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Problemli İnternet Kullanımı Olan Üniversite Öğrencilerinde Boyun Ağrısına Yönelik Girişimlerin Etkinliğinin Değerlendirilmesi: Randomize Bir Çalışma

Yıl 2025, Sayı: 26, 418 - 429, 31.08.2025
https://doi.org/10.38079/igusabder.1531027

Öz

Amaç: Dijital teknolojinin yaygınlaşması, internet kullanımını günlük yaşamın ayrılmaz bir parçası haline getirmiş ve istemeden de olsa akranlar arasında fiziksel hareketsizliğin artmasına neden olmuştur. Bu çalışmanın amacı, problemli internet kullanımı olan üniversite öğrencilerinde boyun ağrısına yönelik farklı müdahalelerin etkinliğini incelemektir.
Yöntem: Bu randomize kontrollü çalışma (RKÇ), yaşları 18 ila 20 arasında değişen ve spesifik olmayan boyun ağrısı yaşayan toplam 40 katılımcı ile yürütülmüştür. Tüm katılımcılar rastgele iki gruba ayrılmıştır: ev egzersiz grubu (Grup 1; n=20) ve yürüyüş grubu (Grup 2; n=20). Ev egzersizi grubuna sekiz haftalık bir süre boyunca duruş ve esneme egzersizleri önerilmiştir. Yürüyüş grubuna ise aynı sekiz haftalık süre boyunca 7000 adımdan oluşan günlük bir yürüyüş programı verilmiştir. Deneklerin demografik bilgilerinin incelenmesinin ardından, katılımcılar programdan önce ve sonra Boyun Engellilik İndeksi, Algılanan Stres Ölçeği, Pittsburgh Uyku Kalitesi İndeksi ve Beck Anksiyete Envanteri kullanılarak değerlendirilmiştir.
Bulgular: Çalışma, boyun ağrısı ile ilişkili semptomların ev egzersizi grubunda önemli ölçüde azaldığını ortaya koymuştur (p=0,001). Her iki grupta da stres ve anksiyete düzeylerinde anlamlı bir iyileşme gözlenmemiştir (p>0,05). Uyku kalitesi hem ev egzersizi grubunda (p=0,005) hem de yürüyüş grubunda (p=0,016) önemli ölçüde iyileşmiş olsa da bir grubun diğerinden daha etkili olduğuna dair yeterli destekleyici kanıt bulunamamıştır.
Sonuç: İnternet kullanımının giderek yaygınlaşması, akranlar arasında fiziksel hareketsizliğin artmasına katkıda bulunmaktadır. Düzenli egzersiz rutinleri oluşturmak ve belirli fiziksel aktivite molaları planlamak, bu eğilimin zararlı etkilerine karşı koymak için çok önemlidir.

