Does your child look like one of these pictures when they head off to school?

Then this article is for you to improve the future of your child’s spine.

Backpacks are routinely bought because of how pretty they are, what super hero or cartoon character is on them, or how much can they hold. These are all very important to your child, but there are a few more criteria that parents should be looking at:

Top 10 things to know about a backpack to prevent injuries:

1. The American Academy of Pediatrics recommends that a backpack should not weigh more than 10 to 20 percent of the child’s body weight. If the child is complaining of discomfort, always keep it less than 10 percent of their body weight.
2. Put heavier items closer to the child’s body in the backpack, so that it does not pull the backpack away from their spine.
3. Parents should pick up their child’s backpack on a regular basis to feel its weight.
4. Backpacks should be worn with one strap on each shoulder, not hanging off one shoulder.  Use the abdominal strap if one is provided.
5. The backpack’s straps should be fitted snuggly over the child’s shoulders.
6. Make sure the backpack is positioned literally on the back - between the shoulders - and not resting on the child’s lower back or hips.
7. Have the appropriate size backpack. If the straps are tight and the back pack hangs down past the hips, the back pack is too big for this child.  It should rest above the hip line.
8. If your child has pain in their shoulders, neck or back- there are options with back packs with wheels.You might also ask the school to provide one set of books for school and one set for home.  These modifications sometimes require a physician note for the school.
9. If your child has more to carry than is recommended for the backpack, they can carry some items in their hands to balance the weight on the body. Make sure that they are not carrying more than 10 percent of their body weight.
10. If your child is complaining of pain after the backpack is removed and does not go away, seek a physician consult.

Please check out the below links to assist you with keeping your child happy and healthy this upcoming school year!

Dana S. Harrison, PT, MPT, Cook Children’s SPORTS Program/Rehab Manager

Related links:

• Cook Children's Sports Performance Orthopedic Rehab Team Specialists (SPORTS)
• Backpack safety for pre-grammar school
• Backpack safety for elementary school
• Backpack safety for teenagers

About the author

Dana Harrison, PT, MPT is Cook Children’s SPORTS program/Rehab manager. Our physicians, therapists, nurses and technologists work exclusively with kids and understand the unique needs of a growing athlete's bones, muscles, body and mind.

The problem is these apps simply aren’t for children under any circumstance and can lead to tragic consequences.

On Feb. 11, a 44-year-old Arlington man was arrested of sexually assaulting four students in the Keller ISD.

Reports say the man met the girls through a website called Seeking/Arrangement.com. Other sites parents should be concerned about include Grindr, Tinder and KIK.

“The problem with these message apps is that it’s really hard to find the perpetrators after they use them,” said Jamye Coffman, M.D., pediatrician and medical director for Cook Children’s Advocacy Resource and Evaluation. “That information is difficult to find. So it can be very anonymous. It’s very dangerous for teenagers because they don’t really know who is on the other side.”

With the GPS devices on the apps of these sites, your teenage kid could give a complete stranger the location of your home. They may come into mom and dad’s home without you even knowing it. 

Coffman said that the reason for the bad judgment can be directly related to basic science.

“Teenagers and younger-aged children just aren’t able from a developmental standpoint to really grasp the consequences of what they are doing,” Coffman said. “Their frontal lobe of their brain hasn’t finished developing. Their impulse control is not very good. It’s up to the parents to know what their kids are up to. They have to know what’s on their child’s phone. Parents need to look at their phones and see what apps they’re using and talk to them about it.”

And with kids becoming more tech savvy in elementary school, the need for conversations about predators and sex must begin at an earlier age than ever before.

“The goal is to get them to adulthood, right? Where they can learn and make their own decisions,” Coffman said. “They do have to have natural consequences. That’s the only way they are going to learn. So you do have to let them have some consequences but you don’t want it to be something that’s either life threatening or life altering. As a parent, you can’t allow that to happen. It’s hard as a parent to talk to your kid about sex and the dangers out there. It’s really hard to have those open, non-judgmental conversations. It may be your pediatrician, if you aren’t able to have that conversation. But someone has to talk to them. It’s too important to just ignore the issues facing our kids these days.”

Parents, want to keep your children away from predators? Then be a snoop.

That’s the advice of Dr. Coffman, who is not just talking as an expert in caring for and knowing the signs of abused children, she’s speaking as a mom.

“Parents need to be nosy,” Coffman said. “Your kids may say, ‘It’s my phone.” But you’re paying for it. It’s what I used to tell my kids growing up. If you live in my home, there is no supposition that you are going to have privacy. There is no privacy if I’m paying your bills. I have the right to go in your room. I have the right to look at your phone. I have the right to look in your backpack. I have the right to look in your mattress and in the ceiling tiles and anywhere else you might hide stuff because it’s my house. I think parents are hesitant to take that role. They are so conflicted in what’s Ok and what’s not Ok for their child’s privacy. It’s just a concern for safety. If it’s something that’s a safety issue, you have a right to know.”

Jody Hawkins, Information Security Officer at Cook Children’s, seconds Dr. Coffman’s sentiments regarding privacy of children. In presentations that he gives to parents, Hawkins cautions parents to lay down the rule early.

“This is my phone, on my plan, and I pay the bills,” he said. “If you do not follow my rules, then I stop paying for the phone you are borrowing from me. If I stop paying, the phone stops working. It’s as simple as that.

Hawkins encourages spyware to be installed on children’s phones by the parents. He asks parents, “Would you allow your child to take a stranger into the bathroom, lock the door and have no worries? They usually answer, ‘No.’ I then tell them that if they allow the child to take the phone into the bathroom with no monitoring, they could very well be doing it all the time.”

It’s the world we live in today. If you want to protect your children parents, be a snoop.