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Neck and Upper Extremity Pain and Disability Experienced by University Students with Distance Education During the COVID-19 Pandemic: Descriptive Research

Yıl 2022, Cilt: 17 Sayı: 3, 165 - 172, 02.11.2022
https://doi.org/10.17517/ksutfd.1032043

Öz

Abstract
Objective: Musculoskeletal system problems emerged in students who had to attend classes with a computer or smartphone during the weekly course hours, due to the fact that the universities providing face-to-face education switched to the online method of distance education due to the Covid-19 pandemic.
Purpose of the study; To determine the severity of the pain experienced by the students, to reveal its relationship with disability, and to find the factors that induce pain and disability in daily life.
Material and Methods: One hundred students between the ages of 18-25, who attended distance education for at least 2 academic semesters and met the study criteria were included in the study. After the Sociodemographic Data Questionnaire was applied to the students included in the study, the Arm, Shoulder and Hand Problems Quick Questionnaire (Q-DASH), Neck Disability Index and NRS tests were applied.
Results: As a result of the Quick Questionnaire for Arm, Shoulder and Hand Problems (Q-DASH), 43% of the students included in the study had moderate disability, and according to the Neck Disability Index, 37% of the study group had complete disability. According to multivariate regression analysis, gender (p<0.05) and duration of computer or smart phone use (p<0.05) were the variables that most affected disability. A significant correlation was found between the frequency of pain and disability in the upper extremity (p<0.001).
Conclusion: It is seen that excessive computer or smart phone use during distance education causes disability due to pain and joint movement limitations in the upper extremity and cervical region.

Kaynakça

  • Balanzá-Martínez V, Kapczinski F, de Azevedo Cardoso T, Atienza-Carbonell B, Rosa AR, Mota JC et al. The assessment of lifestyle changes during the COVID-19 pandemic using a multidimensional scale. Rev Psiquiatr Salud Ment (Engl Ed). 2021;14(1):16-26.
  • Chick RC, Clifton GT, Peace KM, Propper BW, Hale DF, Alseidi DA et al. Using technology to maintain the education of residents during the covid-19 pandemic. J Surg Educ. 2020;77(4):729-732. doi:10.1016/j.jsurg.2020.03.018
  • Ferrel MN, Ryan JJ. The Impact of COVID-19 on Medical Education. Cureus. 2020;12(3):e7492.
  • Wijesooriya NR, Mishra V, Brand PLP, Rubin BK. COVID-19 and telehealth, education, and research adaptations. Paediatr Respir Rev. 2020;35:38-42.
  • Scagnoli NI, Choo J, Tian J. Students' insights on the use of video lectures in online classes. Br J Educ Technol. 2019;50:399–414.
  • Andersen JH, Fallentin N, Thomsen JF, Mikkelsen S. Risk factors for neck and upper extremity disorders among computers users and the effect of interventions: An overview of systematic reviews. PLoS One. 2011;6(5):e19691.
  • 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.
  • Karingada KT, Sony M. Demonstration of the relationship between MSD and online learning during the COVID-19 pandemic. Journal of Applied Research in Higher Education. 2021;14(3):200-222.
  • Andersen JH, Fallentin N, Thomsen JF, Mikkelsen S. Risk factors for neck and upper extremity disorders among computers users and the effect of interventions: an overview of systematic reviews. PLoS One. 2011;6(5):e19691.
  • Tittiranonda P, Rempel D, Armstrong T, Burastero S. Effect of four computer keyboards in computer users with upper extremity musculoskeletal disorders. Am J Ind Med. 1999;35(6):647-661.
  • Hoe VC, Urquhart DM, Kelsall HL, Sim MR. Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults. Cochrane Database Syst Rev. 2012;2012(8):CD008570.
  • Imaeda T, Toh S, Wada T, Uchiyama S, Okinaga S, Kusunose K et al. Validation of the Japanese Society for Surgery of the Hand Version of the Quick Disability of the Arm, Shoulder, and Hand (QuickDASH-JSSH) questionnaire. J Orthop Sci. 2006;11(3):248-253.
  • Beaton DE, Wright JG, Katz JN; Upper Extremity Collaborative Group. Development of the QuickDASH: Comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005;87(5):1038-1046.
  • Koldas Dogan S, Ay S, Evcik D, Baser O. Adaptation of Turkish version of the questionnaire Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) in patients with carpal tunnel syndrome. Clin Rheumatol. 2011;30(2):185-191.
  • Vernon H, Mior S. The Neck Disability Index: A study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-415.
  • Riddle DL, Stratford PW. Use of generic versus region-specific functional status measures on patients with cervical spine disorders. Phys Ther. 1998;78(9):951-963.
  • Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yaglý N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976). 2008;33(11):362-365.
  • Price DD, Bush FM, Long S, Harkins SW. A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain. 1994;56(2):217-226.
  • Seymour RA, Simpson JM, Charlton EJ, Phillips ME. An evaluation of length and end-phrase of visual analogue scales in dental pain. Pain. 1985;21(2):177-185.
  • Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.
  • Blatter BM, Bongers PM. Duration of computer use and mouse use in relation to musculoskeletal disorders of neck or upper limb. International Journal of Industrial Ergonomics, 2002;30(4-5):295-306.
  • Leirós-Rodríguez R, Rodríguez-Nogueira Ó, Pinto-Carral A, José Álvarez-Álvarez M, Galán-Martín MÁ, Montero-Cuadrado F et al. Musculoskeletal pain and non-classroom teaching in times of the COVID-19 Pandemic: Analysis of the impact on students from two Spanish universities. J Clin Med. 2020;9(12):4053.
  • Arshad MA, Shamsudin MZ, Mustafa MJA. Laptop use and upper extremities musculoskeletal disorders among higher learning students: Ergonomic and musculoskeletal. MAEH Journal of Environmental Health. 2020;1(1),1-4.
  • Gerding T, Syck M, Daniel D, Naylor J, Kotowski SE, Gillespie GL et al. An assessment of ergonomic issues in the home offices of university employees sent home due to the COVID-19 pandemic. Work. 2021;68(4):981-992.
  • Singh S, Saini A, Ahlawat T. Impact of online teaching on health of university students during Covid 19 pandemic crisis. The Pharma Innovation Journal. 2021;10(4): 958-996.
  • Daher A, Halper O. The impact of the covid-19 pandemic and lockdown on prevalence of and risk factors for neck pain among college students: A cross-sectional study. Healthcare. 2021;9(11):1526.

