TTeknoloji Kullanımının Boyun-Üst Ekstremite Kas-İskelet Sistemi Problemleri ve Algılanan Yorgunluk ile İlişkisi
Year 2025,
Volume: 15 Issue: 1, 7 - 14, 03.01.2025
Umut Eraslan
,
Emel Taşvuran Horata
,
Hande Şenol
,
Suat Erel
Abstract
Amaç: Teknolojik cihazların kullanımı boyun ve üst ekstremitelerde aşırı statik yük, anormal postür veya tekrarlayıcı hareketler nedeniyle kas iskelet sistemi problemlerine neden olabilir. Bu çalışmanın amacı üniversite öğrencilerinde teknolojik cihaz kullanımının kas-iskelet sistemi problemleri ve algılanan lokal yorgunluk ile ilişkisini incelemekti.
Gereç ve Yöntemler: Kesitsel olarak planlanan bu çalışmaya 18-30 yaş arası 388 üniversite öğrencisi katıldı. Çevrimiçi bir anket kullanılarak teknoloji kullanımı, boyun ve üst ekstremite kas-iskelet sistemi problemleri (İskandinav Kas İskelet Sistemi Anketi ile), algılanan ağrı şiddeti (Sayısal Ağrı Ölçeği ile) ve lokal yorgunluk düzeyi (Modifiye Borg Ölçeği ile) değerlendirildi. Veri analizi için ikili lojistik regresyon analizi ve Spearman korelasyon katsayısı kullanıldı. İstatistiksel anlamlılık düzeyi p<0,05 olarak kabul edildi.
Bulgular: Öğrencilerin 279'u (%71,90) kadın, 109'u (%28,10) erkekti. Kas iskelet sistemi şikayetlerinin en çok boyun ve omuz bölgelerinde olduğu görüldü. Teknoloji kullanımının kas-iskelet sistemi şikayetleri üzerine etkisinin olmadığı saptandı (p>0,05). Son bir hafta içinde algılanan ağrı şiddeti dizüstü bilgisayar kullanım sıklığı ve süresi ile; algılanan yorgunluk düzeyi ise en çok teknolojik cihazların günlük kullanımı ve bu cihazların mola vermeden kullanımı ile ilişkili bulundu (p<0,05).
Sonuç: Teknolojik cihazların kullanımı kas-iskelet sistemi ağrılarının şiddetini veya algılanan yorgunluk düzeyini artırabilir. Ergonomik düzenlemeler veya teknolojik cihazların kullanım süresi ve sıklığının planlanması ağrı ve yorgunluk düzeyinin azaltılmasına yardımcı olabilir.
Ethical Statement
Pamukkale Üniversitesi Tıbbi Etik Kurulu'ndan (E-60116787-020-30365) etik onay alındı.
Supporting Institution
yoktur
References
- Woo EHC, White P, Lai CWK. Musculoskeletal impact of the use of various types of electronic devices on university students in Hong Kong: An evaluation by means of self-reported questionnaire. Man Ther. 2016; 26: 47-53.
- Parto DN, Wong AY, Macedo L. Prevalence of musculoskeletal disorders and associated risk factors in Canadian university students. BMC Musculoskelet Disord. 2023; 24(1): 501.
- Dockrell S, Bennett K, Culleton-Quinn E. Computer use and musculoskeletal symptoms among undergraduate university students. Comput Educ. 2015; 85: 102-9.
- Berolo S, Wells RP, Amick BC 3rd. Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: a preliminary study in a Canadian university population. Appl Ergon. 2011; 42(2): 371-8.
- Eitivipart AC, Viriyarojanakul S, Redhead L. Musculoskeletal disorder and pain associated with smartphone use: A systematic review of biomechanical evidence. Hong Kong Physiother J. 2018; 38(2): 77-90.
- Zirek E, Mustafaoglu R, Yasaci Z, Griffiths MD. A systematic review of musculoskeletal complaints, symptoms, and pathologies related to mobile phone usage. Musculoskelet Sci Pract. 2020; 49: 102196.
- Kim GY, Ahn CS, Jeon HW, Lee CR. Effects of the use of smartphones on pain and muscle fatigue in the upper extremity. J Phys Ther Sci. 2012; 24(12): 1255-8.
- Xie Y, Szeto G, Dai J. Prevalence and risk factors associated with musculoskeletal complaints among users of mobile handheld devices: A systematic review. Appl Ergon. 2017; 59(Pt A): 132-42.
