The Relationship Between Smartphone Use and Postural Disorders: An Investigation on University Students

Öz

The purpose of the present study is to investigate the correlation between students' degrees of smartphone addiction and postural disorders at a sports sciences faculty. The research employs a "relational survey model," selected from survey models, as the study design. The sample group comprises 275 voluntary students enrolled in Bartın University’s Faculty of Sports Sciences during the fall semester of the 2024–2025 academic year. A personal information form created by the researchers and the Smartphone Addiction Scale-Short Form (SAS-SF) were among the instruments used to collect data. To assess postural disorders, the study utilized the Posture Screen application, available on iOS and Android platforms, which has demonstrated reliability and validity for this purpose. With the assumption that the data follow a normal distribution, the SPSS 26.0 software package was used to conduct frequency, percentage, t-test, and Pearson correlation analyses. The results of the t-test showed that there was no significant difference between the gender variable and the Smartphone Addiction Scale-Short Form (SAS-SF). The t-test results, however, showed a significant difference between the gender variable and posture measurements in the head-shoulder-chest variables. There was no discernible correlation found between smartphone addiction and assessments of posture. Based on these findings, it is suggested that university students exhibit an average level of smartphone addiction, which may negatively impact postural disorders. In this context, it is recommended university students limit smartphone use and avoid sedentary lifestyles by engaging in physical activities.

Anahtar Kelimeler

• Smartphone use
• Postural disorder
• University students

Akıllı Telefon Kullanımı ve Postür Bozukluğu Arasındaki İlişki: Üniversite Öğrencileri Üzerine Bir İnceleme

Öz

Araştırmanın amacı, spor bilimleri fakültesi öğrencilerinin akıllı telefon bağımlılık düzeyleri ile postür bozuklukları arasındaki ilişkiyi incelemektir. Araştırma modeli olarak tarama modelleri arasından “ilişkisel tarama modeli” kullanılmıştır. Araştırma grubunu, 2024-2025 güz yarıyılında Bartın Üniversitesi Spor Bilimleri Fakültesinde öğrenim gören 275 gönüllü öğrenci oluşturmaktadır. Veri toplama aracı olarak, araştırmacılar tarafından hazırlanan kişisel bilgi formu, Akıllı Telefon Bağımlılığı Ölçeği-Kısa Formu (ATBÖ-KF) kullanılmıştır. Postür bozukluklarının belirlenmesi için güvenirlik ve geçerliği bulunan IOS ve Android tabanlı Posture Screen uygulaması kullanılmıştır. Verilerin analizinde normal dağılım oluşturması ön görülmesiyle SPSS 26.0 paket programıyla frekans, yüzde istatistiksel analiz olarak t-testi ve Pearson korelasyon testleri kullanılmıştır. Araştırmanın bulgularında, cinsiyet değişkeni ve ATBÖ arasında t-Testi sonuçlarına göre anlamlı farklılık tespit edilmemiştir. Cinsiyet değişkeni ve postür ölçümleri arasında baş-omuz-göğüs değişkenleri arasında t-testi sonuçlarına göre anlamlı farklılık tespit edilmiştir. Akıllı telefon bağımlılığı ile postür ölçümleri arasında anlamlı ilişki tespit edilmemiştir. Bu bilgiler doğrultusunda üniversite öğrencilerinin akıllı telefon bağımlılığının ortalama düzeyde olduğu ve bu durumun postürel bozuklukları olumsuz etkileyebileceği düşünülmektedir. Bu bağlamda üniversite öğrencilerinin, akıllı telefon kullanımın sınırlandırılması ve hareketsiz yaşam biçimden uzaklaşarak fiziksel aktivite içerikli etkinliklere katılım sağlaması gerektiği söylenebilir.

