Üniversite Öğrencilerinde Bilgisayar Kullanım Süresinin Radial ve Ulnar Deviasyona Etkisi

Abstract

Amaç: Günlük hayatta belirli bir saatten fazla teknolojik cihaz kullanımı insan vücudunda bazı anatomik değişikliklere neden olmaktadır. Bu çalışmanın amacı bilgisayar kullanım süresine bağlı olarak el bileğindeki hareket açıklığında oluşabilecek değişiklikleri belirlemek ve el bileğinde incelemeler yapmaktır. Materyal Metod: Üniversite öğrencileri üzerinde yapılan çalışmada 198 gönüllü katılımcı ile yapılan çalışmada demografik bilgilerin alındığı anket, mezura, manuel kas testi ve 1 derece hassasiyette universal gonyometre kullanılarak ölçümler yapılmıştır. Araştırmanın verileri ve analizleri SPSS (Statistical Program in Social Sciences) 25 programı ile gerçekleştirilmiş ve değerlendirilmiştir. Bulgular: Üniversite öğrencileri üzerinde yapılan bu çalışmada bilgisayar kullanımına bağlı radial ve ulnar deviasyon derecelerinde artış saptanmıştır (p<0.05). Çalışmaya alınan katılımcıların E-spor (E: Elektronik) durumuna göre gruplar (3 saatten az ve daha uzun süre bilgisayar kullananlar) arasında istatistiksel olarak anlamlı fark bulundu (p<0.05). Bilek çevresi ölçümünde gruplar (3 saatten az ve daha uzun süre bilgisayar kullananlar) arasında istatistiksel olarak anlamlı fark bulunamadı (p>0.05). Sonuç: El bileğinin radial ve ulnar gonyometrik açılarının bilinmesinin bilek kırıklarında ve el bileği analizinde klinisyenlere yol gösterici olacağına inanıyoruz.

Keywords

• El bileği
• Radial deviasyon
• Ulnar deviasyon
• Gonyometre

The Effect of Computer Usage Time on Radial and Ulnar Deviation in University Students

Abstract

Objective: The use of technological devices for more than a certain number of hours in daily life causes some anatomical changes in the human body. The aim of this study was to determine the changes that may occur in the range of motion in the wrist depending on the duration of computer use and to perform examinations on the wrist. Material and Method: In the study conducted on university students, a questionnaire was used to obtain demographic information, a tape measure, a manual muscle test, and a universal goniometer with a sensitivity of 1 degree, and measurements were made with 198 volunteer participants. The data and analysis of the study were performed and evaluated with SPSS (Statistical Program in Social Sciences) 25 program. Results: In this study conducted on university students, an increase in radial and ulnar deviation degrees due to computer use was found (p<0.05). A statistically significant difference was found between the groups (those who used computers for less than 3 hours and more than 3 hours) according to the E-sports (E: Electronic) status of the participants (p<0.05). There was no statistically significant difference between the groups (those who used computers for less than 3 hours and more than 3 hours) in wrist circumference measurement (p>0.05). Conclusion: We believe that knowing the radial and ulnar goniometric angles of the wrist will guide clinicians in wrist fractures and wrist analysis.

Keywords

• Wrist
• Radial deviation
• Ulnar deviation
• Goniometer

References

1. 1. Chou,Chien., Hsiao, Ming-Chun., Internet addiction, usage, gratification, and pleasure experience: the Taiwan college students' case, Computers & Education 35 (2000) 65- 80 https://doi.org/10.1016/S0360-1315(00)00019-1
2. 2. Valaitis, R. K. (2005). Computers and the Internet: Tools for youth empowerment. Journal of Medical Internet Research, 7 (5), e51. doi:10.2196/jmir.7.5.e51
3. 3. Tubiana, R., Thomine, J. M., & Mackin, E. (2018). Fonksiyonel Anatomi In C. Öksüz & D. Oskay (Eds.), El ve El Bileği Muayenesi (pp. 1-174). Ankara: Hipokrat.
4. 4. Hagberg M, Vilhelmsson R, Tornqvist EW, Toomingas A. Incidence of self-reported reduced productivity owing to musculoskeletal symptoms: Associations with work place and individual factors among computer users. Ergonomics. 2007; 50: 1820-1834 https://doi.org/10.1080/00140130701674539
5. 5. Nicolay CW, Walker A. Grip strength and endurance: ınfluences of anthropometric variation, hand dominance, and gender. International Journal of Industrial Ergonomics. 35:605-18, 2005 https://doi.org/10.1016/j.ergon.2005.01.007
6. 6. Woolstenhulme, M. T., Griffiths, C. M., Woolstenhulme, E. M., & Parcell, A. C. (2006). Ballistic stretching increases flexibility and acute vertical jump height when combined with basketball activity. Journal of Strength and Conditioning Research, 20(4), 799–803. doi: 10.1519/R-18835.1 DOI:10.1519/00124278-200611000-00012
7. 7. American Academy of Orthopaedic Surgeons. Joint motion: methods of measuring and recording. 6th ed. Edinburgh: Churchill Livingstone; 1972.
8. 8. Macedo LG, Magee DJ. Differences in range of motion between dominant and nondominant sides of upper and lower extremities. J Manipulative Physiol Ther 2008;31:577- 82. https://doi.org/10.1016/j.jmpt.2008.09.003

