Renowned Physiotherapist Jason T Smith shares his advice on buying and using a pram correctly….
If you’re already a parent you would certainly know that to assemble a new pram, a set of instructions is vital. As a physiotherapist, I believe prams should come with a set of ‘how to use’ instructions to avoid unnecessary pain or discomfort, even possible injuries.
As this isn’t the case, I’ve compiled a list of pointers to ensure you set up and use your pram the correct way.

These will be useful for all parents, no matter how little or often you use your pram.

1.     Set up the right pram, the right way
Like a new car or bicycle, it’s a good idea to take a new pram for a test drive to ensure you’re buying the right product for your needs. Don’t forget to include your partner if he or she will be sharing pram pushing duties with you. If there’s a significant difference in the height of you and your partner, look for a pram that offers a number of adjustable features. Also consider the following:

  • The height and how adjustable the handle is
  • The height and placement of the seat in the pram
  • The weight of the pram
  • The requirements of the pram to fit in with your lifestyle

Following the purchase, set up your pram according to the instructions ensuring the height of the handle allows you to stand feet flat on the ground, not on your toes and that you’re not stooping over the pram to manoeuvre it. Ideally your forearms should be at a 45 degree angle when holding the handle.
Maintaining correct posture will be a great deal easier if you have bought the right pram and have set it up the right way for your needs.

2.     Posture while pushing

Many people are becoming aware of correcting their static posture, – that is, their posture whist sitting or standing. However, most of us neglect to think about our posture when walking or running, known as dynamic posture.

Incorrect posture while using your pram can result in back and shoulder issues, especially during jogging or running. For this reason it is important to consciously think about your posture as you use your pram.
[insert image here]
When walking or running with your pram, you may notice that your body is inclined to tilt forward which can be taxing on your lower back, and your shoulders may slump forward too (ie woman on the left). To correct your posture, following these easy steps as the woman on the right has done:

  • Stand tall and imagine you are a marionette hanging from a piece of string. Feel your chest open and your body slim.
  • Keep your chin horizontal with the ground.
  • Pinch your shoulder blades together without sticking your stomach out.
  • Flatten your stomach by tightening your abdominals, and close the gap in your lower back.

3.     One or two hands?
Depending on how you’re using your pram the grip you will use could be either one or two hands to control and steer the pram. When walking with your pram, grip the handle with a firm yet comfortable grip with both hands. If you use one hand more than the other, for example holding a coffee in one hand and controlling the pram with the other, you’ll put the wrists and shoulders on that side of the body under stress. I recommend focussing on one activity at once, and so leave the coffee at the café.
Alternatively, if you’re jogging or running with your pram, use a one handed grip, alternating between hands as you move. When taking on a hill (incline or decline), its best that you use both hands to maintain control.
It might be obvious, but you will get more out of your pram exercise keeping the pram closer to your body. Use your whole body to move the pram rather than just relying on your arms as this can be quite inefficient for the body.
Adding a pram into the exercise equation may seem straight forward however the points I have outlined above are important to consider to ensure you do not encounter any unnecessary pain or injuries. A Back In Motion physiotherapist is a great advisor that you may wish to utilise when purchasing and first starting out with your new pram. Check out Back in Motion’s Facebook and Twitter pages for more information.

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  • A lot of strollers still don’t have adjustable handle height. A big problem for tall people. Often you don’t realise until you have been pushing it for awhile,. making it more difficult especially on an continuous upward slope.


  • this is amazing. i never realised that there was a proper way to push a pram lol


  • Wonderful tips and advice, people to pay attention to their posture. thanks for sharing


  • Prams are fine if you are actually going to use them, but very big and bulky! Babywearing for the win!


  • Good tips, often these ideas are not seriously considered.


  • it is a good idea to go to a baby store and try them out too – get a feel for the right height and find out what ones are adjustable and what ones are not


  • Thank you for this article. Planning a family now and really new at this, grateful for all the help and tips that hubby and I can get.


  • the joolz day studio are a great buy, with adjustable handles and made really well


  • The height of the handles are very important to maintain the right posture when pushing the pram!


  • I have to learn to stand correctly I think!


  • adjustable handle height should come with all prams today


  • I just won a Joolz day studio and it is perfect for all of these tips


  • great article that will help all expectant mothers


  • so many different options which make it hard to choose


  • we got one with an adjustable handle so it suits both of us


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