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School Health Featured Article
 

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Injured by a Backpack?
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Students use backpacks to transport their school work as much as 80-94% of the time. Parents are often concerned this may cause back injuries. But this is not clearly so. Some scientific studies find no association between back pain in school age children and their use of a backpack, while other studies do. One of the most commonly cited statistics on backpack injuries comes from the US Consumer Product Safety Commission (US-CPSC), which reported that backpacks were associated with 12,688 injuries between 1999 and 2000. Many have assumed that the vast majority of these injuries occurred as result of wearing backpacks (and taking them off and putting them on). Another assumption is that students' backs are the most frequently injured body parts. Several researchers set out to study the nature of backpack injuries by taking a very close look at details of these 12,688 backpack-related injuries reported by the USCPSC.

Most backpack-related injuries occur because children trip over their backpacks (28%)! Another common reason for a backpack injury is getting hit by one (13%). Most are hit accidentally, but backpacks have been used as weapons. Wearing a backpack accounts for 13% of injuries. Lifting a backpack accounts for 8%. Reaching for something in a backpack, accounts for 3% of injuries. Taking off a backpack accounts for 2% of injuries.

The three most likely body parts to be injured are the head (22%) and the hand (14%) and the wrist (13%). Most head injuries are related to lacerations to scalp and face. Most hand injuries result from reaching into the backpack and puncturing one's hand on a pencil or jamming one's fingers. Foot and shoulder injuries are tied for fourth and fifth most common body locations to
be injured. Finally, back injuries are the sixth most common (11%), followed by neck injuries (6%). The authors conclude that actual use of a backpack is not exceptionally dangerous and that efforts should be directed more to reducing potential backpack injuries rather than on backpack redesign or restricting loads. (Wiersema BM et al: Pediatrics 2003. 111(1):163-166.)

Comment: This data studied emergency room cases. Other evidence points to complaints of ongoing back pain from backpacks to be relatively low as well, given the number of children using these packs. As such, teaching children about proper lifting and wearing of backpacks may not reduce many near-term injuries. Nevertheless teaching proper lifting techniques now can entrench "backsaving" habits for many years to come. -H.T.

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Previous Articles:


February 2004 Children Missing Physical Activity
New Growth Charts
  Poisoning First Aid
  Injured by a Backpack
  Preventing and Controlling Flu
  Teachers' Attitudes About CPR and AEDs
  Kids With Food Allergies: Poorer Nutrition?
  Kids Count
September 2003 September is National Lice Prevention Month!
August 2003 Clean Hands - Procedures and Products to Protect Health
May 2003 School Nursing: What It Was and What It Is
April 2003 Substance Abuse: Prevention, Recognition, and Treatment
March 2003 Healthy People 2010: Weight Management and Physical Activity Focus Areas
February 2003 February is American Heart Month
February 2003 February is National School-Based Health Center Awareness Month
December/January 2003 Mercury Thermometers: Are they really a hazard?
October/November 2002 The ABC's of Diabetes Care
September 2002 Surviving Asthma Season
July/August 2002 Immunizations: Another Aspect of Homeland Security










 

 


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