Factors associated with neck disorders among university student smartphone users.

BACKGROUND In our digital society, the use of smartphones has increased rapidly. Parallel with the growing use of smartphones, musculoskeletal problems associated with intensive smartphone use have also increased. Neck flexion is the most commonly adopted posture by smartphone users while looking at the visual display terminals of smartphones for extended periods; this posture may lead to neck disorders. OBJECTIVE The purpose of the current study was to investigate musculoskeletal disorders (MSDs) in smartphone users in Thailand in order to confirm high prevalence of neck pain. The study also aimed to determine all possible factors associated with neck disorders among smartphone users. METHODS A cross-sectional survey study was conducted with 779 undergraduate smartphone users. A self-administered questionnaire was used to collect self-report measures of smartphone use and musculoskeletal disorders. Descriptive statistics were used to analyze participant characteristics and the prevalence of musculoskeletal disorders. Logistic regression analysis was used to identify associated factors. RESULTS The most painful body region after the use of smartphones over a 12-month period was found to be the neck (32.50%). Factors associated with neck disorders were a flexed neck posture (Odds Ratio (OR): = 2.44, 95% Confidence Interval (CI) = 1.21-4.90) and smoking (OR 8.99, 95% CI 1.88-42.87). CONCLUSIONS The results suggest that to address neck disorders in smartphone users preventive initiatives should focus on reducing flexed neck postures and smoking.

[1]  Yuping Huang,et al.  Neck kinematics and muscle activity during mobile device operations , 2015 .

[2]  Jongeun Yim,et al.  The effects of heavy smartphone use on the cervical angle, pain threshold of neck muscles and depression , 2015 .

[3]  JinSeop Kim,et al.  The relationship between smartphone use and subjective musculoskeletal symptoms and university students , 2015, Journal of physical therapy science.

[4]  Gwanseob Shin,et al.  Head flexion angle while using a smartphone , 2015, Ergonomics.

[5]  Man-Sig Kim,et al.  Influence of neck pain on cervical movement in the sagittal plane during smartphone use , 2015, Journal of physical therapy science.

[6]  K. Hansraj Assessment of stresses in the cervical spine caused by posture and position of the head. , 2014, Surgical technology international.

[7]  H. Song,et al.  The Correlation Analysis between Hours of Smartphone Use And Neck Pain in the Gachon University Students , 2014 .

[8]  Kyo-Chul Seo,et al.  The Comparison of Cervical Repositioning Errors According to Smartphone Addiction Grades , 2014, Journal of physical therapy science.

[9]  P. Sedgwick Cross sectional studies: advantages and disadvantages , 2014, BMJ : British Medical Journal.

[10]  M. Abate,et al.  Cigarette smoking and musculoskeletal disorders. , 2013, Muscles, ligaments and tendons journal.

[11]  Seo-Yeon Choi,et al.  An empirical study on relationship between symptoms of musculoskeletal disorders and amount of smartphone usage , 2013 .

[12]  Shenyuan Ren,et al.  Mining Frequent Closed Itemsets over Data Streams Using TranDigraph , 2013 .

[13]  Jun-hyeok Jang,et al.  Influence of the Duration of Smartphone Usage on Flexion Angles of the Cervical and Lumbar Spine and on Reposition Error in the Cervical Spine , 2013 .

[14]  Ok-Hee Cho,et al.  Smartphone Overuse and Upper Extremity Pain, Anxiety, Depression, and Interpersonal Relationships among College Students , 2012 .

[15]  D. Aizenbud,et al.  Identification of possible cigarette smoke constituents responsible for muscle catabolism , 2012, Journal of Muscle Research and Cell Motility.

[16]  Hwan Hwangbo,et al.  A Study on Elderly for Improvement of Usability on Smartphone , 2012 .

[17]  Jung-Ho Kang,et al.  The Effect of The Forward Head Posture on Postural Balance in Long Time Computer Based Worker , 2012, Annals of rehabilitation medicine.

[18]  K. Kongsomboon Stress in The Workplace: A Report at the Faculty of Medicine, Srinakharinwirot University. , 2010 .

[19]  E. Vieira,et al.  Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. , 2009, American journal of industrial medicine.

[20]  M. Nordin,et al.  The Burden and Determinants of Neck Pain in the General Population: Results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders , 2008, Spine.

[21]  Scott Haldeman,et al.  The Burden and Determinants of Neck Pain in Workers: Results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders , 2008, Spine.

[22]  B. Cagnie,et al.  Individual and work related risk factors for neck pain among office workers: a cross sectional study , 2007, European Spine Journal.

[23]  Julius Sim,et al.  The impact of workplace risk factors on the occurrence of neck and upper limb pain: a general population study , 2006, BMC public health.

[24]  Jouko Siivola,et al.  Neck and shoulder pain related to computer use. , 2004, Pathophysiology : the official journal of the International Society for Pathophysiology.

[25]  A. Aarås,et al.  Musculoskeletal problems among VDU workers in a Hong Kong bank. , 1996, Occupational medicine.

[26]  A Tirgar,et al.  Effect of personal risk factors on the prevalence rate of musculoskeletal disorders among workers of an Iranian rubber factory. , 2017, Work.

[27]  Naser Dehghan,et al.  An ergonomic intervention to reduce musculoskeletal discomfort among semiconductor assembly workers. , 2016, Work.

[28]  Colin D. McKinnon,et al.  Influence of input device, work surface angle, and task on spine kinematics. , 2016, Work.