Can electronic screens influence head and neck posture in adolescents? a systematic review
DOI:
https://doi.org/10.1590/Keywords:
Posture, Screen Time, Adolescent, Head, NeckAbstract
This systematic review aims to identify whether
electronic screens can influence head and neck posture in
adolescents. This study was registered in PROSPERO and
the databases used were EMBASE, LILACS, SciELO, PEDro,
PubMed, and Scopus, with no language or publication date
limitations. The keywords used were posture, neck, and
adolescents. A total of 1,997 articles with duplicates were
found, 1,858 articles were excluded after title reading and
65 after abstract reading. During the analysis of the full
texts, 22 were excluded because they addressed individuals
with an average age of less than 15 or more than 19 years,
10 did not refer to technology use, and three only evaluated
symptomatic individuals, therefore, only four articles
were reviewed. The methodological quality of the studies
was defined according to the Newcastle Ottawa Quality
Assessment Scale, with three being classified as good
methodological quality and analyzing posture when using a
computer, and one with poor quality that analyzed posture
when using a smartphone. Therefore, regarding smartphone
use, considerations are limited. Overall, computer use is not
responsible for postural changes in the head and neck of
adolescents; however, more studies are needed to confirm
this conclusion
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References
Abdel-Aziem AA, Abdel-Ghafar MA, Ali OI, Abdelraouf OR. Effects
of smartphone screen viewing duration and body position
on head and neck posture in elementary school children. J
Back Musculoskelet Rehabil. 2022;35(1):185-93. doi: 10.3233/
BMR-200334.
Damasceno GM, Ferreira AS, Nogueira LAC, Reis FJJ, Andrade ICS,
et al. Text neck and neck pain in 18-21-year-old young adults. Eur
Spine J. 2018;27(6):1249-54. doi: 10.1007/s00586-017-5444-5.
Brink Y, Louw Q, Grimmer K. Do changes in psychosocial factors,
lifestyle factors and sitting posture influence the likelihood of
musculoskeletal pain in high school computer users? Physiother
Res Int. 2020;25(4):e1865. doi: 10.1002/pri.1865.
Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the
world population: a systematic critical review of the literature. Eur
Spine J. 2016;15(6):834-48. doi: 10.1007/s00586-004-0864-4.
GBD 2019 Diseases and Injuries Collaborators. Global burden of 369
diseases and injuries in 204 countries and territories, 1990-2019:
a systematic analysis for the Global Burden of Disease Study
Lancet. 2020;396(10258):1204-22. Erratum in: Lancet.
;396(10262):1562. doi: 10.1016/S0140-6736(20)32226-1.
Shin G, Zhu X. User discomfort, work posture and muscle activity
while using a touchscreen in a desktop PC setting. Ergonomics.
;54(8):733-44. doi: 10.1080/00140139.2011.592604.
Falla D, Rainoldi A, Jull G, Stavrou G, Tsao H. Lack of correlation
between sternocleidomastoid and scalene muscle fatigability
and duration of symptoms in chronic neck pain patients.
Neurophysiol Clin. 2004;34(3-4):159-65. doi: 10.1016/j.
neucli.2004.04.004.
Falla D, Farina D, Graven-Nielsen T. Experimental muscle pain
results in reorganization of coordination among trapezius
muscle subdivisions during repetitive shoulder flexion. Exp
Brain Res. 2007;178(3):385-93. doi: 10.1007/s00221-006-0746-6.
Silva AG, Punt TD, Sharples P, Vilas-Boas JP, Johnson MI. Head
posture and neck pain of chronic nontraumatic origin: a
comparison between patients and pain-free persons. Arch Phys
Med Rehabil. 2009;90(4):669-74. doi: 10.1016/j.apmr.2008.10.018.
Falla D, O’Leary S, Farina D, Jull G. Association between intensity
of pain and impairment in onset and activation of the deep
cervical flexors in patients with persistent neck pain. Clin J
Pain. 2011;27(4):309-14. doi: 10.1097/AJP.0b013e31820212cf.
Neto A. Postural changes in the cervical column and cervicalgia
associated with the profile of medicine academics: an integrative
review. Braz J Develop. 2021;7(3):25540-55. doi: 10.34117/
bjdv7n3-316.
Straker LM, Smith AJ, Bear N, O’Sullivan PB, de Klerk NH.
Neck/shoulder pain, habitual spinal posture and computer
use in adolescents: The importance of gender. Ergonomics.
