August 11, 2024
Head Back To School With A Healthy Back
Head Back To School With A Healthy Back
Fall is on the way, and so are school buses and students carrying…backpacks. You might not think much about those bags full of books, pencils, crayons, and computers, but physical therapists do.
Research has shown that carrying a heavy backpack changes students' posture, walking speed, step length, and more. Unsurprisingly, we also know that as students walk greater distances and become more fatigued, these changes worsen.
These changes can lead to neck pain, back pain, or other musculoskeletal issues.
Studies have shown that changes in posture and performance start to occur when the backpack weighs 10% of the student's body weight. Experts agree that students should not carry more than 15% of their body weight in a backpack.
Unfortunately, most data show that more than half of students carry more than the recommended load.
Why Backpacks Matter
Students will always have things to carry between home and school. A backpack is a great way to do that, but if they're too heavy, they can cause problems.Research has shown that carrying a heavy backpack changes students' posture, walking speed, step length, and more. Unsurprisingly, we also know that as students walk greater distances and become more fatigued, these changes worsen.
These changes can lead to neck pain, back pain, or other musculoskeletal issues.
How Heavy Is Too Heavy?
How much weight a student can safely carry is directly affected by their weight.Studies have shown that changes in posture and performance start to occur when the backpack weighs 10% of the student's body weight. Experts agree that students should not carry more than 15% of their body weight in a backpack.
Unfortunately, most data show that more than half of students carry more than the recommended load.
5 Tips for Parents and Students
To reduce backpack weight and help your student avoid pain, here are a few tips:- Plan ahead - Each night, go through the backpack and remove items not needed the next day. Likewise, ensure your student doesn’t bring things home they won't need that night.
- Use your locker - Planning ahead can help remove extra weight between home and school. The locker can lighten the load during the school day. Students can avoid carrying extra loads during the school day by making a few stops at their lockers.
- Pack right - Heavier items should be placed close to the student's back, and lighter items should be placed further away.
- Wear it right - Using both shoulder straps and front or hip straps, if you have them, helps distribute the load evenly. The bottom of the pack should be even with the bottom of the low back. Packs worn too high or low exaggerate postural changes and can restrict movement.
- Pick the right pack - If you're shopping for a new backpack, look for one with two straps rather than one. A chest strap and hip belt can help distribute the load. The pack should also be sized appropriately - no longer than the student's torso.
References
- The Influence of the Weight of the Backpack on the Biomechanics of the Child and Adolescent: A Systematic Review and Meta-analysis With a Meta-Regression https://www.ingentaconnect.com/content/wk/pep/2023/00000035/00000002/art00007
- Backpack use in children. Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association. 2002 ;14(3):122-131. https://doi.org/10.1097/00001577-200214030-00002
- Effects of Educational session on school backpack use among elementary school students https://www.scielo.br/j/rbfis/a/Y8XW48pPRmSrZbYBrJKPtct/?lang=en&format=html#
- Effect of Backpack Load Carriage on Cervical Posture in Primary Schoolchildren. 1 Jan. 2012 : 99 – 108. https://content.iospress.com/articles/work/wor01289
Articles/Content
- 3 Tips for Backpack Safety https://www.choosept.com/health-tips/3-tips-backpack-safety
- Backpack Tips from a Pediatric Physical Therapist https://www.highbarhealth.com/blog/backpack-tips-from-a-pediatric-physical-therapist
- Is your child's backpack making the grade? http://www.alternatives4children.org/news/pdfs/PT%20RESOURCES%202020/Children%20and%20Backpacks.pdf

By Emily Herndon
•
March 14, 2026
When someone starts physical therapy, they often say their goal is simple: “I just want to get better.” But if you ask ten people what “better” means, you will probably get ten different answers. For one person, recovery might mean running a local 5K again. For another, it might mean gardening without back pain, casting a fishing line at the river, or simply picking up a grandchild without discomfort. At Plains Physical Therapy, we believe physical therapy is about more than just healing an injury. It’s about helping you return to the life and activities that matter most to you. HEALING IS MORE THAN CLINICAL MEASUREMENTS Physical therapists are trained to focus on the clinical side of recovery, including: Reducing inflammation Improving range of motion Building strength and balance Restoring mobility The real goal of physical therapy isn’t just to improve numbers on a chart — it’s to help you return to the activities that define your daily life. YOU ARE THE MOST IMPORTANT MEMBER OF YOUR CARE TEAM Your physical therapist brings clinical expertise. But you are the expert on your life. That’s why the best physical therapy outcomes happen when recovery becomes a partnership between patient and therapist. HOW YOU CAN HELP GUIDE YOUR RECOVERY Identify Your 'North Star' Think about one activity your injury is preventing you from doing. This becomes the guiding goal for your treatment plan. Examples might include hiking, gardening, playing pickleball or golf, sleeping comfortably through the night, or lifting your children or grandchildren. Share the Small Details Sometimes the most helpful information comes from everyday moments — like knee pain when going downstairs, neck stiffness after computer work, or shoulder pain reaching overhead. These details help your therapist design exercises that mimic real-world movements. Write Down Your Goals Before Your Appointment Before your first visit, write down three things you want to do again without pain. Bringing this list to your evaluation helps make therapy a collaborative plan. MOTIVATION MATTERS IN RECOVERY Sticking with a home exercise program can sometimes feel repetitive. But when every exercise connects to a meaningful goal — like returning to the golf course, gardening again, or walking without pain — it becomes much easier to stay motivated. PHYSICAL THERAPY IS A PARTNERSHIP At Plains Physical Therapy, we believe recovery works best when your treatment plan reflects your life, your goals, and your priorities. Your therapy should be as unique as you are. Because getting stronger is great — but getting back to the activities that make life meaningful is even better. Ready to start your recovery? Contact Plains Physical Therapy to schedule an evaluation and begin a personalized treatment plan designed around the goals that matter most to you.