Anahtar Kelimeler

• Akıllı telefon kullanımı
• Postür bozukluğu
• Üniversite öğrencileri

Kaynakça

1. Adesola, O., & Mustapha, W. (2020). Pattern of musculoskeletal pain among Christians and Islamic faithfuls in Obafemi Awolowo University, Ile-Ife, Nigeria. Medicina Sportiva, 16(1), 3177-3184.
2. Alsalam, A. M., Harisi, M. J., Alduayji, M. A., Almutham, A. A., & Mahmood, F. M. (2019). Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. J Family Med Prim Care, 8(9), 2953-2959. https://doi.org/10.4103/jfmpc.jfmpc_665_19
3. Akay, B., Ayhan, B., & Yaşartürk, F. (2022). Boş Zaman yoluyla stresle baş etme stratejisi ve mutluluk düzeyi arasındaki ilişki. Uluslararası Güncel Eğitim Araştırmaları Dergisi, 8(2), 593-607.
4. Alabdulwahab, S. S., Kachanathu, S. J., & AlMotairi, M. S. (2017). Smartphone use addiction can cause neck disability. Musculoskeletal Care, 15(1), 10-12. https://doi.org/10-12. 10.1002/msc.1170
5. Alfaitouri, S., & Altaboli, A. (2019). The effect of posture and duration of smartphone usage on neck flexion angle. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 63(1), 962-966. https://doi.org/10.1177/1071181319631137
6. Alkın, S. (2018). An invesiıgation of the relationships between the quality of social relationships and smart phone addiction in high school students. [Master thesis] Gaziosmanpasa, Tokat.
7. Al-Dhafer, B. A. A., Alessa, H. A., Albesher, M. A., Alnaim, M. F., Albawardi, S. K., & Albesher, M. (2023). The association between smartphone addiction/overuse with hand and wrist musculoskeletal complaints, Saudi Arabia. Cureus, 15(11), e48752. https://doi.org/10.7759/cureus.48752
8. Arooj, A., Aziz, A., Khalid, F., Iqbal, M. H., & Ashfaq, H. B. (2022). Forward head posture in young adults: A systematic review: Forward head posture in young adults. The Therapist (Journal of Therapies & Rehabilitation Sciences), 3(1), 32-35. https://doi.org/10.54393/tt.v3i1.38