Üniversite Öğrencilerinin COVID-19 Pandemisi Sırasında Yaşadıkları Boyun ve Üst Ekstremite Ağrısı ve Engelliliği: Tanımlayıcı Araştırma

Yıl 2022, Cilt: 17 Sayı: 3, 165 - 172, 02.11.2022
https://doi.org/10.17517/ksutfd.1032043

Öz

Özet
Amaç: Covid-19 pandemisi sebebiyle yüz yüze eğitim veren üniversitelerin çevrimiçi yöntemle uzaktan eğitim yöntemine geçmesi sebebiyle, haftalık ders saatleri süresince bilgisayar veya akıllı telefon ile derslere katılmak zorunda olan öğrencilerde, kas iskelet sistemi problemleri ortaya çıktı. Çalışmanın amacı; öğrencilerin yaşadıkları ağrının şiddetini belirlemek, dizabilite ile ilişkisini ortaya çıkarmak ve günlük yaşamda ağrı ve dizabiliteyi tetikleyen faktörleri bulmaktır.
Gereç ve Yöntemler: Çalışmaya 18-25 yaş arasında olan, en az 2 akademik yarıyıl boyunca uzaktan eğitime devam eden ve çalışma kriterlerini karşılayan 100 öğrenci dahil edilmiştir. Çalışmaya dahil edilen öğrencilere Sosyodemografik Veri Anketi uygulanması sonrasında Kol, Omuz ve El Sorunları Hızlı Anketi (Q-DASH), Boyun Dizabilite Anketi ve Nümerik Ağrı Skalası testleri uygulanmıştır.
Bulgular: Kol, Omuz ve El Sorunları Hızlı Anketi (Q-DASH) anketi sonucu çalışmaya dahil edilen öğrencilerin %43’ünde orta seviye dizabilite, Boyun Dizabilite İndeksi’ne göre çalışma grubunun %37’sinde tam dizabilite görüldü. Çoklu değişkenli regresyon analizine göre cinsiyet (p<0.05) ve bilgisayar veya akıllı telefon kullanım süresi (p<0.05) dizabiliteyi en çok etkileyen değişkenler olarak bulundu. Ağrı sıklığı ve üst ekstremitede dizabilite arasında anlamlı bir ilişki bulundu (p<0.001).
Sonuç: Uzaktan eğitim süresince fazla bilgisayar veya akıllı telefon kullanımının üst ekstremite ve servikal bölgede ağrı ve eklem hareket limitasyonları sebebiyle dizabiliteye neden olduğu görülmektedir.

