Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University

Abdullah M Alsalameh, Mohammad J Harisi, Muath A Alduayji, Abdullah A Almutham, Farid M Mahmood, Abdullah M Alsalameh, Mohammad J Harisi, Muath A Alduayji, Abdullah A Almutham, Farid M Mahmood

Abstract

Background: Smartphone use has greatly increased in recent days, and most of the daily tasks are done through these devices. As a result, long time use may involve bad posture that may result in musculoskeletal pain. Therefore, it is important to evaluate the association between addiction/overuse of smartphones and musculoskeletal pain.

Aim: To determine the prevalence of addictive/overuse of smartphones among medical students and to investigate if there is an association between smartphone addiction and musculoskeletal pain.

Method: A cross-sectional study conducted at Qassim University, medical college. The Smartphone Addiction Scale Short Version (SAS-SV) was used to measure the level of smartphone addiction while the Nordic musculoskeletal questionnaire (NMQ) was utilized to evaluate the musculoskeletal pain.

Results: The prevalence of smartphone addiction among medical students was relatively high (60.3%). The most frequent pain related to smartphone addiction was in the neck (60.8%), followed by lower back (46.8%), shoulder (40.0%). The academic year level was statistically associated with the level of smartphone addiction. Moreover, we found a significant relationship between musculoskeletal pain and smartphone addiction at certain body regions, neck, wrist/hand and knees, Other musculoskeletal parameters included in the test were found to have no statistically significant association.

Conclusion: More than half of the medical students identified as addicted to smartphones. The most common musculoskeletal pain was the neck, lower back, and shoulder. The academic year level found to have a significant association with the level of smartphone addiction while musculoskeletal pain such as neck, wrist, and knee were the independent significant factors of smartphone addiction; therefore, it is important to educate the community about the effect of being addicted to smartphone use in order to prevent the consequences of this behavior.

Keywords: Addiction; Nordic musculoskeletal questionnaire; Smartphone Addiction Scale Short Version; medical students; musculoskeletal pain; smartphone.

Conflict of interest statement

There are no conflicts of interest.

Copyright: © 2019 Journal of Family Medicine and Primary Care.

Figures

Figure 1
Figure 1
Smartphone Addiction Scale (SAS-SV)
Figure 2
Figure 2
Prevalence of smartphone addiction among medical students

