Exploring the impact of Backpack carrying on plantar pressure and gait patterns in children: A systematic review

Agarwal, Puspangi, Sharma, Abhishek, Rai, Richa Hirendra, Bansal, Nitesh, Sharma, Nidhi, Sidiq, Mohammad, Reddy Vajrala, V. Krishna, Shaphe, Mohammad Abu, Esht, Vandana, Malhotra, Nitesh, Kashoo, Faizan Zaffar and Chahal, Aksh (2025) Exploring the impact of Backpack carrying on plantar pressure and gait patterns in children: A systematic review. Journal of Bodywork and Movement Therapies, 42. pp. 875-884. ISSN 1360-8592

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Abstract

Background
Since ages backpacking has been accepted as an essential and convenient form of daily practice for carrying supplies to school. However, this daily act adds 8–12% of additional weight to the body’s stipulated weight, which imposes negative impact on one’s locomotor system.
Methods
Databases of PubMed, Google Scholar, PEDro, MEDLINE and Cochrane were searched in a thorough manner. Methodological quality was assessed independently by two authors, using JBI Critical Appraisal Checklist for Analytical Cross Sectional Studies.
Results
In total 18 studies with 2131 patients included in the review. The mean age of patients included is 15.2 ± 2.4 years. Backpack carriage significantly affects plantar pressure distribution and gait parameters in children. Increased pressure on the forefoot and heel regions was consistently reported, along with alterations in stride length, step width, and walking speed. Factors such as backpack design, load distribution, and individual characteristics further influenced these effects.
Conclusion
Findings reveal regular use of school backpack by children pose deteriorating impact on their plantar pressure, thereby affecting the spatiotemporal parameters of gait.

Item Type: Article
Keywords: Schools | Child | Plantar pressure | Foot | Gait
Subjects: Physical, Life and Health Sciences > Medicine
Physical, Life and Health Sciences > Biology
Social Sciences and humanities > Social Sciences > Social Sciences (General)
JGU School/Centre: Jindal School of Public Health and Human Development
Depositing User: Dharmveer Modi
Date Deposited: 23 Feb 2025 11:59
Last Modified: 23 Feb 2025 11:59
Official URL: https://doi.org/10.1016/j.jbmt.2025.02.009
URI: https://pure.jgu.edu.in/id/eprint/9152

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