9. Ayhan, B., & Özel, B. (2020). Examining the relationship between leisure attitude and life satisfaction levels of university students. International Journal of Sport Culture and Science, 8(3), 154-166. https://doi.org/10.14486/IntJSCS.2020.605
10. Barczyk-Pawelec, K., & Sipko, T. (2024). Spinal alignment in habitual standing position and while using smartphones in healthy young adults. Physiotherapy Quarterly, 32(1), 105-110. https://doi.org/10.5114/pq.2024.135430
11. Betsch, M., Kalbhen, K., Michalik, R., Schenker, H., Gatz, M., Quack, V., Siebers, H. L., Wild, M., & Migliorini, F. (2021). The influence of smartphone use on spinal posture - A laboratory study. Gait & Posture, 85, 298-303. https://doi.org/10.1016/j.gaitpost.2021.02.018
12. Bianchi, A., & Phillips, J. G. (2005). Psychological predictors of problem mobile phone use. CyberPsychology & Behavior, 8(1), 39-51. https://doi.org/10.1089/cpb.2005.8.39
13. Bomen, B., & Kulkarni, S. (2022). The relationship between addiction to smartphone usage and protracted shoulders, forward head posture and thoracic kyphosis in college students. International Journal of Health Sciences and Research, 12(2), 220-226. https://doi.org/10.52403/ijhsr.20220231
14. Bostan, C., & Kalyon, A. (2024). Relationship between smartphone addiction and satisfaction with life in adolescents. Journal of Youth Research, 12(33), 92-113. https://doi.org/10.52528/genclikarastirmalari.1385887
15. Büyüköztürk, Ş. (2020). Sosyal bilimler için veri analizi el kitabı (28. bs.). Pegem Akademi, Ankara.
16. Can, A. (2020). SPSS ile bilimsel araştırma sürecinde nicel veri analizi (9. bs.). Pegem Akademi, Ankara.
17. Cha, S. S., & Seo, B. K. (2018). Smartphone use and smartphone addiction in middle school students in Korea: Prevalence, social networking service, and game use. Health Psychology Open, 5(1), 2055102918755046. https://doi.org/10.1177/2055102918755046
18. Cha, H., Hwang, S., Eo, J., Ji, H., Han, J., & Choi, W. (2022). Correlationship among smartphone screen time, cervical alignment, and muscle function in university students. Physical Therapy Rehabilitation Science, 11(4), 446-453. https://doi.org/10.14474/ptrs.2022.11.4.446
19. Chen, B., Liu, F., Ding, S., Ying, X., Wang, L., & Wen, Y. (2020). Gender differences in factors associated with smartphone addiction: A cross-sectional study among medical college students. BMC Psychiatry, 20(1), 1-9. https://doi.org/10.1186/s12888-017-1503-z
20. Chen, Y. L., Chan, Y. C., & Alexander, H. (2024). Gender differences in neck muscle activity during near-maximum forward head flexion while using smartphones with varied postures. Scientific Reports, 14(1), 12994. https://doi.org/10.1038/s41598-024-63734-0
21. Chen, Y. L., & Chan, Y.C. (2024). Neck and shoulder strains under various head flexing positions while standing and sitting with and without back support for male and female smartphone users. Ergonomics, 67(7), 913-924. https://doi.org/10.1080/00140139.2023.2270651
22. Cochrane, M. E., Tshabalala, M. D., Hlatswayo, N. C., Modipana, R. M., Makibelo, P. P., Mashale, E. P., & Pete, L. C. (2019). The short-term effect of smartphone usage on the upper-back postures of university students. Cogent Engineering, 6, 1627752. https://doi.org/10.1080/23311916.2019.1627752
23. Cocoradă, E., Maican, C. I., Cazan, A. M., & Maican, M. A. (2018). Assessing the smartphone addiction risk and its associations with personality traits among adolescents. Children and Youth Services Review, 93, 345-354. https://doi.org/10.1016/j.childyouth.2018.08.006
24. Çakır, Ö., & Oğuz, E. (2017). The correlation between high school students' loneliness levels and smart phone addiction. Mersin University Journal of the Faculty of Education, 13(1), 418-429. https://doi.org/10.17860/mersinefd.290711
