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Year 2025, Volume: 11 Issue: 5, 267 - 273
https://doi.org/10.31459/turkjkin.1722437

Abstract

References

  • Al-Hadidi, F., Bsisu, I., AlRyalat, S. A., Al-Zu'bi, B., Bsisu, R., Hamdan, M., Kanaan, T., Yasin, M., Samarah, O. (2019). Association between mobile phone use and neck pain in university students: A cross-sectional study using numeric rating scale for evaluation of neck pain. PLoS One, 14(5), e0217231. doi: 10.1371/journal.pone.0217231
  • AlAbdulwahab, S. S., Kachanathu, S. J., & AlMotairi, M. S. (2017). Smartphone use addiction can cause neck disability. Musculoskeletal Care, 15(1), 10-12. doi: 10.1002/msc.1170
  • Alghadir, A. H., Gabr, S. A., Rizk, A. A., Alghadir, T., Alghadir, F., & Iqbal, A. (2025). Smartphone addiction and musculoskeletal associated disorders in university students: biomechanical measures and questionnaire survey analysis. Eur J Med Res, 30(1), 274. doi: 10.1186/s40001-025-02413-w
  • Erol, E., Yildiz, A., Yildiz, R., Apaydin, U., Gokmen, D., & Elbasan, B. (2019). Reliability and Validity of the Turkish Version of the Fremantle Back Awareness Questionnaire. Spine (Phila Pa 1976), 44(9), E549-e554. doi: 10.1097/brs.0000000000002909
  • Garfinkel, S. N., Seth, A. K., Barrett, A. B., Suzuki, K., & Critchley, H. D. (2015). Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness. Biol Psychol, 104, 65-74. doi: 10.1016/j.biopsycho.2014.11.004
  • Grasser, T., Borges Dario, A., Parreira, P. C. S., Correia, I. M. T., & Meziat-Filho, N. (2023). Defining text neck: a scoping review. Eur Spine J, 32(10), 3463-3484. doi: 10.1007/s00586-023-07821-2
  • Güloğlu, S. B., & Yalçın, Ü. (2021). The effect of smartphone addiction on neck pain and disability in university students. Kafkas J Med Sci, 11(2), 225-230.
  • Hartrick, C. T., Kovan, J. P., & Shapiro, S. (2003). The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract, 3(4), 310-316. doi: 10.1111/j.1530-7085.2003.03034.x
  • Is, E. E., Inceoglu, S. C., & Kuran, B. (2025). Effect of smartphone use on musculoskeletal pain among healthcare workers: A cross-sectional study. Sisli Etfal Hastan Tip Bul, 59(1), 83-88. doi: 10.14744/semb.2025.36518
  • Karakoç, M., & Keşim, D. A. (2023). The effect of screen time on neck movements, pain level, quality of life and emotion in university students. Dicle Med J, 50(1), 102-109. doi: 10.5798/dicletip.1267184
  • Ladeira, B. M., Modena, A. L., Castro Carletti, E. M., Bigaton, D. R., Pelai, E. B., & Mescollotto, F. F. (2023). Pain, smartphone overuse and stress in physiotherapy university students: An observational cross-sectional study. J Bodyw Mov Ther, 34, 104-109. doi: 10.1016/j.jbmt.2023.04.018
  • Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C. J., Hecht, F. M., & Stewart, A. (2009). Body awareness: construct and self-report measures. PLoS One, 4(5), e5614. doi: 10.1371/journal.pone.0005614
  • Onan, D., Gokmen, D., & Ulger, O. (2020). The fremantle neck awareness questionnaire in chronic neck pain patients: Turkish version, validity and reliability study. Spine (Phila Pa 1976), 45(3), E163-e169. doi: 10.1097/brs.0000000000003207
  • Pasala, S. K., Gumpeny, L., Kosuri, M., Tippana, S., & Sridhar, G. R. (2021). Effect of lockdown on activities of daily living in the built environment and wellbeing. UCL Open Environ, 3, e017. doi: 10.14324/111.444/ucloe.000017
  • Peng, B., Yang, L., Li, Y., Liu, T., & Liu, Y. (2021). Cervical proprioception impairment in neck pain-pathophysiology, clinical evaluation, and management: A narrative review. Pain Ther, 10(1), 143-164. doi: 10.1007/s40122-020-00230-z
  • Resende, P. A., Tavares Correia, I. M., de Sá Ferreira, A., Meziat-Filho, N., & Lunkes, L. C. (2025). Neck pain and text neck using Hill's criteria of causation: A scoping review. J Bodyw Mov Ther, 42, 132-138. doi: 10.1016/j.jbmt.2024.12.016
  • Stanton, T. R., Leake, H. B., Chalmers, K. J., & Moseley, G. L. (2016). Evidence of impaired proprioception in chronic, idiopathic neck pain: Systematic review and meta-analysis. Phys Ther, 96(6), 876-887. doi: 10.2522/ptj.20150241
  • Telci, E. A., Karaduman, A., Yakut, Y., Aras, B., Simsek, I. E., & Yagli, N. (2009). The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976), 34(16), 1732-1735. doi: 10.1097/BRS.0b013e3181ac9055
  • Tsay, A., Allen, T. J., Proske, U., & Giummarra, M. J. (2015). Sensing the body in chronic pain: a review of psychophysical studies implicating altered body representation. Neurosci Biobehav Rev, 52, 221-232. doi: 10.1016/j.neubiorev.2015.03.004
  • Vernon, H., & Mior, S. (1991). The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther, 14(7), 409-415.
  • Wand, B. M., Catley, M. J., Rabey, M. I., O'Sullivan, P. B., O'Connell, N. E., & Smith, A. J. (2016). Disrupted self-perception in people with chronic low back pain. Further evaluation of the Fremantle Back Awareness Questionnaire. J Pain, 17(9), 1001-1012. doi: 10.1016/j.jpain.2016.06.003
  • Wand, B. M., Parkitny, L., O'Connell, N. E., Luomajoki, H., McAuley, J. H., Thacker, M., & Moseley, G. L. (2011). Cortical changes in chronic low back pain: current state of the art and implications for clinical practice. Man Ther, 16(1), 15-20. doi: 10.1016/j.math.2010.06.008