9. 9. Boone DC, Azen SP. Normal range of motion of joints in male subjects. J Bone Joint Surg Am 1979;61:756-9.
10. 10. Kumar S, Sharma R, Gulati D, Dhammi IK, Aggarwal AN. Normal range of motion of hip and ankle in Indian population. Acta Orthop Traumatol Turc 2011;45:421-4.
11. 11. Delise, A., et al., Comparison of three computer office workstations offering forearm support: impact on upper limb posture and muscle activation. Ergonomics, 2006.49(2):139-60. https://doi.org/10.1080/10610270500450739
12. 12. Kaliniene, G., et al., Associations between musculoskeletal pain and work-related factors among public service sector computer workers in Kaunas County, Lithuania. BMC Musculoskelet Disord, 2016. 17(1): 420. DOI: 10.1186/s12891-016-1281-7
13. 13. Tubiana R, Thomine JM, Mackin E. Examination of the Hand and Wrist. p.40-128. 2nd ed. Martin Dunitz, 1996.
14. 14. Cambridge-Keeling CA. ROM measurement of the hand. In: Hunter JM, Callahan AD, Skirven TM et al, eds. Rehabilitation of the Hand and Upper Extremity. 5th ed. Missouri; Mosby Inc; 2002. p.169-82. DOI: 10.31609/jpmrs.2019-70503
15. 15. Callaway, Cw, Chumlea, Cw, Bouchard, C., Himes J.H., Lohman, T.G., Martin, A.D., Mueller H. W., Roche, A. F. & Seefeldt, V.D. Circumferences. In Lohman, Tg, Roche, Af & Marorell, R. (Eds). Anthropometric Standardization Reference Manual. Illinois: Human Kinetics Books. 1988.39–54.
16. 16. Otman S., Köse N. Tedavi Hareketlerinde Temel Değerlendirme Prensipleri, H.Ü., Fizik Tedavi ve Rehabilitasyon Yüksekokulu Yayınları, (4. Baskı), s.122, Ankara, 2008.
17. 17. MacDermis, J.C., Michlovitz, S.L., Examination of the elbow: linking diagnosis, prognosis and outcomes as a framework for maximizing therapy interventions, Journal of Hand Therapy, 19, 2, 82-97, 2006. https://doi.org/10.1197/j.jht.2006.02.018
18. 18. Alpar, R, Spor, Sağlık ve Eğitim Bilimlerinde Örneklerle Uygulamalı İstatistik ve Geçerlik-Güvenirlik, 6. Baskı, Detay Yayıncılık, Ankara 2020.
19. 19. Pirnay.F., Bodeux.M., Crieleard.J.M., Franchimont.P., Bone Mineral Content and Physical Actiuty. Int.J.Sport.Med.Oct: 8(5).P: 331-5, 1987 DOI: 10.1055/s-2008-1025679
20. 20. Huang VS, Krakauer JW. Robotic neurorehabilitation: a computational motor learning perspective. Journal of NeuroEngineering and Rehabilitation. 2009;6(1):5 DOI: 10.1186/1743-0003-6-5
21. 21. Bayona NA, Bitensky J, Salter K, Teasell R. The Role of Task-Specific Training in Rehabilitation Therapies. Topics in Stroke Rehabilitation. 2005;12(3):58-65 DOI: 10.1310/BQM5-6YGB-MVJ5-WVCR
22. 22. Wu G, Van der Helm FC, Veeger HD, Makhsous M, Van Roy P, Anglin C, et al. ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion—Part II: shoulder, elbow, wrist and hand. Journal of biomechanics. 2005;38(5):981-92. DOI: 10.1016/j.jbiomech.2004.05.042
23. 23. Roaas A, Andersson GB. Normal range of motion of the hip, knee and ankle joints in male subjects, 30-40 years of age. Acta Orthop Scand 1982;53:205-8. DOI: 10.3109/17453678208992202
24. 24. Kendall HO, Kendall FP, Wadsworth GE. Muscles, testing and function. 2nd ed. Baltimore, MD: Williams & Wilkins; 1971
25. 25. Svenningsen S, Terjesen T, Auflem M, Berg V. Hip motion related to age and sex. Acta Orthop Scand 1989;60:97- 100. DOI: 10.3109/17453678909150103