25. Çuhadar, A., Demirel, M., Er, Y., & Serdar, E. (2020). Ergenlerde akıllı telefon bağımlılığı ve gelecek beklentisi ilişkisinin incelenmesi. OPUS International Journal of Society Researches, 15(24), 2528-2544. https://doi.org/10.26466/opus.620060
26. Daniel, G., Negara, A., Juhanna, I., & Tianing, N. (2022). The relation between smartphone use with forward head posture occurrence in undergraduate physiotherapy students. Physical Therapy Journal of Indonesia, 3(2), 44-48. https://doi.org/10.51559/ptji.v3i2.51
27. Demirci, K., Orhan, H., Demirdas, A., Akpınar, A., & Sert, H. (2015). Validity and reliability of the Turkish version of the smartphone addiction scale in a younger population. Bulletin of Clinical Psychopharmacology, 24(3), 226-234. https://doi.org/10.5455/bcp.20140710040824
28. Field, A. (2009). Discovering statistics using IBM SPSS statistics (3rd ed.). Sage.
29. Fontenele, T. M. D. O., Rabelo, L. K. S. M., Medeiros, N. K. F. D., Sousa, N. R. M. D., Mont’Alverne, D. G. B., & Abdon, A. P. V. (2024). Evaluation of cervical posture and smartphone use in young adults. Fisioterapia em Movimento, 37, e37115.
30. Gezgin, D. M., Hamutoglu, N. B., Sezen-Gultekin, G., & Ayas, T. (2017). The relationship between nomophobia and loneliness among Turkish adolescents. International Journal of Research in Education and Science, 3(2), 417-428. https://doi.org/10.21890/ijres.409265
31. Göymen, R., & Ayas, T. (2019). Investigation of the relationship between smart telephone addiction and game addiction. Online Journal of Technology Addiction and Cyberbullying, 6(2), 36-52.
32. Güngör, A. B., & Koçak, O. (2020). Üniversite öğrencilerinin akıllı telefon bağımlılığı ve akademik erteleme davranışı arasındaki ilişkinin incelenmesi. Eğitim ve Toplum Araştırmaları Dergisi, 7(2), 397-419.
33. Han, H., Lee, S., & Shin, G. (2019). Naturalistic data collection of head posture during smartphone use. Ergonomics, 62(3), 444-448. https://doi.org/10.1080/00140139.2018.1544379
34. Hanphitakphong, P., Keeratisiroj, O., & Thawinchai, N. (2021). Smartphone addiction and its association with upper body musculoskeletal symptoms among university students classified by age and gender. Journal of Physical Therapy Science, 33(5), 394-400. https://doi.org/10.1589/jpts.33.394
35. Iacob, S. M., Chisnoiu, A. M., Lascu, L. M., Berar, A. M., Studnicska, D., & Fluerasu, M. I. (2018). Is PostureScreen® Mobile app an accurate tool for dentists to evaluate the correlation between malocclusion and posture?. CRANIO®, 38(4), 233-239. https://doi.org/10.1080/08869634.2018.1512197
36. Jacquier-Bret, J., & Gorce, P. (2023). Effect of day time on smartphone use posture and related musculoskeletal disorders risk: A survey among university students. BMC Musculoskeletal Disorders, 24(1), 725. https://doi.org/10.1186/s12891-023-06837-5
37. Jung, S., Lee, N., Kang, K., Kim, K., & Lee, D. (2016). The effect of smartphone usage time on posture and respiratory function. Journal of Physical Therapy Science, 28(1), 186-189. https://doi.org/10.1589/jpts.28.186
38. Karasar, N. (2020). Bilimsel araştırma yöntemi: Kavramlar, ilkeler, teknikler (1. bs.). Nobel Yayınları, Ankara.
39. Khan, S., Kumari, B., Kataria, S., Sultan, R., Hakim, A., Faiz, A., Mazhar, S., & Aslam, I. (2024). Impact of smartphone addiction on neck pain among university students. JHRR, 4(3), 1-5. https://doi.org/10.61919/jhrr.v4i3.1507
40. Kırkbir, F., & Zengin, S. (2022). Investigation of life satisfaction and psychological health of university students according to their sports participation experiences. International Journal of Eurasian Education and Culture, 7(18), 1499-1512. https://10.35826/ijoecc.612
41. Kim, H. J., & Kim, J. S. (2015). The relationship between smartphone use and subjective musculoskeletal symptoms and postures. Journal of Physical Therapy Science, 27(3), 575-579. https://doi.org/10.1589/jpts.27.575
