“…Among the risk factors for shoulder pain, the overload imposed on the joint and muscles by the use of some female accessories, such as bags and backpacks, is harmful to its structure (Bettany-Saltikov & Cole, 2012). In addition, the characteristics of these accessories (weight, size, shape, duration of carriage) and the physical constitution of women can lead to greater damages, such as changes in body alignment, displacement of the center of gravity, excessive shoulder muscle activity, fatigue, and pain (Yoon, 2014;Dianat, Javadivala, & Allahverdipour, 2011).…”