Correlations between Posture, Weight and Usage Patterns of Trolley School Bags with Musculoskeletal Pain in Junior Primary School Students

Main Article Content

วนิดา แก้วมุณี
สุลักษณา ศศิอังกูร
อัจฉรา คนเที่ยง
มัสตูเราะห์ อามิง
ศวิตา ไชยาวิจิตร

Abstract

Background: Trolley school bags were developed to reduce musculoskeletal pain problems by dragging instead of having to hold or carry the bag. However, due to the bag’s features, students can choose to hold or carry the bag, which may cause musculoskeletal pain, instead of dragging it.


Objective: To explore the correlation of posture, weight, and usage patterns of trolley school bags with musculoskeletal pain, in regards junior primary school students.


Methods: The study employed a cross-sectional descriptive design of 72 primary school students using trolley school bags. Pain area, levels of pain, posture when using trolley school bags, usage patterns of trolley school bags (drag - hold - carry) and the weight of school bags were assessed.


Results: Weight of trolley school bags, school bag weight per body weight (%BW) and usage patterns (get on and out of the car) were significantly correlated with musculoskeletal pain: p-value were 0.04, 0.013 and 0.014, respectively. However, posture and other usage patterns were not statistically significantly correlated with musculoskeletal pain.


Conclusion: Usage patterns (get on and out of the car), the weight of trolley school bags as well as school bag weight per body weight (%BW) appear to be factors associated with musculoskeletal pain reported by junior primary school students.

Article Details

How to Cite
1.
แก้วมุณี ว, ศศิอังกูร ส, คนเที่ยง อ, อามิง ม, ไชยาวิจิตร ศ. Correlations between Posture, Weight and Usage Patterns of Trolley School Bags with Musculoskeletal Pain in Junior Primary School Students . Thai J Phys Ther [internet]. 2021 Dec. 29 [cited 2025 Dec. 31];43(3):164-75. available from: https://he02.tci-thaijo.org/index.php/tjpt/article/view/244711
Section
Research Articles

References

Brackley HM, Stevenson JM. Are Children’s Backpack Weight Limits Enough? A Critical Review of the Relevant Literature. Spine. 2004;29(19):2184–90.

Ruttanaseeha W, Sahunin A, Supad P, Chuasathuchon P, Thanetphonkul R, Techabunyarat R, et al. Study of weight excess of year 1-4 students’ school bags at Khon Kaen university primary demonstration school. Srinagarind Med J. 2009;24(1):2–8.

Dianat I, Javadivala Z, Allahverdipour H. School bag weight and the occurrence of shoulder, hand/wrist and low back symptoms among Iranian elementary schoolchildren. Health Promot Perspect. 2011;1(1):76–85.

Khan R, Jabeen H, Arshad HS. Neck, shoulder, and back pain with carrying heavy back packs among the spirit school children in Lahore. Int J Sci Res. 2016;5(6):397–400.

Shamsoddini A, Hollisaz M, Hafezi R. Backpack weight and musculoskeletal symptoms in secondary school students, Tehran, Iran. Iranian J Publ Health. 2010;39(4): 120–5.

Deesungnern S, Thawinchai N. A survey of factors associated with schoolbag carrying and pain during schoolbag usage in high school students of Darawittayalai school. Thai J Phys Ther. 2014;36(2):70–8.

Arghavani F, Zamanian Z, Ghanbary A, Hassanzade J. Investigation of the relationship between carrying school bags (handbags and backpacks) and the prevalence of musculoskeletal pains among 12-15 years old students in Shiraz. Pak J Biol Sci. 2014;17(4): 550–4.

Al-Hazzaa HM. How much load do Saudi school boys carry on their shoulders? Saudi Med J. 2006;27(10):1567–71.

Forjuoh SN, Lane BL, Schuchmann JA. Percentage of Body Weight Carried by Students in Their School Backpacks: Am J Phys Med Rehabil. 2003;82(4):261–6.

Rontogiannis D, Tsaklis P, Mavromoustakos S, Kottaras S. Comparison between two different types of school bags and musculoskeletal symptoms in primary school students. IETI Trans Ergon Saf. 2017;1(2):11–21.

Orantes-Gonzalez E, Heredia-Jimenez J, Beneck GJ. Children require less gait kinematic adaptations to pull a trolley than to carry a backpack. Gait Posture. 2017;52:189–93.

Orantes-Gonzalez E, Heredia-Jimenez J. Pulling a school trolley: A good kinematic option for children. Gait Posture. 2017;53:61–6.

Cochran WG, Carroll SP. A Sampling Investigation of the Efficiency of Weighting Inversely as the Estimated Variance. Biometrics. 1953;9(4):447–59.

Vitayaburananont P, Chotisukarat H. Pediatric Pain. Vajira Med J. 2016;60(2):135–45.

Phalitpolkanpim A. Thai children carrying school bags Too heavy [Internet]. Child Safety Promotion and Injury Prevention Research Center (CSIP). [cited 2020 Aug 11]. Available from: http://csip.org/ebook/no17/page5.html

Delele M, Janakiraman B, Bekele Abebe A, Tafese A, van de Water ATM. Musculoskeletal pain and associated factors among Ethiopian elementary school children. BMC Musculoskelet Disord. 2018;19(276):1–8.

Gonzalez EO. The use of trollies and backpacks for load carriage in elementary school students: a biomechanical analysis and recommendations [Thesis]: University of Granada; 2018.

Polyong CP, Sarapimpha N, Deekla C, Phukkarawek S, Thepthong B, Poldongnok P. Effects of Upper Musculoskeletal Disorder from School Bag Usage among Primary School Grade 4-6 Students for a School in Bangkok Metropolis. J Dep Med Serv. 2019;44(4):48–53.

Orantes-Gonzalez E, Heredia-Jimenez J, Robinson MA. A kinematic comparison of gait with a backpack versus a trolley for load carriage in children. Appl Ergon. 2019;80:28–34.

Orantes-Gonzalez E, Heredia-Jimenez J. Does a standard school trolley fit children of different heights? Ergonomics. 2020;1–6.

Bettany-Saltikov J, Cole L. The effect of frontpacks, shoulder bags and handheld bags

on 3D back shape and posture in young university students: an ISIS2 study. Stud Health Technol Inform. 2012;176:117–21.

Massimiliano P, Bruno L, Maurizio P, Maury A. N. Characterization of pulling forces exerted by primary school children while carrying trolley bags. In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting 2013. Los Angeles: SAGE Publications; 2013:501–5.