Relationship between digital mobile device usage duration and neck awareness, neck pain intensity and neck disability among physiotherapy and rehabilitation department students with non-specific neck pain

Year 2025, Volume: 11 Issue: 5, 267 - 273
https://doi.org/10.31459/turkjkin.1722437

Abstract

The aim of this study was to investigate the relationship between daily mobile phone screen time and neck pain intensity, disability, and neck awareness in university students with neck pain. A total of 92 university students (13 males, 79 females) with non-specific neck pain were included in the study. Demographic data and average daily mobile phone screen time (in minutes/day) of the individuals were recorded. Neck pain intensity was assessed using the Numerical Rating Pain Scale (NRPS), neck disability was assessed using the Neck Disability Index (NDI), and neck awareness was assessed using the Fremantle Neck Awareness Questionnaire (FreNAQ). Correlational and linear regression analyses were performed. The mean age of the individuals was 22.78 years and the mean screen time was 336.37 ± 111.51 minutes per day. A weak but statistically significant negative correlation was found between screen time and neck pain intensity (r=-0.211; p=0.044) and NDI scores (r=-0.207, p=0.048), while no significant correlation was found between screen time and FreNAQ scores (r=-0.109; p=0.303). Linear regression analyses supported that higher neck pain or disability was associated with lower screen time (p<0.05), but the multiple regression model including both predictors approached, yet did not reach, statistical significance (p=0.059). These findings highlight that neck pain and disability may affect mobile phone use, highlighting the need for ergonomic and preventative strategies. Shorter mobile phone screen time was associated with higher neck pain intensity and disability levels. This may be due to individuals with more pain or disability behaviorally limiting screen use. The fact that physiotherapy and rehabilitation students are aware of this issue and have less screen time when they have neck problems may be a guide for future studies that improvements will work when the level of knowledge for the entire population increases. Additionally, the lack of a significant relationship between neck awareness and screen time may indicate that body perception constructs are more strongly associated with cognitive and emotional factors than with behavioral measures.