Kaynakça

  • 1. Soriano-Molina E, Limiñana-Gras RM, Patró-Hernández RM, Rubio-Aparicio M. The association between internet addiction and adolescents’ mental health: a meta-analytic review. Behavioral Sciences. 2025;15(2):116.
  • 2. Union IT. ICT statistics. 2023. https://www.itu.int/en/mediacentre/Pages/PR-2023-09-12-universal-and-meaningful-connectivity-by-2030.aspx.Published September 2023. Accessed 22 April 2024.
  • 3. Türkiye İstatistik Kurumu. Hanehalkı bilişim teknolojileri (BT) kullanım araştırması. 2023. https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki-Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi-2023-49407. Published August 2023. Accessed 22 April 2024.
  • 4. Kuss DJ, Griffiths MD, Karila L, Billieux J. Internet addiction: A systematic review of epidemiological research for the last decade. Curr Pharm Des. 2014;20(25):4026-4052.
  • 5. Özer Ş, Odacı H. What are the relationships between problematic internet use and subjective well-being and self-esteem? Investigation of an adolescent sample. Ilkogretim Online. 2020;19(3):1592-1604.
  • 6. Tanabe R, Hisamatsu T, Fukuda M, et al. The association between problematic internet use and neck pain among Japanese schoolteachers. J Occup Health. 2021;63(1).
  • 7. Cieza A, Causey K, Kamenov K, et al. Global estimates of the need for rehabilitation based on the Global Burden of Disease Study 2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2021;396(10267):2006-2017.
  • 8. Yang G, Cao J, Li Y, et al. Association between internet addiction and the risk of musculoskeletal pain in Chinese first-year college students: A cross-sectional study. Front Psychol. 2019;10:1959.
  • 9. Alaca N. The impact of internet addiction on depression, physical activity level, and trigger point sensitivity in Turkish university students. J Back Musculoskelet Rehabil. 2020;33(4):623-630.
  • 10. Sitthipornvorakul E, Sihawong R, Waongenngarm P, Janwantanakul P. The effects of walking intervention on preventing neck pain in office workers: A randomized controlled trial. J Occup Health. 2020;62(1):e12106.
  • 11. Junaid M, Yaqoob I, Shakil Ur Rehman S, Ghous M. Effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy in the management of acute mechanical neck pain: A randomized controlled trial. JPMA. 2020;70(10):1688-1692.
  • 12. Park S. Associations of physical activity with sleep satisfaction, perceived stress, and problematic Internet use in Korean adolescents. BMC Public Health. 2014;14(1):1143.
  • 13. Wah SW, Chatchawan U, Chatprem T, Puntumetakul R. Prevalence of static balance impairment and associated factors of university student smartphone users with subclinical neck pain: Cross-sectional study. Int J Environ Res Public Health. 2022;19(17):10723.
  • 14. Karaaslan Y, Ucuzoglu ME, Yüksel S, Yılmaz Yalçınkaya E. The relationship of pain, disability, physical activity, and body awareness with kinesiophobia in pregnant women with low back pain. Somatosens Mot Res. 2023;40(4):156-160.
  • 15. Şermet KŞ, Seviğ EÜ, Zincir H. The effect of solution-focused education and counselling on problematic internet usage, sleep quality and school achievement: A randomized controlled trial. Int J Nurs Pract. 2023;29(1):e13097.
  • 16. Özüdoğru Emir Y, Aysan F. Young internet addiction test short form’s Turkish adaptation: Validity and reliability study among university students and adolescents. Anadolu Psikiyatri Derg. 2016;17(1):69-76.
  • 17. Batool SA, Shakil-Ul-Rehman S, Tariq Z, Ikram M. Effects of fasciatherapy versus fascial manipulation on pain, range of motion and function in patients with chronic neck pain. BMC Musculoskelet Disord. 2023;5;24(1):789.
  • 18. Karakaş SA, Gönültaş N, Okanlı A. Sleep quality in shift-working nurses. ERÜ Sağlık Bilimleri Fakültesi Dergisi. 2017;4(1):17-26.
  • 19. Secer E, Tanik F, Korucu TS, Gursan IN, Ucurum SG. The relationship between pain level and sleep quality, quality of life and psychological status in patients with chronic neck pain. JBACHS. 2020;4(3):258-263.
  • 20. Chapman LK, Williams SR, Mast BT, Woodruff-Borden J. A confirmatory factor analysis of the Beck Anxiety Inventory in African American and European American young adults. J Anxiety Disord. 2009;23(3):387-392.
  • 21. Aktürk Z, Dağdeviren N, Mevlut T, Tuğlu C. Birinci basamak için Beck Depresyon Tarama Ölçeği'nin Türkçe çeviriminin geçerlik ve güvenirliği. Türkiye Aile Hekimliği Dergisi. 2005;9(3):117-122.
  • 22. Eskin M, Harlak H, Demirkıran F, Dereboy Ç. Algılanan stres ölçeğinin Türkçeye uyarlanması: Güvenirlik ve geçerlik analizi. New/Yeni Symposium Journal. 2013;51(3):132-140.
  • 23. Wang W, Ji C, Andersen LL, et al. Effectiveness of manual therapy, computerised mobilisation plus home exercise, and home exercise only in treating work-related neck pain: study protocol for a randomised controlled trial. BMC Musculoskelet Disord. 2022;23(1):1119.
  • 24. Martel J, Dugas C, Dubois JD, Descarreaux M. A randomised controlled trial of preventive spinal manipulation with and without a home exercise program for patients with chronic neck pain. BMC Musculoskelet Disord. 2011;12:41.
  • 25. U.S. Department of Health and Human Services. 2008 physical activity guidelines for Americans. Hyattsville, MD: U.S. Department of Health and Human Services; 2008. Accessed January 8, 2016. http://health.gov/paguidelines/guidelines.
  • 26. Kutlu M, Savcı M, De H. Exercise rehabilitation for smartphone addiction. Journal of Exercise Rehabilitation. 2013;9(6);500-5.
  • 27. Barakou I, Sakalidis KE, Abonie US, et al. Effectiveness of physical activity interventions on reducing perceived fatigue among adults with chronic conditions: A systematic review and meta-analysis of randomised controlled trials. Sci Rep. 2023;13(1):14582.
  • 28. Xu J, Tang L. The relationship between physical exercise and problematic internet use in college students: The chain-mediated role of self-control and loneliness. BMC Public Health. 2024;24(1):1719.
  • 29. Hellström C, Nilsson KW, Leppert J, Åslund C. Effects of adolescent online gaming time and motives on depressive, musculoskeletal, and psychosomatic symptoms. Ups J Med Sci. 2015;120(4):263-75.
  • 30. Borhany T, Shahid E, Siddique WA, Ali H. Musculoskeletal problems in frequent computer and internet users. J Family Med Prim Care. 2018;7(2):337-339.
  • 31. Rottermund J, Knapik A, Saulicz E, et al. Back and neck pain among school teachers in Poland and its correlations with physical activity. Medycyna Pracy. 2015;66(6):771-778.
  • 32. Zronek M, Sanker H, Newcomb J, Donaldson M. The influence of home exercise programs for patients with non-specific or specific neck pain: A systematic review of the literature. Journal of Manual & Manipulative Therapy. 2016;24(2):62–73.
  • 33. Alpayci M, İlter S. Isometric exercise for the cervical extensors can help restore physiological lordosis and reduce neck pain: A randomized controlled trial. American Journal of Physical Medicine & Rehabilitation. 2017;96(9):621-626.
  • 34. Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: A six-week intervention with a one-month follow-up study. BMC Musculoskeletal Disorders. 2019;20:86.
  • 35. Li S, Wu Q, Tang C, Chen Z, Liu L. Exercise-based interventions for internet addiction: Neurobiological and neuropsychological evidence. Frontiers in Psychology. 2020;11:1296.
  • 36. Cheng M, Wang S, Wang Y, Zhang R, Qin L. Physical activity reduces internet addiction among “post-00” college students: The mediating role of coping styles. Frontiers in Psychology. 2023;13:1052510.
  • 37. Zhang Y, Li G, Liu C, Chen H, Guo J, Shi Z. Mixed comparison of interventions for different exercise types on students with Internet addiction: A network meta-analysis. Frontiers in Psychology. 2023;14:1111195.
  • 38. Zhang W, Xu R. Effect of exercise intervention on internet addiction and autonomic nervous function in college students. Biomed Res Int. 2022(12):1-7.
  • 39. Guo W, Xing H, Gong X, He L, Zhang Z, Jia C. Effects of Yi Jin Jing on juvenile cervical spondylopathy in China: A parallel, randomized, assessor-blinded clinical trial. Niger J Clin Pract. 2023;26(9):1234-1241.
  • 40. Yan Y, Qin X, Liu L, Zhang W, Li B. Effects of exercise interventions on internet addiction among college students: A systematic review and meta-analysis of randomized controlled trials. Addict Behav. 2025;160:108159.