References

    1. Smartphone. Definition of smartphone in English by Oxford Dictionaries. 2019. [Last accessed on 2019 Sep 17]. Available from: .
    1. Cha SS, Seo BK. Smartphone use and smartphone addiction in middle school students in Korea: Prevalence, social networking service, and game use. Health Psychol Open. 2018;5:2055102918755046.
    1. Grant JE, Potenza MN, Weinstein A, Gorelick DA. Introduction to behavioral addictions. Am J Drug Alcohol Abuse. 2010;36:233–41.
    1. Samaha M, Hawi NS. Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. Comput Human Behav. 2016;57:321–5. Available from: .
    1. Eide TA, Aarestad SH, Andreassen CS, Bilder RM, Pallesen S. Smartphone restriction and its effect on subjective withdrawal related scores. Front Psychol. 2018;9:1444.
    1. Alosaimi FD, Alyahya H, Alshahwan H, Al Mahyijari N, Shaik SA. Smartphone addiction among university students in Riyadh, Saudi Arabia. Saudi Med J. 2016;37:675.
    1. Megna M, Gisonni P, Napolitano M, Orabona GD, Patruno C, Ayala F, et al. The effect of smartphone addiction on hand joints in psoriatic patients: An ultrasound-based study. J Eur Acad Dermatol Venereol. 2018;32:73–8.
    1. Park JH, Kim JH, Kim JG, Kim KH, Kim NH, Choi I, et al. The effects of heavy smartphone use on cervical angle, pain threshold of neck muscles and depression. Adv Sci Technol Lett. 2015;91:12–7.
    1. Negley E. Lancaster Online. [Online] 2014. [Last accessed on 2019 Sep 17]. Available from: .
    1. So YJ, Woo YK. Effect of smartphone use on muscle fatigue and pain and, cervical range of motion among subjects with and without neck muscle pain. Phys Ther Korea. 2014;21:28–37.
    1. Regiani Bueno G, Garcia LF, Marques Gomes Bertolini SM, Rodrigues Lucena TF. The head down generation: Musculoskeletal symptoms and the use of smartphones among young university students. Telemed J E Health. 2019. doi: 10.1089/tmj. 2018.0231. Available from: .
    1. Dolan KJ, Green A. Lumbar spine reposition sense: The effect of a 'slouched’ posture. Man Ther. 2006;11:202–7.
    1. Brumagne S, Lysens R, Swinnen S, Verschueren S. Effect of paraspinal muscle vibration on position sense of the lumbosacral spine. Spine. 1999;24:1328–31.
    1. McGill SM, Brown S. Creep response of the lumbar spine to prolonged full flexion. Clin Biomech (Bristol, Avon) 1992;7:43–6.
    1. The Hong Kong Polytechnic University and the Hong Kong Physiotherapy Association. Health effects of using portable electronic devices studied. ScienceDaily [ONLINE] 2013. [Last accessed on 2014 Oct 19]. Available from: .
    1. Gustafson E, Johnson PW, Hagberg M. Thumb postures and physical loads during mobile phone use-a comparison of young adults with and without musculoskeletal symptoms. J Electromyogr Kinesiol. 2010;20:127–35.
    1. Sharan D, Ajeesh P. Risk factors and clinical features of text message injuries. Work. 2012;41:1145–8.
    1. Damodaran KK, Sharma V, Purushothaman S. Relationship between the hand discomfort with the dimensions of hand and touch screen mobiles. Drug Invent Today. 2019;12 Available from: .
    1. Mohammad WS. Work-related risk factors for carpal tunnel syndrome among Majmaah university female touchscreen users. Pak J Med Sci. 2019;35:1221–6.
    1. Lee S-Y, Lee D-H, Han S-K. The effects of posture on neck flexion angle while using a smartphone according to duration. J Korean Soc Phys Med. 2016;11:35–9.
    1. Lee S, Shin G. Relationship between smartphone use and the severity of head flexion of college students. Proc Human Factors Ergon Soc Ann Meet. 2015;59:1788–90.
    1. Lee S, Lee D, Park J. Effect of the cervical flexion angle during smart phone use on muscle fatigue of the cervical erector spinae and upper. J Phys Ther Sci. 2015;27:1847–9.
    1. Szeto GP, Straker LM, O'Sullivan PB. Examining the low, high and range measures of muscle activity amplitudes in symptomatic and asymptomatic computer users performing typing and mousing tasks. Eur J Appl Physiol. 2009;106:243–51.
    1. eMarketer. Growth of time spent on mobile devices slows. 2015. [Cited 2016 Aug 03]. Available from: .
    1. Kwon M, Kim D-J, Cho H, Yang S. The smartphone addiction scale: Development and validation of a short version for adolescents. PLoS One. 2013;8:e83558.
    1. Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18:233–7.
    1. Alhazmi AA, Alzahrani SH, Baig M, Salawati EM, Alkatheri A. Prevalence and factors associated with smartphone addiction among medical students at King Abdulaziz University, Jeddah. Pak J Med Sci. 2018;34:984–8.
    1. Elserty NS, Helmy NA, Mounir KM. Smartphone addiction and its relation to musculoskeletal pain in Egyptian physical therapy students. Eur J Physiother. 2018. [Last accessed on 2019 Sep 17]. doi: 10.1080/21679169.2018.1546337. Available from: .
    1. Tonga E, Özgül B, Timurtas E, Can M, Hasırcı Y, Polat MG. Evaluation of musculoskeletal complaints associated with smartphone use among university students and related risk factors. Ann Rheum Dis. 2017;76:1504.
    1. Yang SY, Chen MD, Huang YC, Lin CH, Chang JH. Association between smartphone use and musculoskeletal discomfort in adolescent students. J Community Health. 2016 doi: 10.1007/s10900-016-0271-x.
    1. Choi YS. A study on the smartphone addiction and physical pain in the university students. Biomed Res. 2018;29:3162–8.
    1. Kim HJ, Kim JS. The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci. 2015;27:575–9.

Source: PubMed

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