Ethical Statement

Ethics committee approval for this study was obtained from the Tokat Gaziosmanpaşa University Faculty of Medicine Non-Interventional Scientific Research Ethics Committee (24/04/2025, 25-MOBAEK-139).

Supporting Institution

There is no funding support for this study.

Thanks

We would like to thank the university students who participated in the research.

References

  • Al-Hadidi, F., Bsisu, I., AlRyalat, S. A., Al-Zu'bi, B., Bsisu, R., Hamdan, M., Kanaan, T., Yasin, M., Samarah, O. (2019). Association between mobile phone use and neck pain in university students: A cross-sectional study using numeric rating scale for evaluation of neck pain. PLoS One, 14(5), e0217231. doi: 10.1371/journal.pone.0217231
  • AlAbdulwahab, S. S., Kachanathu, S. J., & AlMotairi, M. S. (2017). Smartphone use addiction can cause neck disability. Musculoskeletal Care, 15(1), 10-12. doi: 10.1002/msc.1170
  • Alghadir, A. H., Gabr, S. A., Rizk, A. A., Alghadir, T., Alghadir, F., & Iqbal, A. (2025). Smartphone addiction and musculoskeletal associated disorders in university students: biomechanical measures and questionnaire survey analysis. Eur J Med Res, 30(1), 274. doi: 10.1186/s40001-025-02413-w
  • Erol, E., Yildiz, A., Yildiz, R., Apaydin, U., Gokmen, D., & Elbasan, B. (2019). Reliability and Validity of the Turkish Version of the Fremantle Back Awareness Questionnaire. Spine (Phila Pa 1976), 44(9), E549-e554. doi: 10.1097/brs.0000000000002909
  • Garfinkel, S. N., Seth, A. K., Barrett, A. B., Suzuki, K., & Critchley, H. D. (2015). Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness. Biol Psychol, 104, 65-74. doi: 10.1016/j.biopsycho.2014.11.004
  • Grasser, T., Borges Dario, A., Parreira, P. C. S., Correia, I. M. T., & Meziat-Filho, N. (2023). Defining text neck: a scoping review. Eur Spine J, 32(10), 3463-3484. doi: 10.1007/s00586-023-07821-2
  • Güloğlu, S. B., & Yalçın, Ü. (2021). The effect of smartphone addiction on neck pain and disability in university students. Kafkas J Med Sci, 11(2), 225-230.
  • Hartrick, C. T., Kovan, J. P., & Shapiro, S. (2003). The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract, 3(4), 310-316. doi: 10.1111/j.1530-7085.2003.03034.x
  • Is, E. E., Inceoglu, S. C., & Kuran, B. (2025). Effect of smartphone use on musculoskeletal pain among healthcare workers: A cross-sectional study. Sisli Etfal Hastan Tip Bul, 59(1), 83-88. doi: 10.14744/semb.2025.36518
  • Karakoç, M., & Keşim, D. A. (2023). The effect of screen time on neck movements, pain level, quality of life and emotion in university students. Dicle Med J, 50(1), 102-109. doi: 10.5798/dicletip.1267184
  • Ladeira, B. M., Modena, A. L., Castro Carletti, E. M., Bigaton, D. R., Pelai, E. B., & Mescollotto, F. F. (2023). Pain, smartphone overuse and stress in physiotherapy university students: An observational cross-sectional study. J Bodyw Mov Ther, 34, 104-109. doi: 10.1016/j.jbmt.2023.04.018
  • Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C. J., Hecht, F. M., & Stewart, A. (2009). Body awareness: construct and self-report measures. PLoS One, 4(5), e5614. doi: 10.1371/journal.pone.0005614