Evaluating the Effectiveness of Interventions for Neck Pain in University Students with Problematic Internet Use: A Randomized Trial

Yıl 2025, Sayı: 26, 418 - 429, 31.08.2025
https://doi.org/10.38079/igusabder.1531027

Öz

Aim: The proliferation of digital technology has made internet usage an integral part of daily life, inadvertently leading to increased physical inactivity among peers. This study aims to examine the effectiveness of different interventions for neck pain in university students with problematic internet use.
Method: This randomized controlled trial (RCT) was conducted with 40 participants, aged 18 to 20, experiencing non-specific neck pain. All participants were randomly divided into the home exercise group (Group 1; n=20) and the walking group (Group 2; n=20). Posture and stretching exercises were recommended to the home exercise group over eight weeks. The walking group was given a daily walking program of 7000 steps over the same eight weeks. After examining the subjects' demographic information, participants were assessed before and after the program using the Neck Disability Index, Perceived Stress Scale, Pittsburgh Sleep Quality Index, and Beck Anxiety Inventory.
Results: The study revealed that symptoms associated with neck pain significantly decreased in the home exercise group (p=0.001). No significant improvements in stress and anxiety levels were observed in either group (p>0.05). Although sleep quality improved significantly in both the home exercise group (p=0.005) and the walking group (p=0.016), there was insufficient supportive evidence that one group was more effective.
Conclusion: The increasing prevalence of internet usage contributes to heightened physical inactivity among peers. Establishing regular exercise routines and scheduling specific physical activity breaks are crucial to counteract the detrimental effects of this trend.

