Frequency of low back pain and its association with school bag weight in school children
DOI:
https://doi.org/10.33897/fujrs.v6i1.447Keywords:
Children, ergonomics, low back pain, postures, school bagsAbstract
Background: Low back pain (LBP) is a common health concern among school-going children, often linked to carrying heavy school bags. Excessive backpain weight can contribute to musculoskeletal. Discomfort, poor posture, and long-term spinal issues. Despite growing awareness. there is limited region-specific data on this association.
Objective: This study aimed to determine the frequency and relationship of low back pain with the weight of school bags among school-going children.
Methods: A cross-sectional survey (ethical approval number IRB-267SBBDU-20) was condu8cted between June and November 2020, involving 321 school children who met specific inclusion criteria. A self-administered questionnaire was used to collect data on demographic Characteristics, backpain symptoms, and student’s perception of their school bag weight. Statistical analysis was performed using SPSS version 22.
Results: On 321 school age children, 93.4% (n=300) reported low back pain (LBP), with 45.2% (n=145) experiencing it once a month frequently. LBP prevalence did not differ significantly by gender (p > 0.05), though higher in boys (54.52%, n=175) than girls (38.94%, n=125). Significant associations included carrying more than six books (93.14% of those with LBP, ?²=273.6, p<0.001), walking to school with a big bag (60.12% vs 33.33%, ?²=45.1, p<0.01), while study posture showed no significance (p=0.136).
Conclusion: According to the study, children enrolled in school experience low back discomfort frequently (93.4%), with the most frequent occurrence occurring once a month. Poor study postures, walking to school with large school bags, and carrying heavy school bags were found to be significantly associated with LBP.
References
American occupational Therapy Association.Backpack Awareness: One of Many Ways That Occupational Therapists Serve Students. 2009 29:59-68
Aundhakar CD, Bahatkar KU, Padiyar MS, Jeswani DH, Colaco S. Back pain in children associated with backpacks. Indian J Pain 2015;29:29.
Avantika Rai1, Shalini Agarawal2 Back Problems Due To Heavy Backpacks in School Children IOSR Journal Of Humanities And Social Science (2013) 2279-0837
Ayed HB, Yaich S, Trigui M, Hmida MB, Jemaa MB, Ammar A, Jedidi J, Karray R, Feki H, Mejdoub Y, Kassis M. Prevalence, risk factors and outcomes of neck, shoulders and low-back pain in secondary-school children. Journal of research in health sciences. 2019 Mar 26;19(1):e00440.
Calvo-Muñoz I, Kovacs FM, Roqué M, Fernández IG, Calvo JS. Risk factors for low back pain in childhood and adolescence: a systematic review. The Clinical journal of pain. 2018 May 1;34(5):468-84.
Cavallo CM, Hlavaty TM, Tamase MG. A pilot study for the development of a primary prevention program: What is the average weight of a fourth grader’s backpack? Work. 20, 2002, 137-158
Dockrell S, Simms C, Blake C. Schoolbag carriage and schoolbag-related musculoskeletal discomfort among primary school children. Appl Ergon. 2015;51:281-90
Ferreira ML, De Luca K, Haile LM, Steinmetz JD, Culbreth GT, Cross M, Kopec JA, Ferreira PH, Blyth FM, Buchbinder R, Hartvigsen J. Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. The Lancet Rheumatology. 2023 Jun 1;5(6):e316-29.
Jones GT, Macfarlane GJ. Epidemiology of low back pain in children and adolescents. Arch Dis Child. 2005;90(3):312–6.
Jones GT, Watson KD, Silman AJ, Symmons DP, Macfarlane GJ. Predictors of low back pain in British schoolchildren: a population-based prospective cohort study. Pediatrics 2003;111 822-8
Lynch AM, Kashikar-Zuck S, Goldschneider KR, Jones BA. Psychosocial risks for disability in children with chronic back pain. J Pain 2006;7:244-51
Minghelli B, Nunes C, Oliveira R. Back school postural education program: Comparison of two types of interventions in improving ergonomic knowledge about postures and reducing low back pain in adolescents. International Journal of Environmental Research and Public Health. 2021 Apr 22;18(9):4434.
Minghelli B. Musculoskeletal spine pain in adolescents: Epidemiology of non-specific neck and low back pain and risk factors. Journal of Orthopaedic Science. 2020 Sep 1;25(5):776-80.
Mughal ZU, Shafique MA, Aheed B, Khan NA, Syed N, Haseeb A. The burden of back and neck pain in the youth of Pakistan. Journal of Medicine, Surgery, and Public Health. 2024 Apr 1;2:100034
Natour J, Cazotti Lde A, Ribeiro LH, Baptista AS, Jones A. Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015; 29:59-68.
Potthoff T, de Bruin ED, Rosser S, Humphreys BK, Wirth B. A systematic review on quantifiable physical risk factors for non-specific adolescent low back pain. Journal of pediatric rehabilitation medicine. 2018 Jul 4;11(2):79-94.
Robalo L: Epidemiology of Non-Specific Back Pain in Children and Adolescents: a Systematic Review of Observational Studies, vol. 05; 2015.
Roberts SB, Calligeros K, Tsirikos AI. Evaluation and management of paediatric and adolescent back pain: Epidemiology, presentation, investigation, and clinical management: A narrative review. Journal of Back and Musculoskeletal Rehabilitation. 2019 Nov;32(6):955-88.
Rodríguez-Oviedo P, Santiago-Pérez MI, Pérez-Ríos M, Gómez-Fernández D, Fernández-Alonso A, Carreira-Núñez I, García-Pacios P, Ruano-Ravina A. Backpack weight and back pain reduction: effect of an intervention in adolescents. Pediatric research. 2018 Jul;84(1):34-40.
Shehab D, Al-Jarallah K, Al-Ghareeb F, Sanaseeri S, Al-Fadhli M, Habeeb S. Is low-back pain prevalent among Kuwaiti children and adolescents? A governorate-based study. Med Princ Pract. 2004;13(3):142–6.
Smith, B. Ashton, K. Bohl, D. et al. Influence of carrying a backpack on pelvic tilt, rotation, and obliquity in female college students. Gait & Posture, (2006) 23, 263–267
Spiteri K, Busuttil ML, Aquilina S, Gauci D, Camilleri E, Grech V. Schoolbags and back pain in children between 8 and 13 years: a national study. British journal of pain. 2017 May;11(2):81-6.
Sundas R, Ghous M, Sehar S. Association of backpack loads and wearing time with musculoskeletal disorders in school children of Wah Cant Pakistan: Correlational study.
Voll HJ, Klimt F Strain in children caused by carryings schoolbag. Offentl Gesundheitswesen.; .(1977 39:369-378
Yamato TP, Maher CG, Traeger AC, Wiliams CM, Kamper SJ. Do schoolbags cause back pain in children and adolescents? A systematic review. British Journal of Sports Medicine. 2018 Oct 1;52(19):1241-5
Yao W, Mai X, Luo C, Ai F, Chen Q. A cross-sectional survey of nonspecific low back pain among 2083 schoolchildren in China. Spine (Phila Pa 1976). 2011;36(22):1885–90.
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