26. 26. Allander E, Björnsson OJ, Olafsson O, Sigfússon N, Thorsteinsson J. Normal range of joint movements in shoulder, hip, wrist and thumb with special reference to side: a comparison between two populations. Int J Epidemiol 1974;3:253-61. DOI: 10.1093/ije/3.3.253
27. 27. Firbank JC, Pynsent PB, Phillips H. Quantitative mea_surements of joint mobility in adolescents. Ann Rheum Dis 1984;43:288-94. DOI: 10.1136/ard.43.2.288
28. 28. Kouyoumdjian P, Coulomb R, Sanchez T, Asencio G. Clinical evaluation of hip joint rotation range of motion in adults. Orthop Traumatol Surg Res 2012;98:17-23. DOI: 10.1016/j.otsr.2011.08.015
29. 29. Roaas A, Andersson GB. Normal range of motion of the hip, knee and ankle joints in male subjects, 30-40 years of age. Acta Orthop Scand 1982;53:205-8. DOI: 10.3109/17453678208992202
30. 30. Ake, A. Moussa, M. Alnahdi, M. On geographical variations in the normal range of joint motion. Clin Orthop Relat Res 3: 229-31, 1987.
31. 31. Şahin, E. Gülbahar, S. Romatizmal Hastalıklarda Egzersiz Uygulamaları Türkiye Klinikleri J IntMed Sci 2006;2(45):9-14
32. 32. Bornemark, O. (2013). Success Factors for E-Sport Games. Umea’s 16th Student Conference in Computing Science. USCCS, 1-12.
33. 33. Grıffıth, J.L., Voloschın, P., Gıbb, G.D., & James, R. (1983). Baıley Dıfferences In Eye-Hand Motor Coordınatıon Of Vıdeo-Game Users And Non-Users. PerceptuaI and Motor Skills, 57, 155-158. DOI: 10.2466/pms.1983.57.1.155
34. 34. Joo, L.J., Yin, T.S. (Rehab), Xu, D., Thia, E., Chia, P.F., Kuah, C.W.K. & He, K.K. (Rehab) (2010). A Feasıbılıty Study Usıng Interactıve Commercıal Off-Theshelf Computer Gamıng In Upper Limb Rehabılıtatıon In Patıents After Stroke. J Rehabil Med, 42, 437–441. DOI: 10.2340/16501977-0528
35. 35. Emery K, De Serres SJ, McMillan A, et al. The effects of a Pilates training program on armtrunk posture and movement. Clin Biomech (Bristol, Avon). 2009;25,124-130 DOI: 10.1016/j.clinbiomech.2009.10.003
36. 36. Lee, H., Nicholson, L., & Adams, R. (2004). Cervical range of motion associations with subclinical neck pain. Spine, 29(1), 33-40. DOI: 10.1097/01.BRS.0000103944.10408.BA
37. 37. Franco OI, Zurakowski D, Day CS. Functional disability of the wrist: direct correlation with decreased wrist motion. J Hand Surg Am. 2008;33:485-92. DOI: 10.1016/j.jhsa.2008.01.005 Anakwe RE, Huntley JS, McEachan JE. Grip strength and forearm circumference in a healthy population, J. Hand Surg Eur. 2007; 32: 203-209. DOI: 10.1016/J.JHSB.2006.11.003
38. 38. Franco OI, Zurakowski D, Day CS. Functional disability of the wrist: direct correlation with decreased wrist motion. J Hand Surg Am. 2008;33:485-92. DOI: 10.1016/j.jhsa.2008.01.005
39. 39. Kibler WB, Chandler TJ. Shoulder range of motion in elite tennis players. Effect of age and years of tournament play.Am J Sports Med. 1996 MayJun;24(3):279-85. DOI: 10.1177/036354659602400306
40. 40. Stegink Jansen CW, Simper VK, Stuart HG Jr, Pinkerton HM. Measurement of maximum voluntary parmak kavrama strength: effects of forearm position and outcome score, J Hand Ther 2003;16: 326-336. https://doi.org/10.1197/S0894-1130(03)00159-5