;54(6):539-46. doi: 10.1080/00140139.2011.576777.
Straker LM, O’Sullivan, PB, Smith A. Computer use and habitual
spinal posture in Australian adolescents. Public Health Rep.
;122(5):634-43. doi: 10.1177/003335490712200511.
Silva, AG, Sa-Couto P, Queiros A, Neto M, Rocha, NP. Pain,
pain intensity and pain disability in high school students are
differently associated with physical activity, screening hours and
sleep. BMC Musculoskelet Disord. 2017;18(10):194. doi: 10.1186/
s12891-017-1557-6.
Meziat-Filho N, Azevedo e Silva G, Coutinho ES, Mendonça
R, Santos V. Association between home posture habits and
neck pain in High School adolescents. J Back Musculoskelet
Rehabil. 2017;30(3):467-75. doi: 10.1007/s00586-014-3571-9.
Noll M, Candotti CT, Rosa BN, Loss JF. Back pain prevalence
and associated factors in children and adolescents: An
epidemiological population study. Rev Saude Publica.
;50:31. doi: 10.1590/S1518-8787.2016050006175.
Meziate Filho N, Coutinho ES, Silva GA. Association between home
posture habits and low back pain in high school adolescents.
Eur Spine J. 2015;24:425-33. doi: 10.1007/s00586-014-3571-9.
Damasceno GM, Ferreira AS, Nogueira LAC, Reis FJJ, Andrade ICS,
et al. Text neck and neck pain in 18-21-year-old young adults. Eur
Spine J. 2018;27(6):1249-54. doi: 10.1007/s00586-017-5444-5.
Correia IM, Ferreira AS, Fernandez J, Reis FJ, Nogueira LAC, et al.
association between text neck and neck pain in adults. Spine.
;46(9):571-8. doi: 10.1097/BRS.0000000000003854.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting
items for systematic reviews and meta‐analyses: The PRISMA
statement. PLoS Medicine. 2009;6(7):1-6. doi: 10.1371/journal.
pmed.1000097.
Wells G, Shea B, O’Connell J, Robertson J, Peterson V, et al.
The Newcastle‐Ottawa scale (NOS) for assessing the quality
of nonrandomised studies in meta‐analysis. Clin Epidemiol.
http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp.
Lo CKL, Mertz D, Loeb M. Newcastle‐Ottawa Scale: Comparing
reviewers’ to authors’ assessments. BMC Med Res Methodol.
;14(45):1-5. doi: 10.1186/1471-2288-14-45.
McPheeters ML, Kripalani S, Peterson NB, Idowu RT, Jerome
RN, et al. Quality improvement interventions to address health
disparities. Closing the quality gap: Revisiting the state of the
science. Agency for Healthcare Research and Quality. Evid Rep
Technol Assess (Full Rep). 2012:1-475.
Mohammed A. Head posture and functional ability of upper
extremity in adolescents use smartphone. Med Legal Update.
;20(2):647-52. doi: 10.37506/mlu.v20i2.1184.
Brink Y, Crous LC, Louw QA, Grimmer-Somers K, Schreve K.
The association between postural alignment and psychosocial
factors to upper quadrant pain in high school students:
a prospective study. Man Ther. 2009;14(6):647-53. doi: 10.1016/j.
math.2009.02.005.
Brink Y, Louw Q, Grimmer-Somers K, Jordaan E. The spinal
posture of computing adolescents in a real-life setting. BMC
Musculoskelet Disord. 2014;15:212. doi: 10.1186/1471-2474-15-212.
Briggs A, Straker L, Greig A. Upper quadrant postural changesof
school children in response tointeraction with different
information Technologies. Ergonomics. 2004;47(7):790-819.
doi: 10.1080/00140130410001663569.
Zeng X, Zhang Y, Kwong JS, Zhang C, Li S, et al.
The methodological quality assessment tools for preclinical
and clinical studies, systematic review and meta-analysis, and
clinical practice guideline: a systematic review. J Evid Based-
Med. 2015;8(1):2-10. doi: 10.1111/jebm.12141.
Xie Y, Szeto G, Dai J. Prevalence and risk factors associated with
musculoskeletal complaints among users of mobile handheld
devices: a systematic review. Appl Ergon. 2017;59(Pt A):132-42.
doi: 10.1016/j.apergo.2016.08.020.
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