- Bachleda C, Darhiri L. Internet addiction and mental and physical fatigue. The International Technology Management Review. 2018; 7(1): 25-33.
- Kim JH, Johnson PW. Fatigue development in the finger flexor muscle differs between keyboard and mouse use. Eur J Appl Physiol. 2014; 114(12): 2469-82.
- Kim SY, Koo SJ. Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults. J Phys Ther Sci. 2016; 28(6): 1669-72.
- Agatha S, Thanaya SAP, Sundari LPR, Nugraha MHS. Overview of musculoskeletal disorders in undergraduate students. Physical Therapy Journal of Indonesia. 2022; 3(2): 49-53.
- Hakala PT, Saarni LA, Punamäki RL, Wallenius MA, Nygård CH, Rimpelä AH. Musculoskeletal symptoms and computer use among Finnish adolescents-pain intensity and inconvenience to everyday life: a cross-sectional study. BMC Musculoskelet Disord. 2012; 13: 41.
- Bubric K, Hedge A. Differential patterns of laptop use and associated musculoskeletal discomfort in male and female college students. Work. 2016; 55(3): 663-71.
- Verbrugghe J, Haesen M, Spierings R, Willems K, Claes G, Olivieri E, et al. Skill training preferences and technology use in persons with neck and low back pain. Disabil Rehabil Assist Technol. 2017; 12(8): 801-7.
- Kahraman T, Genç A, Göz E. The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disabil Rehabil. 2016; 38(21): 2153-60.
- Yeşilyurt M, Faydalı S. Use of one-dimensional scales in pain assessment. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020; 23(3): 444-51.
- Kahl C, Cleland JA. Visual analogue scale, numeric pain rating scale and the McGill Pain Questionnaire: An overview of psychometric properties. Phys Ther Rev. 2005; 10(2): 123-8.
- Young IA, Dunning J, Butts R, Mourad F, Cleland JA. Reliability, construct validity, and responsiveness of the neck disability index and numeric pain rating scale in patients with mechanical neck pain without upper extremity symptoms. Physiother Theory Pract. 2019; 35(12): 1328-35.
- Borg GAV. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14(5): 377-81.
- Bandak E, Amris K, Bliddal H, Danneskiold-Samsøe B, Henriksen M. Muscle fatigue in fibromyalgia is in the brain, not in the muscles: a case–control study of perceived versus objective muscle fatigue. Ann Rheum Dis. 2013; 72(6): 963-6.
- Shariat A, Cleland JA, Danaee M, Alizadeh R, Sangelaji B, Kargarfard M, et al. Borg CR-10 scale as a new approach to monitoring office exercise training. Work. 2018; 60(4): 549-54.
- Borhany T, Shahid E, Siddique WA, Ali H. Musculoskeletal problems in frequent computer and internet users. J Family Med Prim Care. 2018; 7(2): 337-9.
- Lorusso A, Bruno S, L'Abbate N. Musculoskeletal disorders among university student computer users. Med Lav. 2009; 100(1): 29-34.
- Osama M, Ali S, Malik RJ. Posture related musculoskeletal discomfort and its association with computer use among university students. J Pak Med Assoc. 2018; 68(4): 639-41.
- Queiroz LB, Lourenço B, Silva LEV, Lourenço DMR, Silva CA. Musculoskeletal pain and musculoskeletal syndromes in adolescents are related to electronic devices. J Pediatr (Rio J). 2018; 94: 673-9.
- Rakhadani PB, Goon DT, Mandeya A. Musculoskeletal problems associated with university students computer users: a cross-sectional study. Online J Health Allied Sci. 2017; 16(2): 7.
- Jafari nodoushan R, Halvani G, Vatani shoaa J, Salmani Nodousgan Z. Survey of Musculoskeletal disorders among bank staff in Yazd. Occupational Medicine Quarterly Journal. 2011; 3(1): 1-7.
- Okunribido OO, Wynn T, Lewis D. Are older workers at greater risk of musculoskeletal disorders in the workplace than young workers? - A literature review. Occup Ergon. 2011; 10(1,2): 53-68.
- Mattioli S, Violante FS, Bonfiglioli R. Upper-extremity and neck disorders associated with keyboard and mouse use. Handb Clin Neurol. 2015; 131: 427-33.
- Wærsted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review. BMC Musculoskelet Disord. 2010; 11: 79.
- Das D, Kumar A, Sharma M. A systematic review of work-related musculoskeletal disorders among handicraft workers. Int J Occup Saf Ergon. 2020; 26(1): 55-70.
