Korean J Pain.  2021 Jan;34(1):72-81. 10.3344/kjp.2021.34.1.72.

The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study

Affiliations
  • 1Department of Physiotherapy and Rehabilitation, Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul UniversityCerrahpasa, Istanbul, Turkey
  • 2Department of Physiotherapy and Rehabilitation, Institute of Graduate Studies, Istanbul University-Cerrahpasa, Istanbul, Turkey
  • 3Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Harran University, Sanliurfa, Turkey
  • 4Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bingol University, Bingol, Turkey
  • 5International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
  • 6Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Biruni University, Istanbul, Turkey

Abstract

Background
In the literature, there have been debates as to whether smartphone use has negative effects on physical and mental health. The present study investigated the extent to which smartphone addiction impacts on musculoskeletal pain prevalence among university students.
Methods
The questionnaire consisted of three sections: demographic information, the Smartphone Addiction Scale (SAS), and the modified Nordic Musculoskeletal Questionnaire.
Results
A total of 249 participants were included in this cross-sectional study. The body parts that were reported with highest prevalence of musculoskeletal pain were the upper back (70.3%), neck (65.9%), and wrists/hands (68.7%). The SAS scores were correlated with duration of smartphone use on a typical day (P = 0.001), duration of owning a smartphone (P = 0.027), and musculoskeletal pain prevalence in the neck (P = 0.001), wrists/hands (P = 0.001), shoulders (P = 0.025), and upper back (P = 0.023). The SAS score was significantly associated with prevalence of musculoskeletal pain in the neck (odd ratio [OR], 1.08; 95% confidence interval [CI], 0.98-1.10; P = 0.002), wrists/hands (OR, 1.07; 95% CI, 0.97-1.09; P = 0.001), and upper back (OR, 1.10; 95% CI, 0.98-1.11; P = 0.033).
Conclusions
The findings indicated that the upper back, neck, and wrists/hands have a higher prevalence of musculoskeletal pain among smartphone users, particularly those with a smartphone addiction. Smartphone addiction scores were correlated with duration of smartphone use on a typical day, duration of owning smartphone, and musculoskeletal pain prevalence in the neck, wrists/hands, shoulders, and upper back.

Keyword

Behavior; Addictive; Chronic Pain; Cross-Sectional Studies; Mental Health; Musculoskeletal Pain; Prevalence; Smartphone; Surveys and Questionnaires

Figure

  • Fig. 1 Correlations between the Smartphone Addiction Scale (SAS) and presence of musculoskeletal pain in the body parts.