Kaynakça

  • 1. Soriano-Molina E, Limiñana-Gras RM, Patró-Hernández RM, Rubio-Aparicio M. The association between internet addiction and adolescents’ mental health: a meta-analytic review. Behavioral Sciences. 2025;15(2):116.
  • 2. Union IT. ICT statistics. 2023. https://www.itu.int/en/mediacentre/Pages/PR-2023-09-12-universal-and-meaningful-connectivity-by-2030.aspx.Published September 2023. Accessed 22 April 2024.
  • 3. Türkiye İstatistik Kurumu. Hanehalkı bilişim teknolojileri (BT) kullanım araştırması. 2023. https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki-Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi-2023-49407. Published August 2023. Accessed 22 April 2024.
  • 4. Kuss DJ, Griffiths MD, Karila L, Billieux J. Internet addiction: A systematic review of epidemiological research for the last decade. Curr Pharm Des. 2014;20(25):4026-4052.
  • 5. Özer Ş, Odacı H. What are the relationships between problematic internet use and subjective well-being and self-esteem? Investigation of an adolescent sample. Ilkogretim Online. 2020;19(3):1592-1604.
  • 6. Tanabe R, Hisamatsu T, Fukuda M, et al. The association between problematic internet use and neck pain among Japanese schoolteachers. J Occup Health. 2021;63(1).
  • 7. Cieza A, Causey K, Kamenov K, et al. Global estimates of the need for rehabilitation based on the Global Burden of Disease Study 2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2021;396(10267):2006-2017.
  • 8. Yang G, Cao J, Li Y, et al. Association between internet addiction and the risk of musculoskeletal pain in Chinese first-year college students: A cross-sectional study. Front Psychol. 2019;10:1959.
  • 9. Alaca N. The impact of internet addiction on depression, physical activity level, and trigger point sensitivity in Turkish university students. J Back Musculoskelet Rehabil. 2020;33(4):623-630.
  • 10. Sitthipornvorakul E, Sihawong R, Waongenngarm P, Janwantanakul P. The effects of walking intervention on preventing neck pain in office workers: A randomized controlled trial. J Occup Health. 2020;62(1):e12106.
  • 11. Junaid M, Yaqoob I, Shakil Ur Rehman S, Ghous M. Effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy in the management of acute mechanical neck pain: A randomized controlled trial. JPMA. 2020;70(10):1688-1692.
  • 12. Park S. Associations of physical activity with sleep satisfaction, perceived stress, and problematic Internet use in Korean adolescents. BMC Public Health. 2014;14(1):1143.
  • 13. Wah SW, Chatchawan U, Chatprem T, Puntumetakul R. Prevalence of static balance impairment and associated factors of university student smartphone users with subclinical neck pain: Cross-sectional study. Int J Environ Res Public Health. 2022;19(17):10723.
  • 14. Karaaslan Y, Ucuzoglu ME, Yüksel S, Yılmaz Yalçınkaya E. The relationship of pain, disability, physical activity, and body awareness with kinesiophobia in pregnant women with low back pain. Somatosens Mot Res. 2023;40(4):156-160.
  • 15. Şermet KŞ, Seviğ EÜ, Zincir H. The effect of solution-focused education and counselling on problematic internet usage, sleep quality and school achievement: A randomized controlled trial. Int J Nurs Pract. 2023;29(1):e13097.
  • 16. Özüdoğru Emir Y, Aysan F. Young internet addiction test short form’s Turkish adaptation: Validity and reliability study among university students and adolescents. Anadolu Psikiyatri Derg. 2016;17(1):69-76.
  • 17. Batool SA, Shakil-Ul-Rehman S, Tariq Z, Ikram M. Effects of fasciatherapy versus fascial manipulation on pain, range of motion and function in patients with chronic neck pain. BMC Musculoskelet Disord. 2023;5;24(1):789.
  • 18. Karakaş SA, Gönültaş N, Okanlı A. Sleep quality in shift-working nurses. ERÜ Sağlık Bilimleri Fakültesi Dergisi. 2017;4(1):17-26.
  • 19. Secer E, Tanik F, Korucu TS, Gursan IN, Ucurum SG. The relationship between pain level and sleep quality, quality of life and psychological status in patients with chronic neck pain. JBACHS. 2020;4(3):258-263.
  • 20. Chapman LK, Williams SR, Mast BT, Woodruff-Borden J. A confirmatory factor analysis of the Beck Anxiety Inventory in African American and European American young adults. J Anxiety Disord. 2009;23(3):387-392.
  • 21. Aktürk Z, Dağdeviren N, Mevlut T, Tuğlu C. Birinci basamak için Beck Depresyon Tarama Ölçeği'nin Türkçe çeviriminin geçerlik ve güvenirliği. Türkiye Aile Hekimliği Dergisi. 2005;9(3):117-122.