- Feng Q, Liu S, Yang L, Xie M, Zhang Q. The prevalence of and risk factors associated with musculoskeletal disorders among sonographers in central China: A cross-sectional study. PLoS One. 2016; 11(10): e0163903.
- Luger T, Maher CG, Rieger MA, Steinhilber B. Work‐break schedules for preventing musculoskeletal symptoms and disorders in healthy workers. Cochrane Database Syst Rev. 2019; 7(7): CD012886.
- Prins JB, van der Meer JW, Bleijenberg G. Chronic fatigue syndrome. Lancet. 2006; 367(9507): 346-55.
Relationship of Technology Use to Neck-Upper Extremity Musculoskeletal Problems and Perceived Fatigue
Year 2025,
Volume: 15 Issue: 1, 7 - 14, 03.01.2025
Umut Eraslan
,
Emel Taşvuran Horata
,
Hande Şenol
,
Suat Erel
Abstract
Aim: Technological device usage can cause musculoskeletal problems due to excessive static load, abnormal posture or repetitive movements in the neck and upper extremities. The aim of this study was to examine the relationship between technological device usage and musculoskeletal problems, as well as perceived local fatigue, in university students.
Material and Methods: This cross-sectional study included 388 university students between the ages of 18-30 years. Using an online questionnaire, technology use, neck and upper extremity musculoskeletal problems (via Nordic Musculoskeletal Questionnaire), perceived pain severity (via Numeric Pain Scale) and local fatigue level (via Modified Borg Scale) were assessed. Binary logistic regression analysis and Spearman correlation coefficient were used for data analysis. Statistical significance level was accepted as p<0.05.
Results: Of the students, 279 (71.90%) were female and 109 (28.10%) were male. Musculoskeletal complaints were most common in the neck and shoulder regions. The use of technology had no effect on the musculoskeletal complaints (p>0.05). Perceived pain intensity in the past week was related to the frequency and duration of laptop use, and perceived fatigue level was mostly associated with daily use of desktop computers, laptops, tablets and smartphones and daily use of these devices without breaks (p<0.05).
Conclusion: The use of technological devices may increase the severity of musculoskeletal system pain or perceived fatigue level. Ergonomic arrangements or planning the duration and frequency of use of technological devices can help reduce the level of pain and fatigue.
References
- Woo EHC, White P, Lai CWK. Musculoskeletal impact of the use of various types of electronic devices on university students in Hong Kong: An evaluation by means of self-reported questionnaire. Man Ther. 2016; 26: 47-53.
- Parto DN, Wong AY, Macedo L. Prevalence of musculoskeletal disorders and associated risk factors in Canadian university students. BMC Musculoskelet Disord. 2023; 24(1): 501.
- Dockrell S, Bennett K, Culleton-Quinn E. Computer use and musculoskeletal symptoms among undergraduate university students. Comput Educ. 2015; 85: 102-9.
- Berolo S, Wells RP, Amick BC 3rd. Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: a preliminary study in a Canadian university population. Appl Ergon. 2011; 42(2): 371-8.
- Eitivipart AC, Viriyarojanakul S, Redhead L. Musculoskeletal disorder and pain associated with smartphone use: A systematic review of biomechanical evidence. Hong Kong Physiother J. 2018; 38(2): 77-90.
- Zirek E, Mustafaoglu R, Yasaci Z, Griffiths MD. A systematic review of musculoskeletal complaints, symptoms, and pathologies related to mobile phone usage. Musculoskelet Sci Pract. 2020; 49: 102196.
- Kim GY, Ahn CS, Jeon HW, Lee CR. Effects of the use of smartphones on pain and muscle fatigue in the upper extremity. J Phys Ther Sci. 2012; 24(12): 1255-8.
- Xie Y, Szeto G, Dai J. Prevalence and risk factors associated with musculoskeletal complaints among users of mobile handheld devices: A systematic review. Appl Ergon. 2017; 59(Pt A): 132-42.
- Bachleda C, Darhiri L. Internet addiction and mental and physical fatigue. The International Technology Management Review. 2018; 7(1): 25-33.
- Kim JH, Johnson PW. Fatigue development in the finger flexor muscle differs between keyboard and mouse use. Eur J Appl Physiol. 2014; 114(12): 2469-82.
- Kim SY, Koo SJ. Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults. J Phys Ther Sci. 2016; 28(6): 1669-72.
- Agatha S, Thanaya SAP, Sundari LPR, Nugraha MHS. Overview of musculoskeletal disorders in undergraduate students. Physical Therapy Journal of Indonesia. 2022; 3(2): 49-53.
- Hakala PT, Saarni LA, Punamäki RL, Wallenius MA, Nygård CH, Rimpelä AH. Musculoskeletal symptoms and computer use among Finnish adolescents-pain intensity and inconvenience to everyday life: a cross-sectional study. BMC Musculoskelet Disord. 2012; 13: 41.
- Bubric K, Hedge A. Differential patterns of laptop use and associated musculoskeletal discomfort in male and female college students. Work. 2016; 55(3): 663-71.
- Verbrugghe J, Haesen M, Spierings R, Willems K, Claes G, Olivieri E, et al. Skill training preferences and technology use in persons with neck and low back pain. Disabil Rehabil Assist Technol. 2017; 12(8): 801-7.
- Kahraman T, Genç A, Göz E. The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disabil Rehabil. 2016; 38(21): 2153-60.
- Yeşilyurt M, Faydalı S. Use of one-dimensional scales in pain assessment. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020; 23(3): 444-51.
- Kahl C, Cleland JA. Visual analogue scale, numeric pain rating scale and the McGill Pain Questionnaire: An overview of psychometric properties. Phys Ther Rev. 2005; 10(2): 123-8.
- Young IA, Dunning J, Butts R, Mourad F, Cleland JA. Reliability, construct validity, and responsiveness of the neck disability index and numeric pain rating scale in patients with mechanical neck pain without upper extremity symptoms. Physiother Theory Pract. 2019; 35(12): 1328-35.
- Borg GAV. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14(5): 377-81.
- Bandak E, Amris K, Bliddal H, Danneskiold-Samsøe B, Henriksen M. Muscle fatigue in fibromyalgia is in the brain, not in the muscles: a case–control study of perceived versus objective muscle fatigue. Ann Rheum Dis. 2013; 72(6): 963-6.
- Shariat A, Cleland JA, Danaee M, Alizadeh R, Sangelaji B, Kargarfard M, et al. Borg CR-10 scale as a new approach to monitoring office exercise training. Work. 2018; 60(4): 549-54.
- Borhany T, Shahid E, Siddique WA, Ali H. Musculoskeletal problems in frequent computer and internet users. J Family Med Prim Care. 2018; 7(2): 337-9.
- Lorusso A, Bruno S, L'Abbate N. Musculoskeletal disorders among university student computer users. Med Lav. 2009; 100(1): 29-34.
- Osama M, Ali S, Malik RJ. Posture related musculoskeletal discomfort and its association with computer use among university students. J Pak Med Assoc. 2018; 68(4): 639-41.
- Queiroz LB, Lourenço B, Silva LEV, Lourenço DMR, Silva CA. Musculoskeletal pain and musculoskeletal syndromes in adolescents are related to electronic devices. J Pediatr (Rio J). 2018; 94: 673-9.
- Rakhadani PB, Goon DT, Mandeya A. Musculoskeletal problems associated with university students computer users: a cross-sectional study. Online J Health Allied Sci. 2017; 16(2): 7.
- Jafari nodoushan R, Halvani G, Vatani shoaa J, Salmani Nodousgan Z. Survey of Musculoskeletal disorders among bank staff in Yazd. Occupational Medicine Quarterly Journal. 2011; 3(1): 1-7.
- Okunribido OO, Wynn T, Lewis D. Are older workers at greater risk of musculoskeletal disorders in the workplace than young workers? - A literature review. Occup Ergon. 2011; 10(1,2): 53-68.
- Mattioli S, Violante FS, Bonfiglioli R. Upper-extremity and neck disorders associated with keyboard and mouse use. Handb Clin Neurol. 2015; 131: 427-33.
- Wærsted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review. BMC Musculoskelet Disord. 2010; 11: 79.
- Das D, Kumar A, Sharma M. A systematic review of work-related musculoskeletal disorders among handicraft workers. Int J Occup Saf Ergon. 2020; 26(1): 55-70.
- Feng Q, Liu S, Yang L, Xie M, Zhang Q. The prevalence of and risk factors associated with musculoskeletal disorders among sonographers in central China: A cross-sectional study. PLoS One. 2016; 11(10): e0163903.
- Luger T, Maher CG, Rieger MA, Steinhilber B. Work‐break schedules for preventing musculoskeletal symptoms and disorders in healthy workers. Cochrane Database Syst Rev. 2019; 7(7): CD012886.
- Prins JB, van der Meer JW, Bleijenberg G. Chronic fatigue syndrome. Lancet. 2006; 367(9507): 346-55.