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Problem-Solving Before Instruction (PS-I): A Protocol for Assessment and Intervention in Students with Different Abilities
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Published on: September 11, 2021

The backpack problem is evident but the solution is less obvious.

Debra Lindstrom-Hazel1

  • 1Department of Occupational Therapy, Western Michigan University, Kalamazoo, MI 49009, USA. dhazel@wmich.edu

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|April 17, 2009
PubMed
Summary

School-aged children may be at risk for back pain from backpacks. Current evidence lacks consistent support for weight recommendations and carrying behaviors, with a call to examine psychosomatic factors in pediatric back pain.

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Area of Science:

  • Pediatrics
  • Musculoskeletal Health
  • Public Health

Background:

  • Backpack use is common among school-aged children and adolescents.
  • Concerns exist regarding the potential link between backpack carriage and pediatric back pain.
  • Understanding risk factors and protective behaviors is crucial for preventing long-term musculoskeletal issues.

Purpose of the Study:

  • To systematically review literature (2003-2007) on the risk of back pain in children due to backpack use.
  • To determine if adolescent backpack use predicts adult back pain.
  • To identify behaviors that influence the risk of back pain and injury from backpacks.

Main Methods:

  • A systematic literature search was conducted across multiple databases (Cochrane, PubMed, ERIC, etc.).
  • Keywords included "backpack," "back pain," "children," "adolescents," and "physical fitness."
  • Sixty-three articles were analyzed to address the three primary research questions.

Main Results:

  • Ten articles addressed the epidemiological question of children's risk.
  • Two articles examined the long-term risk of back pain in adulthood.
  • Seven articles focused on behavioral factors influencing back pain risk.

Conclusions:

  • Current research provides inconsistent support for specific weight recommendations and carrying behaviors.
  • Psychosomatic behaviors are suggested as potential predictors of back pain in childhood and adolescence.
  • Further research is needed to establish clear guidelines for backpack use and injury prevention.