42. Kuo, Y. R., Fang, J. J., Wu, C. T., Lin, R. M., Su, P. F., & Lin, C. L. (2019). Analysis of a customized cervical collar to improve neck posture during smartphone usage: A comparative study in healthy subjects. European Spine Journal, 28(8), 1793-1803. https://doi.org/10.1007/s00586-019-06022-0
43. Kuss, D. J., & Griffiths, M. D. (2015). Social networking sites and addiction: Ten lessons learned. International Journal of Environmental Research and Public Health, 12(3), 1286-1306. https://doi.org/10.3390/ijerph14030311
44. Kuyucu, M. (2017). Use of smart phone and problematic of smart phone addiction in young people: “smart phone (colic)” university youth. Global Media Journal TR Edition, 7(14), 328-359.
45. Kwon, M., Kim, D. J., Cho, H., & Yang, S. (2013). The smart phone addiction scale: Development and validation of a short version for adolescents. PLOS ONE, 8(12), e83558. https://doi.org/10.1371/journal.pone.0083558
46. Lee, J. H., Park, S. Y., & Yoo, W. G. (2011). Changes in craniocervical and trunk flexion angles and gluteal pressure during VDT work with continuous cross-legged sitting. Journal of Occupational Health, 53(5), 350-355. https://doi.org/10.1539/joh.10-0136-oa
47. Lee, S. Y., Lee, D. H., & Han, S. K. (2016). The effects of posture on neck flexion angle while using a smartphone according to duration. Korean Society of Physical Medicine, 11(3), 35-39. https://doi.org/10.13066/kspm.2016.11.3.35
48. Lee, D. and Jeon, H. (2024). Effects of body posture while using a smartphone on inspiratory capacity and cervical and thoracic postures in university students. JCMSH, 28(1), 21-26. https://doi.org/10.17817/2023.02.12.1111780
49. Lepp, A., Barkley, J. E., & Karpinski, A. C. (2015). The relationship between cell phone use, academic performance, anxiety, and satisfaction with life in college students. Computers in Human Behavior, 31, 343-350. https://doi.org/10.1016/j.chb.2013.10.049
50. Lin, C. C., Hua, S. H., Lin, C. L., Cheng, C. H., Liao, J. C., & Lin, C. F. (2020). Impact of prolonged tablet computer usage with head forward and neck flexion posture on pain intensity, cervical joint position sense and balance control in mechanical neck pain subjects. Journal of Medical and Biological Engineering, 40, 372-382. https://doi.org/10.1007/s40846-020-00525-8
51. Liu, C. H., Lin, S. H., Pan, Y. C., & Lin, Y. H. (2016). Smartphone gaming and frequent use pattern associated with smartphone addiction. Medicine (Baltimore), 95(28), e4068. https://doi.org/10.1097/MD.0000000000004068
52. Minaz, A., Çetinkaya Bozkurt, Ö., & Bozkurt, Ö. Ç. (2017). Investigation of university students smartphone addiction levels and usage purposes in terms of different variables. Mehmet Akif Ersoy University Journal of Social Sciences Institute, 9(21), 268-286. https://doi.org/10.20875/makusobed.306903
53. Mustafaoğlu, R., Yasaci, Z., Zirek, E., Griffiths, M. D., & Ozdincler, A. R. (2021). The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: A cross-sectional study. Korean Journal of Pain, 34(1), 72–81. https://doi.org/10.3344/kjp.2021.34.1.72
54. Noyan, C. O., Enez-Darçın, A., Nurmedov, S., Yılmaz, O., & Dilbaz, N. (2015). Validity and reliability of the Turkish version of the Smartphone Addiction Scale-Short Version among university students. Alpha Psychiatry, 16, 73-81. https://doi.org/10.5455/apd.176101
55. O’Dea, S. (2022, February 17). How many people smartphone subscriptions are active worldwide? Statista. Retrieved from https://www.statista.com/statistics
56. Odole, A., A, O., Oluwagbohunmi, A., E, M., Clara, F., Oyewole, O., Oladele, I. R., Fatoye, F.A., & O, A. Akinpelu (2020). Musculoskeletal pain and postural abnormalities among smartphone-using digital natives. Journal of Musculoskeletal Disorders and Treatment, 6(4), 1-12. https://doi.org/10.23937/2572-3243.1510089
57. Olson, J. A., Sandra, D. A., Colucci, É. S., Al Bikaii, A., Chmoulevitch, D., Nahas, J., Raz, A., & Veissière, S. P. (2022). Smartphone addiction is increasing across the world: A meta-analysis of 24 countries. Computers in Human Behavior, 129, 107138. https://doi.org/10.1016/j.chb.2021.107138