  • 22. Eskin M, Harlak H, Demirkıran F, Dereboy Ç. Algılanan stres ölçeğinin Türkçeye uyarlanması: Güvenirlik ve geçerlik analizi. New/Yeni Symposium Journal. 2013;51(3):132-140.
  • 23. Wang W, Ji C, Andersen LL, et al. Effectiveness of manual therapy, computerised mobilisation plus home exercise, and home exercise only in treating work-related neck pain: study protocol for a randomised controlled trial. BMC Musculoskelet Disord. 2022;23(1):1119.
  • 24. Martel J, Dugas C, Dubois JD, Descarreaux M. A randomised controlled trial of preventive spinal manipulation with and without a home exercise program for patients with chronic neck pain. BMC Musculoskelet Disord. 2011;12:41.
  • 25. U.S. Department of Health and Human Services. 2008 physical activity guidelines for Americans. Hyattsville, MD: U.S. Department of Health and Human Services; 2008. Accessed January 8, 2016. http://health.gov/paguidelines/guidelines.
  • 26. Kutlu M, Savcı M, De H. Exercise rehabilitation for smartphone addiction. Journal of Exercise Rehabilitation. 2013;9(6);500-5.
  • 27. Barakou I, Sakalidis KE, Abonie US, et al. Effectiveness of physical activity interventions on reducing perceived fatigue among adults with chronic conditions: A systematic review and meta-analysis of randomised controlled trials. Sci Rep. 2023;13(1):14582.
  • 28. Xu J, Tang L. The relationship between physical exercise and problematic internet use in college students: The chain-mediated role of self-control and loneliness. BMC Public Health. 2024;24(1):1719.
  • 29. Hellström C, Nilsson KW, Leppert J, Åslund C. Effects of adolescent online gaming time and motives on depressive, musculoskeletal, and psychosomatic symptoms. Ups J Med Sci. 2015;120(4):263-75.
  • 30. Borhany T, Shahid E, Siddique WA, Ali H. Musculoskeletal problems in frequent computer and internet users. J Family Med Prim Care. 2018;7(2):337-339.
  • 31. Rottermund J, Knapik A, Saulicz E, et al. Back and neck pain among school teachers in Poland and its correlations with physical activity. Medycyna Pracy. 2015;66(6):771-778.
  • 32. Zronek M, Sanker H, Newcomb J, Donaldson M. The influence of home exercise programs for patients with non-specific or specific neck pain: A systematic review of the literature. Journal of Manual & Manipulative Therapy. 2016;24(2):62–73.
  • 33. Alpayci M, İlter S. Isometric exercise for the cervical extensors can help restore physiological lordosis and reduce neck pain: A randomized controlled trial. American Journal of Physical Medicine & Rehabilitation. 2017;96(9):621-626.
  • 34. Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: A six-week intervention with a one-month follow-up study. BMC Musculoskeletal Disorders. 2019;20:86.
  • 35. Li S, Wu Q, Tang C, Chen Z, Liu L. Exercise-based interventions for internet addiction: Neurobiological and neuropsychological evidence. Frontiers in Psychology. 2020;11:1296.
  • 36. Cheng M, Wang S, Wang Y, Zhang R, Qin L. Physical activity reduces internet addiction among “post-00” college students: The mediating role of coping styles. Frontiers in Psychology. 2023;13:1052510.
  • 37. Zhang Y, Li G, Liu C, Chen H, Guo J, Shi Z. Mixed comparison of interventions for different exercise types on students with Internet addiction: A network meta-analysis. Frontiers in Psychology. 2023;14:1111195.
  • 38. Zhang W, Xu R. Effect of exercise intervention on internet addiction and autonomic nervous function in college students. Biomed Res Int. 2022(12):1-7.
  • 39. Guo W, Xing H, Gong X, He L, Zhang Z, Jia C. Effects of Yi Jin Jing on juvenile cervical spondylopathy in China: A parallel, randomized, assessor-blinded clinical trial. Niger J Clin Pract. 2023;26(9):1234-1241.
  • 40. Yan Y, Qin X, Liu L, Zhang W, Li B. Effects of exercise interventions on internet addiction among college students: A systematic review and meta-analysis of randomized controlled trials. Addict Behav. 2025;160:108159.
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fiziksel Aktivite ve Sağlık, Fizyoterapi
Bölüm Makaleler
Yazarlar

Gamze Demircioğlu 0000-0002-0694-9140

Hazal Genç 0000-0001-9999-1040

Erken Görünüm Tarihi 30 Ağustos 2025
Yayımlanma Tarihi 31 Ağustos 2025
Gönderilme Tarihi 9 Ağustos 2024
Kabul Tarihi 7 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Sayı: 26

Kaynak Göster

JAMA Demircioğlu G, Genç H. Evaluating the Effectiveness of Interventions for Neck Pain in University Students with Problematic Internet Use: A Randomized Trial. IGUSABDER. 2025;:418–429.

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