weighted backpack builds strength, endurance and clears out the cobwebs. “Rucking” is a form of military training. People are discovering its mental-health benefits, too.

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Slinging a backpack over one shoulder can cause a person to lean to one side to compensate for the uneven weight. This can curve the spine. Over time, this can cause lower and upper back pain, strained shoulders and neck, and even functional scoliosis (curvature of the spine).

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Back pain from carrying backpacks can be avoided with the following solutions:
  1. • Check your posture. Carrying a backpack, especially a heavy one can change your spinal alignment. ...
  2. • Lessen the load. ...
  3. • Wear your backpack properly. ...
  4. • Consider backpacks with padded shoulder straps. ...
  5. • See a specialist.


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As children do not carry their backpacks for the entire day, thankfully, it does not or minimally affects their growth. While weighty backpacks may cause hunchback or spinal curvature, it should not result in permanent spinal deformities or scoliosis unless the child already had these as pre-existing conditions.

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Conclusion. Based on evidence from five longitudinal studies (n=1851 children and adolescents) and more than 60 cross-sectional studies, there is no convincing evidence that aspects of schoolbag use increase the risk of back pain. There is some evidence that the perception of heaviness is associated with back pain.

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Overloaded backpacks may strain muscles and joints, cause neck pain, and can lead to headaches. Heavy backpacks can also pinch or strain nerves at points of contact.

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Backpack palsy is a rare but well-established cause of brachial plexus injury, arising as a result of heavy backpack use. We present an unusual case of backpack palsy with Horner's syndrome. Keywords: Plastic and reconstructive surgery, Accidents, injuries, Neurological injury, Peripheral nerve disease, Trauma CNS /PNS.

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