Reference

1. Neupane S, Ali UTI, Mathew A. 2017; Text neck syndrome-systematic review. Imp J Interdiscip Res. 3:141–8.
2. Kwon M, Lee JY, Won WY, Park JW, Min JA, Hahn C, et al. 2013; Development and validation of a smartphone addiction scale (SAS). PLoS One. 8:e56936. DOI: 10.1371/journal.pone.0056936. PMID: 23468893. PMCID: PMC3584150.
Article
3. Statista. 2016. Number of smartphone users from 2016 to 2021 [Internet]. Statista;New York (NY): Available at: https://www.statista.com/statistics/330695/number-of-smartphone-users-worldwide/.
4. Griffiths M. 1996; Gambling on the internet: a brief note. J Gambl Stud. 12:471–3. DOI: 10.1007/BF01539190. PMID: 24234164.
Article
5. American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders. 5th ed. American Psychiatric Publishing;Arlington: DOI: 10.1176/appi.books.9780890425596.
6. Lin YH, Chang LR, Lee YH, Tseng HW, Kuo TB, Chen SH. 2014; Development and validation of the Smartphone Addiction Inventory (SPAI). PLoS One. 9:e98312. DOI: 10.1371/journal.pone.0098312. PMID: 24896252. PMCID: PMC4045675.
Article
7. Foerster M, Roser K, Schoeni A, Röösli M. 2015; Problematic mobile phone use in adolescents: derivation of a short scale MPPUS-10. Int J Public Health. 60:277–86. DOI: 10.1007/s00038-015-0660-4. PMID: 25645102.
Article
8. Cha SS, Seo BK. 2018; Smartphone use and smartphone addiction in middle school students in Korea: prevalence, social networking service, and game use. Health Psychol Open. 5:2055102918755046. DOI: 10.1177/2055102918755046. PMID: 29435355. PMCID: PMC5802650.
Article
9. Haug S, Castro RP, Kwon M, Filler A, Kowatsch T, Schaub MP. 2015; Smartphone use and smartphone addiction among young people in Switzerland. J Behav Addict. 4:299–307. DOI: 10.1556/2006.4.2015.037. PMID: 26690625. PMCID: PMC4712764.
Article
10. Lee J, Seo K. 2014; The comparison of cervical repositioning errors according to smartphone addiction grades. J Phys Ther Sci. 26:595–8. DOI: 10.1589/jpts.26.595. PMID: 24764641. PMCID: PMC3996429.
Article
11. Mendonça CR, Noll M, de Carvalho Santos ASEA, Rodrigues APDS, Silveira EA. 2020; High prevalence of musculoskeletal pain in individuals with severe obesity: sites, intensity, and associated factors. Korean J Pain. 33:245–57. DOI: 10.3344/kjp.2020.33.3.245. PMID: 32606269. PMCID: PMC7336341.
Article
12. Zirek E, Mustafaoglu R, Yasaci Z, Griffiths MD. 2020; A systematic review of musculoskeletal complaints, symptoms, and pathologies related to mobile phone usage. Musculoskelet Sci Pract. 49:102196. DOI: 10.1016/j.msksp.2020.102196. PMID: 32861360.
Article
13. Berolo S, Wells RP, Amick BC 3rd. 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. 42:371–8. DOI: 10.1016/j.apergo.2010.08.010. PMID: 20833387.
Article
14. AlAbdulwahab SS, Kachanathu SJ, AlMotairi MS. 2017; Smartphone use addiction can cause neck disability. Musculoskeletal Care. 15:10–2. DOI: 10.1002/msc.1170. PMID: 28105706.
Article
15. Lau KT, Cheung KY, Chan KB, Chan MH, Lo KY, Chiu TT. 2010; Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability. Man Ther. 15:457–62. DOI: 10.1016/j.math.2010.03.009. PMID: 20430685.
Article
16. Sharan D, Mohandoss M, Ranganathan R, Jose J. 2014; Musculoskeletal disorders of the upper extremities due to extensive usage of hand held devices. Ann Occup Environ Med. 26:22. DOI: 10.1186/s40557-014-0022-3. PMID: 25852936. PMCID: PMC4387778.
Article
17. Kim HJ, Kim JS. 2015; The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci. 27:575–9. DOI: 10.1589/jpts.27.575. PMID: 25931684. PMCID: PMC4395668.
Article
18. Queiroz LB, Lourenço B, Silva LEV, Lourenço DMR, Silva CA. 2018; Musculoskeletal pain and musculoskeletal syndromes in adolescents are related to electronic devices. J Pediatr (Rio J). 94:673–9. DOI: 10.1016/j.jped.2017.09.006. PMID: 29172038.
Article
19. Alruzayhi MK, Almuhaini MS, Alwassel AI, Alateeq OM. 2018; The effect of smartphone usage on the upper extremity performance among Saudi youth, KSA. Rom J Rhinol. 8:47–53. DOI: 10.2478/rjr-2018-0006.
Article
20. Samaha M, Hawi NS. 2016; Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. Comput Human Behav. 57:321–5. DOI: 10.1016/j.chb.2015.12.045.
Article
21. Matar Boumosleh J, Jaalouk D. 2017; Depression, anxiety, and smartphone addiction in university students- a cross sectional study. PLoS One. 12:e0182239. DOI: 10.1371/journal.pone.0182239. PMID: 28777828. PMCID: PMC5544206.
Article
22. Bian M, Leung L. 2015; Linking loneliness, shyness, smartphone addiction symptoms, and patterns of smartphone use to social capital. Soc Sci Comput Rev. 33:61–79. DOI: 10.1177/0894439314528779.
Article
23. Gustafsson E, Thomée S, Grimby-Ekman A, Hagberg M. 2017; Texting on mobile phones and musculoskeletal disorders in young adults: a five-year cohort study. Appl Ergon. 58:208–14. DOI: 10.1016/j.apergo.2016.06.012. PMID: 27633215.
Article
24. Young KS. 1998; Internet addiction: the emergence of a new clinical disorder. Cyberpsychol Behav. 1:237–44. DOI: 10.1089/cpb.1998.1.237.
Article
25. Demirci K, Orhan H, Demirdas A, Akpinar A, Sert H. 2014; Validity and reliability of the Turkish version of the Smartphone Addiction Scale in a younger population. Klinik Psikofarmakol Bülteni. 24:226–34. DOI: 10.5455/bcp.20140710040824.
Article
26. Yang SY, Chen MD, Huang YC, Lin CY, Chang JH. 2017; Association between smartphone use and musculoskeletal discomfort in adolescent students. J Community Health. 42:423–30. DOI: 10.1007/s10900-016-0271-x. PMID: 27734246.
Article
27. Kahraman T, Genç A, Göz E. 2016; The Nordic Musculoskeletal Questionnaire: cross-cultural adaptation into Turkish assessing its psychometric properties. Disabil Rehabil. 38:2153–60. DOI: 10.3109/09638288.2015.1114034. PMID: 26726840.
Article
28. Demirci K, Akgönül M, Akpinar A. 2015; Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict. 4:85–92. DOI: 10.1556/2006.4.2015.010. PMID: 26132913. PMCID: PMC4500888.
Article
29. Hegazy AA, Alkhail BA, Awadalla NJ, Qadi M, Al-Ahmadi J. 2016; Mobile phone use and risk of adverse health impacts among medical students in Jeddah, Saudi Arabia. Br J Med Med Res. 15:1–11. DOI: 10.9734/BJMMR/2016/24339.
Article
30. Bonney RA, Corlett EN. 2002; Head posture and loading of the cervical spine. Appl Ergon. 33:415–7. DOI: 10.1016/S0003-6870(02)00036-4. PMID: 12236650.
Article
31. Kim SY, Koo SJ. 2016; Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults. J Phys Ther Sci. 28:1669–72. DOI: 10.1589/jpts.28.1669. PMID: 27390391. PMCID: PMC4932032.
Article
32. Hakala PT, Rimpelä AH, Saarni LA, Salminen JJ. 2006; Frequent computer-related activities increase the risk of neck-shoulder and low back pain in adolescents. Eur J Public Health. 16:536–41. DOI: 10.1093/eurpub/ckl025. PMID: 16524936.
Article
33. Toh SH, Coenen P, Howie EK, Mukherjee S, Mackey DA, Straker LM. 2019; Mobile touch screen device use and associations with musculoskeletal symptoms and visual health in a nationally representative sample of Singaporean adolescents. Ergonomics. 62:778–93. DOI: 10.1080/00140139.2018.1562107. PMID: 30575442.
Article
34. Chen B, Liu F, Ding S, Ying X, Wang L, Wen Y. 2017; Gender differences in factors associated with smartphone addiction: a cross-sectional study among medical college students. BMC Psychiatry. 17:341. DOI: 10.1186/s12888-017-1503-z. PMID: 29017482. PMCID: PMC5634822.
Article
Full Text Links
  • KJP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr