Artan Mobil Teknoloji Kullanımının Yol Açtığı Ağrı Sendromu: “Text Neck”

Öz

Akıllı telefon ve tabletler iletişim, ulaşım, eğlence, eğitim ve güvenlik gibi pek çok amaçla kullanılan ve giderek yaygınlaşan mobil teknolojik cihazlardır. Toplumun her kesimi tarafından kullanılmakla birlikte özellikle çocuklar ve gençlerin akıllı telefon ve tabletler ile çok uzun süre geçirdikleri gösterilmiştir. Mobil teknoloji kullanımın artması ile birlikte kas iskelet sistemi ağrıları, uykusuzluk, konsantrasyon güçlüğü ve yorgunluk gibi çeşitli semptomlar ortaya çıkmaktadır. “Text neck” tanımı ilk kez Dr. Dean L. Fishman tarafından uzun süre akıllı telefon ve tablet kullananlarda boyun, baş ve omuz ağrısı ve üst ekstremitelerde uyuşma problemi olarak tanımlanmıştır. Mobil cihazları kullanırken uzun süre baş ve kolların önde olduğu kifotik bu postürün erken artrit başlangıcı ve disk dejenerasyonu için potansiyel risk oluşturduğu düşünülmektedir. “Text neck”in boyun ağrısı, sırt ağrısı, omuz ağrısı, baş ağrısı, uykusuzluk, ellerde karıncalanma ve uyuşma gibi çeşitli semptomları bulunmaktadır. “Text neck” için belli tanı kriterleri olmamakla birlikte bazı araştırmacılar baş ve boyun postürünün değerlendirilmesi için görsel yöntemler geliştirmişlerdir. “Text neck” için öncelikle koruyucu fizyoterapi yaklaşımları önerilebilir. Semptomların varlığı durumunda ise tedavi edici fizyoterapi teknikleri uygulanabilir. Koruyucu ve tedaviye yönelik fizyoterapi yaklaşımları konusunda çok az sayıda çalışma bulunmaktadır. Bu çalışmalarda postür eğitimi, farkındalığın artırılması, ergonomik düzenlemeler ve egzersiz programları ön plana çıkmaktadır. Bu derlemede “text neck” sendromuna neden olan faktörler, görülen semptomlar, değerlendirme yöntemleri ve tedavi yaklaşımları ele alınarak güncel literatür ile birlikte tartışılmıştır.

Anahtar Kelimeler

• Ağrı
• Akıllı telefon
• Egzersiz
• Postür

Pain Syndrome That Occurs with Increased Usage of Mobile Technology: “Text Neck”

Öz

Smartphones and tablets are mobile technological devices that are used for many purposes such as communication, transportation, entertainment, education, and security. Although it is used by all age groups of the community, especially children and adolescents spend a long time with smartphones and tablets. With the increasing use of mobile technology, various symptoms such as musculoskeletal pain, insomnia, difficulty in concentrating, and fatigue appear. The definition of "text neck" is the firstly described by Dr. Dean L. Fishman as has a problem of the neck, head and shoulder pain, and numbness in the upper extremities who use smartphones and tablets for a long time. This kyphotic posture, which the head and arms are at the front for a long time while using mobile devices, is thought to pose a potential risk for early arthritis onset and disc degeneration. “Text neck” has various symptoms such as neck pain, back pain, shoulder pain, headache, insomnia, tingling, and numbness at the hands. Although there are no specific diagnostic criteria for "text neck", some researchers have developed photographic methods to evaluate the head and neck posture. Preventive physiotherapy approaches can be suggested for “text neck”. In case of symptoms, therapeutic physiotherapy techniques can be applied. There are very few studies on preventive and therapeutic physiotherapy approaches. In these studies, postural education, to increase awareness, ergonomic design, and exercise programs become prominent. In this review, factors that cause “text neck" syndrome, symptoms, assessment methods, and treatment approaches are discussed with the literature.

Anahtar Kelimeler

• Pain
• Smart phone
• Exercise
• Posture

Kaynakça

1. 1. Vijayakumar, M., Mujumdar, S., & Dehadrai, A. (2018). Assessment of co-morbid factors associated with text-neck syndrome among mobile phone users. IJSRST, 4(9), 38-46.
2. 2. Fares, J., Fares, M. Y., & Fares, Y. (2017). Musculoskeletal neck pain in children and adolescents: risk factors and complications. Surg Neurol Int, 8, 72.
3. 3. Kim, H. J., & Kim, J. S. (2015). The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci, 27(3), 575-579.
4. 4. Szeto, G. P., & Lee, R. (2002). An ergonomic evaluation comparing desktop, notebook, and subnotebook computers. Arch Phys Med Rehabil, 83(4), 527-532.
5. 5. Syamala, K. R., Ailneni, R. C., Kim, J. H., & Hwang, J. (2018). Armrests and back support reduced biomechanical loading in the neck and upper extremities during mobile phone use. Appl Ergon, 73, 48-54.
6. 6. Kim, J. H, Kim, J. G., Do, K. S., & Yim, J. (2016). The effect of applying a headweight device on cervical angle and pain of neck muscles. Phys Ther Rehabil Sci, 5(2), 101-105.
7. 7. Shah, P. P., & Sheth, M. S. (2018). Correlation of smartphone use addiction with text neck syndrome and sms thumb in physiotherapy students. Int J Community Med Public Health, 5(6), 2512-2516.
8. 8. Lemola, S., Perkinson-Gloor, N., Brand, S., Dewald-Kauffman, J. F. & Grob, A. (2015). Adolescents electronic media use at night, sleep disturbances and depressive symptoms in the smartphone age. J Youth and Adolesc, 44(2), 405-418.

9. 9. Zheng, F., Gao, P., He, M., Li, M., Wang, C., & Zeng, Q., et al. (2014). Association between mobile phone use and inattention in 7102 Chinese adolescents: a population-based cross-sectional study. BMC Public Health, 14, 1022.
10. 10. Alzarea, B. K., & Patil, S. R. (2015). Mobile phone head and neck pain syndrome: proposal of a new entity. OHDM, 14(5), 313-317.
11. 11. Cuellar, J. M., & Lanman, T. H. (2017). “Text neck” an epidemic of the modern era of cell phones? Spine J, 17(6), 901-902.
12. 12. Han, H., Lee, S., & Shin, G. (2018). Naturalistic data collection of head posture during smartphone use. Ergonomics, 62(3), 444-448.
13. 13. Hansraj, K. K. (2014). Assessment of stresses in the cervical spine caused by posture and position of the head. Surg Technol Int, 25, 277-279.
14. 14. Berolo, S., Wells, R. P., & Amick, B. C. (2011). Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: a preliminary study in a canadian university population. Appl Ergon, 42(2), 371-378.
15. 15. Shan, Z., Deng, G., Li, J., Li, Y., Zhang, Y., & Zhao, Q. (2013). Correlational analysis of neck/shoulder pain and low back pain with the use of digital products, physical activity an pschological status among adolescents in Shanghai. Plos One. 2011; 8(10), 78-109.
16. 16. Xie, Y., Szetoa, G. P. Y., Daia, J., & Madeleine, P. (2016). A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck–shoulder pain. Ergonomics, 59(1), 61-72.
17. 17. Portelli, A., & Reid, S. A. (2018). Cervical proprioception in a young population who spend long periods on mobile devices: a 2-group comparative observational stydy. J Manipulative Physiol Ther, 41(2), 123-128.
18. 18. Richards, K. V., Beales, D. J., Smith, A. J., O'Sullivan, P. B., & Straker, L. M. (2016) Neck posture clusters and their association with biopsychosocial factors and neck pain in Australian adolescents. Phys Ther, 96(10), 1576-1587.
19. 19. Damasceno, G. M., Sá Ferreira, A., Nogueira, L. A. C., Reis, F. J., Andrade, I. C. S., & Meziat‑Filho, N. (2018). Text neck and neck pain in 18–21‑year‑old young adults. Eur Spine J, 27(6), 1249-1254.
20. 20. Al-Gharabawi B. (2017). Text neck syndrome: a new concern for physical therapists worldwide. EC Orthopaedics, 8(3), 89-91.
21. 21. Meziat-Filho, N., Mendonça, R., Pezolato, A., Reis, F. J., & Calazans Nogueira, L. A. (2016). Reproducibility of the low back clinical postural grouping in adolescents. J Bodyw Mov Ther, 20(2), 265-269.
22. 22. Kwon, M., Lee J. Y., Won, W. Y., Park, J. W., Min, J. A., & Hahn, C. (2013). Development and validation of a Smartphone Addiction Scale (SAS). PLoS One, 8(2), e56936.
23. 23. Vernon, H., & Mior, S. (1991). The neck disability ındex: a study of reliability and validity. J Manipulative Physiol Ther, 14(7), 409-415.
24. 24. Neupane, S., Ifthikar Ali, U. T., & Mathew, A. (2017). Text neck syndrome- systematic review. IJIR, 3(7), 141-148.
25. 25. Lee, S., Kang, H., & Shin, G. (2015). Head flexion angle while using a smartphone. Ergonomics, 58(2), 22-26.
26. 26. Abdelhameed, A. A., & Abdel-Aziem, A. A. (2016). Exercise training and postural correction improve upper extremity symptoms among touchscreen smartphone users. Hong Kong Physiother J, 35(2), 37-44.
27. 27. Thiyagarajan, S., & Telegbal, S. V. (2015). Text Neck: İs it a new term for physiotherapist? IJMHS, 2(2), 119-121.