On running water, with a stick float, a back shot helps to slow the speed at which you run the float through, you simply hold a tight line to the backshot and ease the float through.
If there is a skim on the river this helps to keep the float on line too. If you dont hold onto the backshot your float will sink.
On still water pole fishing, back shot are more likely to be held out of the water to help to straighten out the line to the float. For F1 carp for example the idea is it reduces missed bites by allowing you to hold a tight line to the float, a bit of a bolt rig if you like.
If its blowing hard you can sink the back shot on the pole or waggler to combat drift but you need to adjust the shotting below the float otherwise the extra back shot would sink it.
Hope the above makes sense.
If you read the early books on river fishing by the likes of Ivan Marks or Clive Smith they were using BBs for backshot, on modern pole rigs its more likely to be 8s or 10s.