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Backpack Safety Tips

by Jean Herauf, SLP | Clinic Manager

A backpack that isn’t used properly can cause back problems or even injury. Children — or anyone wearing a backpack — should follow these simple tips provided by our physical and occupational therapists.

Tips for Safely Wearing a Backpack

1. Wear both straps.

Use of one strap causes one side of the body to bear the weight of the backpack. By wearing two shoulder straps, the weight of the backpack is better distributed across the shoulders.

2. Wear the backpack over the strongest mid-back muscles.

Pay close attention to the way the backpack is positioned on the back. It should rest evenly in the middle of the back. Shoulder straps should be adjusted to allow the child to put on and take off the backpack without difficulty and allow free movement of the arms. Straps should not be too loose. The backpack should not extend below the low back.

3. Lighten the load.

Keep the load at 10-15% or less of the child’s body weight. Carry only those items that are required for the day or find a new lightweight backpack. Organize the contents of the backpack by placing the heaviest items closest to the back. Some students have two sets of books so as not to have to carry the heavy books to and from school. A backpack with wheels can also help if the child has to carry greater than 15% of their body weight.

How a Physical or Occupational Therapist Can Help

A physical therapist (PT) or occupational therapist (OT) can help you choose a proper backpack and fit it specifically to your child. Children come in all shapes and sizes, and some have physical limitations that require special adaptations.

RehabVisions Dickinson‘s therapists are experts who improve quality of life through hands-on care, patient education and prescribed movement. We can help improve posture problems, correct muscle imbalances and treat pain that can result from improper backpack use. We can also design individualized fitness programs to help children get strong and stay strong—and carry their own loads, safely.

We also offer speech therapy for those experiencing difficulties with their skills of communication or interaction with others.


To schedule an evaluation with one of our therapists, please contact us today: 701-483-9400 (State Ave Clinic) or 701-456-4387 (CHI St. Alexius).

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