  • Onan, D., Gokmen, D., & Ulger, O. (2020). The fremantle neck awareness questionnaire in chronic neck pain patients: Turkish version, validity and reliability study. Spine (Phila Pa 1976), 45(3), E163-e169. doi: 10.1097/brs.0000000000003207
  • Pasala, S. K., Gumpeny, L., Kosuri, M., Tippana, S., & Sridhar, G. R. (2021). Effect of lockdown on activities of daily living in the built environment and wellbeing. UCL Open Environ, 3, e017. doi: 10.14324/111.444/ucloe.000017
  • Peng, B., Yang, L., Li, Y., Liu, T., & Liu, Y. (2021). Cervical proprioception impairment in neck pain-pathophysiology, clinical evaluation, and management: A narrative review. Pain Ther, 10(1), 143-164. doi: 10.1007/s40122-020-00230-z
  • Resende, P. A., Tavares Correia, I. M., de Sá Ferreira, A., Meziat-Filho, N., & Lunkes, L. C. (2025). Neck pain and text neck using Hill's criteria of causation: A scoping review. J Bodyw Mov Ther, 42, 132-138. doi: 10.1016/j.jbmt.2024.12.016
  • Stanton, T. R., Leake, H. B., Chalmers, K. J., & Moseley, G. L. (2016). Evidence of impaired proprioception in chronic, idiopathic neck pain: Systematic review and meta-analysis. Phys Ther, 96(6), 876-887. doi: 10.2522/ptj.20150241
  • Telci, E. A., Karaduman, A., Yakut, Y., Aras, B., Simsek, I. E., & Yagli, N. (2009). The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish version study. Spine (Phila Pa 1976), 34(16), 1732-1735. doi: 10.1097/BRS.0b013e3181ac9055
  • Tsay, A., Allen, T. J., Proske, U., & Giummarra, M. J. (2015). Sensing the body in chronic pain: a review of psychophysical studies implicating altered body representation. Neurosci Biobehav Rev, 52, 221-232. doi: 10.1016/j.neubiorev.2015.03.004
  • Vernon, H., & Mior, S. (1991). The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther, 14(7), 409-415.
  • Wand, B. M., Catley, M. J., Rabey, M. I., O'Sullivan, P. B., O'Connell, N. E., & Smith, A. J. (2016). Disrupted self-perception in people with chronic low back pain. Further evaluation of the Fremantle Back Awareness Questionnaire. J Pain, 17(9), 1001-1012. doi: 10.1016/j.jpain.2016.06.003
  • Wand, B. M., Parkitny, L., O'Connell, N. E., Luomajoki, H., McAuley, J. H., Thacker, M., & Moseley, G. L. (2011). Cortical changes in chronic low back pain: current state of the art and implications for clinical practice. Man Ther, 16(1), 15-20. doi: 10.1016/j.math.2010.06.008
There are 22 citations in total.

Details

Primary Language English
Subjects Rehabilitation
Journal Section Original Research Articles
Authors

Dilara Onan 0000-0001-9505-6135

Halime Arıkan 0000-0003-2381-9978

Early Pub Date September 21, 2025
Publication Date September 24, 2025
Submission Date June 18, 2025
Acceptance Date September 9, 2025
Published in Issue Year 2025 Volume: 11 Issue: 5

Cite

APA Onan, D., & Arıkan, H. (2025). Relationship between digital mobile device usage duration and neck awareness, neck pain intensity and neck disability among physiotherapy and rehabilitation department students with non-specific neck pain. Turkish Journal of Kinesiology, 11(5), 267-273. https://doi.org/10.31459/turkjkin.1722437

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