58. Park, J., Kim, K., Kim, N., Choi, I., Lee, S., Tak, S., & Yim, J. (2015). A comparison of cervical flexion, pain, and clinical depression in frequency of smartphone use. International Journal of Bio-Science and Bio-Technology, 7(3), 183-190. https://doi.org/10.14257/ijbsbt.2015.7.3.19
59. Saeed, A., Shahid, M., Liaqat, M., Farhat, R., Khursheed, R., Ahmed, S., Rafique, N., & Rafique, A. (2024). Prevalence of forward head posture and its association with smartphone use among university students. Pakistan Biomedical Journal, 7(10), 13-18. https://doi.org/10.54393/pbmj.v7i10.1141
60. Samaha, M., & Hawi, N. S. (2016). Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. Computers in Human Behavior, 57, 321–325. https://doi.org/10.1016/j.chb.2015.12.045
61. Selvaganapathy, K., Rajappan, R., & Dee, T. (2017). The effect of smartphone addiction on craniovertebral angle and depression status among university students. International Journal of Integrative Medical Sciences, 4(7), 537-542. https://doi.org/10.16965/ijims.2017.118
62. Statista. (n.d.). Number of smartphone users worldwide from 2016 to 2024. Statista. Retrieved November 3, 2024, from https://www.statista.com/forecasts/1143723/smartphone-users-in-the-world
63. Tokgöz, G., & Aydın, Ö. (2022). Comparison of body posture analysis of 11-13 year old soccer players and handball players. Journal of Global Sport and Education Research, 5(2), 87-97. https://doi.org/10.55142/jogser.1142064
64. Torkamani, M. H., Mokhtarinia, H. R., & Vahedi, M. et al. (2023). Relationships between cervical sagittal posture, muscle endurance, joint position sense, range of motion, and level of smartphone addiction. BMC Musculoskeletal Disorders, 24, 61. https://doi.org/10.1186/s12891-023-06168-5
65. Tunç, Ç. A. (2020). The investigation of the relationship between life satisfaction and fear of happiness of faculty of sport sciences students. Gaziantep University Journal of Sport Science, 5(1), 57-68.
66. Türkiye İstatistik Kurumu (TÜİK). (2021). Çocuklarda bilişim teknolojileri kullanım araştırması, 2021. https://data.tuik.gov.tr/Bulten/Index?p=Cocuklarda-Bilisim-Teknolojileri-Kullanim-Arastirmasi-2021-41132
67. Van Deursen, A. J., Bolle, C. L., Hegner, S. M., & Kommers, P. A. (2015). Modeling habitual and addictive smartphone behavior: The role of smartphone usage types, emotional intelligence, social stress, self-regulation, age, and gender. Computers in Human Behavior, 45, 411-420. https://doi.org/10.1016/j.chb.2014.12.039
68. Wang, Z., Yang, X., & Zhang, X. (2020). Relationships among boredom proneness, sensation seeking, and smartphone addiction among Chinese college students: Mediating roles of pastime, flow experience, and self-regulation. Technology in Society, 62, 101319. https://doi.org/10.1016/j.techsoc.2020.101319
69. World Health Organization. (2008). Waist circumference and waist-hip ratio: Report of a WHO expert consultation, 8–11 December 2008, Geneva, Switzerland. https://www.who.int/publications/i/item/9789241501491
70. Xie, Y., Szeto, G. P., Dai, J., & Madeleine, P. (2021). A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck-shoulder pain. Ergonomics, 64(2), 155-163. https://doi.org/10.1186/s12891-023-06168-5
71. Yaşartürk, F., Genç, A., Peker, H., Bakar, M., & Bayburtlu, M. B. (2022). The relationship between the perception of students of the faculty of sports sciences and the levels of attitude to sports. International Journal of Contemporary Educational Studies, 8(2), 402-416.
72. Zhang M. X., & Wu, A. M. (2020). Effects of smartphone addiction on sleep quality among Chinese university students: The mediating role of self-regulation and bedtime procrastination. Addict Behav, 111, 106552. https://doi.org/10.1016/j.addbeh.2020.106552