Kaynakça

  • Balanzá-Martínez V, Kapczinski F, de Azevedo Cardoso T, Atienza-Carbonell B, Rosa AR, Mota JC et al. The assessment of lifestyle changes during the COVID-19 pandemic using a multidimensional scale. Rev Psiquiatr Salud Ment (Engl Ed). 2021;14(1):16-26.
  • Chick RC, Clifton GT, Peace KM, Propper BW, Hale DF, Alseidi DA et al. Using technology to maintain the education of residents during the covid-19 pandemic. J Surg Educ. 2020;77(4):729-732. doi:10.1016/j.jsurg.2020.03.018
  • Ferrel MN, Ryan JJ. The Impact of COVID-19 on Medical Education. Cureus. 2020;12(3):e7492.
  • Wijesooriya NR, Mishra V, Brand PLP, Rubin BK. COVID-19 and telehealth, education, and research adaptations. Paediatr Respir Rev. 2020;35:38-42.
  • Scagnoli NI, Choo J, Tian J. Students' insights on the use of video lectures in online classes. Br J Educ Technol. 2019;50:399–414.
  • Andersen JH, Fallentin N, Thomsen JF, Mikkelsen S. Risk factors for neck and upper extremity disorders among computers users and the effect of interventions: An overview of systematic reviews. PLoS One. 2011;6(5):e19691.
  • 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.
  • Karingada KT, Sony M. Demonstration of the relationship between MSD and online learning during the COVID-19 pandemic. Journal of Applied Research in Higher Education. 2021;14(3):200-222.
  • Andersen JH, Fallentin N, Thomsen JF, Mikkelsen S. Risk factors for neck and upper extremity disorders among computers users and the effect of interventions: an overview of systematic reviews. PLoS One. 2011;6(5):e19691.
  • Tittiranonda P, Rempel D, Armstrong T, Burastero S. Effect of four computer keyboards in computer users with upper extremity musculoskeletal disorders. Am J Ind Med. 1999;35(6):647-661.
  • Hoe VC, Urquhart DM, Kelsall HL, Sim MR. Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults. Cochrane Database Syst Rev. 2012;2012(8):CD008570.
  • Imaeda T, Toh S, Wada T, Uchiyama S, Okinaga S, Kusunose K et al. Validation of the Japanese Society for Surgery of the Hand Version of the Quick Disability of the Arm, Shoulder, and Hand (QuickDASH-JSSH) questionnaire. J Orthop Sci. 2006;11(3):248-253.
  • Beaton DE, Wright JG, Katz JN; Upper Extremity Collaborative Group. Development of the QuickDASH: Comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005;87(5):1038-1046.
  • Koldas Dogan S, Ay S, Evcik D, Baser O. Adaptation of Turkish version of the questionnaire Quick Disability of the Arm, Shoulder, and Hand (Quick DASH) in patients with carpal tunnel syndrome. Clin Rheumatol. 2011;30(2):185-191.
  • Vernon H, Mior S. The Neck Disability Index: A study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-415.
  • Riddle DL, Stratford PW. Use of generic versus region-specific functional status measures on patients with cervical spine disorders. Phys Ther. 1998;78(9):951-963.
  • Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yaglý N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976). 2008;33(11):362-365.
  • Price DD, Bush FM, Long S, Harkins SW. A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain. 1994;56(2):217-226.
  • Seymour RA, Simpson JM, Charlton EJ, Phillips ME. An evaluation of length and end-phrase of visual analogue scales in dental pain. Pain. 1985;21(2):177-185.
  • Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.
  • Blatter BM, Bongers PM. Duration of computer use and mouse use in relation to musculoskeletal disorders of neck or upper limb. International Journal of Industrial Ergonomics, 2002;30(4-5):295-306.
  • Leirós-Rodríguez R, Rodríguez-Nogueira Ó, Pinto-Carral A, José Álvarez-Álvarez M, Galán-Martín MÁ, Montero-Cuadrado F et al. Musculoskeletal pain and non-classroom teaching in times of the COVID-19 Pandemic: Analysis of the impact on students from two Spanish universities. J Clin Med. 2020;9(12):4053.
  • Arshad MA, Shamsudin MZ, Mustafa MJA. Laptop use and upper extremities musculoskeletal disorders among higher learning students: Ergonomic and musculoskeletal. MAEH Journal of Environmental Health. 2020;1(1),1-4.
  • Gerding T, Syck M, Daniel D, Naylor J, Kotowski SE, Gillespie GL et al. An assessment of ergonomic issues in the home offices of university employees sent home due to the COVID-19 pandemic. Work. 2021;68(4):981-992.
  • Singh S, Saini A, Ahlawat T. Impact of online teaching on health of university students during Covid 19 pandemic crisis. The Pharma Innovation Journal. 2021;10(4): 958-996.
  • Daher A, Halper O. The impact of the covid-19 pandemic and lockdown on prevalence of and risk factors for neck pain among college students: A cross-sectional study. Healthcare. 2021;9(11):1526.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Alper Perçin 0000-0001-7974-6945

Erken Görünüm Tarihi 1 Kasım 2022
Yayımlanma Tarihi 2 Kasım 2022
Gönderilme Tarihi 3 Aralık 2021
Kabul Tarihi 8 Şubat 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 17 Sayı: 3

Kaynak Göster

AMA Perçin A. Neck and Upper Extremity Pain and Disability Experienced by University Students with Distance Education During the COVID-19 Pandemic: Descriptive Research. KSÜ Tıp Fak Der. Kasım 2022;17(3):165-172. doi:10.17517/ksutfd.1032043