Abstract
Background
Carrying heavy backpacks could cause a wide spectrum of pain related musculoskeletal disorders and postural dysfunctions.
Objective
To determine the changes in various postural angles with different backpack weights in preadolescent children.
Design
Cross-sectional.
Participants
Healthy male school-children (n=200), mean (SD) age: 12.5 (0.5) years, from high schools in Mangalore, India.
Measurements
Bodyweight and height were measured using a forceplate and stadiometer, respectively. From the weight recorded, 5%, 10%, 15%, 20%, and 25% of the bodyweight were calculated and implemented as their respective backpack loads. The Image Tool version 3.0, digitizing software was used for analyzing photographs to determine craniovertebral (CV), head on neck (HON), head and neck on trunk (HNOT), trunk and lower limb angles. Postural angles were compared with no backpack and with backpacks weighing 5% to 25% of the subject’s bodyweight.
Results
The CV angle changed significantly after 15% of backpack load (P<0.05). The HON and HNOT angles changed significantly after 10% of backpack load (P<0.05). The trunk and lower limb angle also changed significantly after 5% of backpack load (P<0.05).
Conclusions
Carrying a backpack weighing 15% of body weight change all the postural angles in preadolescent children.
Similar content being viewed by others
References
Voll HJ, Klimt F. On strain in children caused by carrying schoolbags. (From Diebeanspruchung des kindes durch die schultasche: translated by Theodridis D). Offentliche Gesundheitswesen 1977; 39: 369–378. [German].
Grimmer K, Dansie B, Milanse S, Ubon P, Patricia T. Adolescent standing postural response to backpack loads: A randomized controlled experimental study. BMC Musculoskeletal Disorders 2002; 3: 10.
Mayank M, Upendar S, Nishat Q. Effect of backpack loading on cervical and shoulder posture in Indian school children. Indian J Physiotherapy Occupational Therapy 2006; 1: 3–12.
Lanes T, Gauron E, Spratt K, Wernimont T, Found E, Weinstein J. Long term follow up of patients with low back pain treated in a multidisciplinary rehabilitation program. Spine 1995; 20: 801–806.
Shumway CA. Control of normal mobility. In: Shumway CA, Woollacott MH, Eds. Motor Control: Theory and Practical Applications. Maryland USA: Lippincott Williams and Wilkins; 2001.p. 128–234.
Tulder M, Koes B, Bouter L. Conservative treatment of acute and chronic nonspecific low back pain. Spine 1997; 22: 2128–2156.
McKvoy MP, Grimmer K. Reliability of upright posture measurements in primary school children. BMC Musculoskeletal Disorders 2005; 6: 35.
Lafond D, Martin D, Normand MC, Harrison DE. Postural development in school children — A cross sectional study. BMC Chiropractic Osteopathy 2007; 15: 1.
Marsh AB, Diponio L, Yamakawa K, Khurana S, Haig AJ. Changes in posture and perceived exertion in adolescents wearing backpacks with and without abdominal supports. Am J Phys Med Rehabil 2006; 85: 509–515.
Poussa MS, Heliovaara MM, Seitsamo JT, Kononen MH, Hurmerinta KA, Nissinen MJ. Development of spinal posture in a cohort of children from the age of 11 to 22 years. Eur Spine J 2005; 14: 738–742.
Daniel HK, Monica LY, Alexander CK, Andrew D, Jack CY, Fiana YD, et al. The effect of backpack load on the gait of normal adolescent girls. Ergonomics 2005; 48: 642–656.
Penha PJ, Joao SMA, Casarotto RA, Amino CJ, Penteado DC. Postural assessment of girls between 7–10 years of age. Clinics (Sao Paulo) 2005; 60: 9–16.
Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Manual Therapy 2008; 13: 148–154.
Fernandez CDLP, Cristina AB, Maria LC, Gerwin RD, Pareja JA. Trigger points in the sub-occipital muscles and forward head posture in tension-type headache. Headache 2006; 46: 454–460.
Choudhary BS, Suneetha S, Deb PS. Forward head posture is the cause of straight spine syndrome in many professionals. Indian J Occup Environ Med 2000; 4: 122–124.
Lee WY, Okeson JP, Lindroth J. The relationship between forward head posture and temporomandibular disorders. J Orofac Pain 1995; 9: 161–167.
Griegel-Morris P, Larson K, Mueller-Klaus K, Oatis CA. Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther 1992; 72: 425–431.
Korovessis P, Koureas G, Zacharatos S, Papazisis Z. Backpacks, back pain, saggital spinal curves and trunk alignment in adolescents: a logistic and multinomial logistic analysis. Spine 2005; 15: 247–255.
Jing XL, Youlian H. Age difference in trunk kinematics during walking with different backpack weights in 6 to 12 year old children. Res Sports Med 2004; 12: 135–142.
Hong Y, Brueggemann GP. Changes in gait patterns in 10 year old boys with increasing loads when walking on a treadmill. Gait Posture 2000; 11: 254–259.
Haselgrove C, Straker L, Smith A, Sullivan OP, Perry M, Sloan N. Perceived school bag load, duration of carriage, and method of transport to school are associated with spinal pain in adolescents: an observational study. Aust J Physiother 2008; 54: 193–200.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ramprasad, M., Alias, J. & Raghuveer, A.K. Effect of backpack weight on postural angles in preadolescent children. Indian Pediatr 47, 575–580 (2010). https://doi.org/10.1007/s13312-010-0130-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13312-010-0130-2