Armrests and back support reduced biomechanical loading in the neck and upper extremities during mobile phone use.

Mobile phone use is known to be associated with musculoskeletal pain in the neck and upper extremities because of related physical risk factors, including awkward postures. A chair that provides adequate support (armrests and back support) may reduce biomechanical loading in the neck and shoulder regions. Therefore, we conducted a repeated-measures laboratory study with 20 participants (23 ± 1.9 years; 10 males) to determine whether armrests and back support during mobile phone use reduced head/neck flexion, gravitational moment, and muscle activity in the neck and shoulder regions. The results showed that the chair support (armrests and back support) reduced head/neck flexion (p < 0.001), gravitational moment (p < 0.001), and muscle activity (p < 0.01) in the neck and shoulder regions significantly compared to no chair support. These results indicate that a chair with adequate support can be an effective intervention to reduce the biomechanical exposures and associated muscular pain in the neck and shoulders during mobile phone use.

[1]  P. Vate-U-Lan Text Neck Epidemic: a Growing Problem for Smart Phone Users in Thailand , 2016 .

[2]  Frank Bishop,et al.  Tendon rupture associated with excessive smartphone gaming. , 2015, JAMA internal medicine.

[3]  O. Hänninen,et al.  Shoulder strain in keyboard workers and its alleviation by arm supports , 1988, International archives of occupational and environmental health.

[4]  B. Visser,et al.  The effect of arm and wrist supports on the load of the upper extremity during VDU work. , 2000, Clinical biomechanics.

[5]  Jack T Dennerlein,et al.  Touch-screen tablet user configurations and case-supported tilt affect head and neck flexion angles. , 2012, Work.

[6]  L Straker,et al.  Effect of visual display height on modelled upper and lower cervical gravitational moment, muscle capacity and relative strain , 2009, Ergonomics.

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

[8]  J E Gold,et al.  Postures, typing strategies, and gender differences in mobile device usage: an observational study. , 2012, Applied ergonomics.

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

[10]  J. Ekholm,et al.  Assessment of jet pilots' upper trapezius load calibrated to maximal voluntary contraction and a standardized load. , 1996, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[11]  B Jonsson,et al.  Measurement and evaluation of local muscular strain in the shoulder during constrained work. , 1982, Journal of human ergology.

[12]  S. Delp,et al.  Three-Dimensional Isometric Strength of Neck Muscles in Humans , 2001, Spine.

[13]  Jack T Dennerlein,et al.  Effects of forearm and palm supports on the upper extremity during computer mouse use. , 2014, Applied ergonomics.

[14]  Pieter Coenen,et al.  The associations of mobile touch screen device use with musculoskeletal symptoms and exposures: A systematic review , 2017, PloS one.

[15]  Jeong Ho Kim,et al.  The Effect of Key Size of Touch Screen Virtual Keyboards on Productivity, Usability, and Typing Biomechanics , 2014, Hum. Factors.

[16]  Gwanseob Shin,et al.  Shoulder and neck muscle activities during typing with articulating forearm support at different heights , 2012, Ergonomics.

[17]  Patricia Dolan,et al.  Spine biomechanics. , 2005, Journal of biomechanics.

[18]  Kyu-Tae Chang,et al.  The effects of smartphone use on upper extremity muscle activity and pain threshold , 2015, Journal of physical therapy science.

[19]  C. E. Clauser,et al.  Weight, volume, and center of mass of segments of the human body , 1969 .

[20]  Sung-Ja Koo,et al.  Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults , 2016, Journal of physical therapy science.

[21]  Gwanseob Shin,et al.  Effects of touch target location on performance and physical demands of computer touchscreen use. , 2017, Applied ergonomics.

[22]  Anita N. Vasavada,et al.  Gravitational demand on the neck musculature during tablet computer use , 2015, Ergonomics.

[23]  B Nilsson,et al.  Musculoskeletal disorders among visual display terminal workers: individual, ergonomic, and work organizational factors. , 1995, Ergonomics.

[24]  L. Straker,et al.  Examining the low, high and range measures of muscle activity amplitudes in symptomatic and asymptomatic computer users performing typing and mousing tasks , 2009, European Journal of Applied Physiology.

[25]  Xiaofei Guan,et al.  Gender difference in mobile phone use and the impact of digital device exposure on neck posture , 2016, Ergonomics.

[26]  Alan Barr,et al.  Evaluation of a dynamic arm support for seated and standing tasks: a laboratory study of electromyography and subjective feedback , 2007, Ergonomics.

[27]  F. Biering-Sørensen,et al.  [Musculoskeletal disorders]. , 2004, Ugeskrift for laeger.

[28]  P. Madeleine,et al.  A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck–shoulder pain , 2016, Ergonomics.

[29]  Wilza Karla dos Santos Leite,et al.  Risk factors for work-related musculoskeletal disorders among workers in the footwear industry: a cross-sectional study , 2019, International journal of occupational safety and ergonomics : JOSE.

[30]  K. Gallagher,et al.  The influence of a semi-reclined seated posture on head and neck kinematics and muscle activity while reading a tablet computer. , 2017, Applied ergonomics.

[31]  Sean Gallagher,et al.  Examining the Interaction of Force and Repetition on Musculoskeletal Disorder Risk , 2013, Hum. Factors.

[32]  John T. McConville,et al.  Anthropometric source book. Volume 1: Anthropometry for designers , 1978 .

[33]  Gwanseob Shin,et al.  User discomfort, work posture and muscle activity while using a touchscreen in a desktop PC setting , 2011, Ergonomics.

[34]  S M McGill,et al.  Passive stiffness of the human neck in flexion, extension, and lateral bending. , 1994, Clinical biomechanics.

[35]  Pascal Madeleine,et al.  Spinal kinematics during smartphone texting - A comparison between young adults with and without chronic neck-shoulder pain. , 2018, Applied ergonomics.

[36]  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.

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

[38]  M. Hagberg,et al.  Thumb postures and physical loads during mobile phone use - a comparison of young adults with and without musculoskeletal symptoms. , 2010, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[39]  Yaw-Huei Hwang,et al.  Influence of smartphone use styles on typing performance and biomechanical exposure , 2016, Ergonomics.

[40]  Satoshi Muraki,et al.  An ergonomics study of thumb movements on smartphone touch screen , 2014, Ergonomics.

[41]  Qinghua Zhao,et al.  Correlational Analysis of neck/shoulder Pain and Low Back Pain with the Use of Digital Products, Physical Activity and Psychological Status among Adolescents in Shanghai , 2013, PloS one.

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

[43]  M. Skinner,et al.  Changes in Head and Neck Posture Using an Office Chair With and Without Lumbar Roll Support , 2010, Spine.

[44]  L. Straker,et al.  An evaluation of visual display unit placement by electromyography, posture, discomfort and preference , 2000 .

[45]  Robin Burgess-Limerick,et al.  The effect of upper extremity support on upper extremity posture and muscle activity during keyboard use. , 2004, Applied ergonomics.

[46]  Mats Hagberg,et al.  Texting on mobile phones and musculoskeletal disorders in young adults: A five-year cohort study. , 2017, Applied ergonomics.