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      The associations of mobile touch screen device use with musculoskeletal symptoms and exposures: A systematic review

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          Abstract

          Background

          The use of mobile touch screen devices (MTSDs) has increased rapidly over the last decade, and there are concerns that their use may have negative musculoskeletal consequences; yet evidence on the association of MTSD use with musculoskeletal symptoms and exposures is currently dispersed. The aim of this study was to systematically review available literature on musculoskeletal symptoms and exposures associated with MTSD use. The synthesised information may facilitate wise use of MTSDs and may identify areas in need of further research.

          Methods

          EMBASE, Medline, Scopus, PsycINFO and Proquest electronic databases were searched for articles published up to June 2016, using keywords describing MTSD, musculoskeletal symptoms (e.g. pain, discomfort) and musculoskeletal exposures (e.g. posture, muscle activity). Two reviewers independently screened the articles, extracted relevant data and assessed methodological quality of included studies. Due to heterogeneity in the studies, a meta-analysis was not possible and a structured narrative synthesis of the findings was undertaken.

          Results

          A total of 9,908 articles were screened for eligibility with 45 articles finally included for review. Included articles were of cross-sectional, case-control or experimental laboratory study designs. No longitudinal studies were identified. Findings were presented and discussed in terms of the amount, features, tasks and positions of MTSD use and its association with musculoskeletal symptoms and musculoskeletal exposures.

          Conclusions

          There is limited evidence that MTSD use, and various aspects of its use (i.e. amount of usage, features, tasks and positions) are associated with musculoskeletal symptoms and exposures. This is due to mainly low quality experimental and case-control laboratory studies, with few cross-sectional and no longitudinal studies. Further research is warranted in order to develop guidelines for wise use of MTSDs.

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          Most cited references72

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          Relationship of Smartphone Use Severity with Sleep Quality, Depression, and Anxiety in University Students

          Kadi̇r Demi̇rci̇, Mehmet Akgönül, Abdullah Akpınar (2015)
          Background and Aims The usage of smartphones has increased rapidly in recent years, and this has brought about addiction. The aim of the current study was to investigate the relationship between smartphone use severity and sleep quality, depression, and anxiety in university students. Methods In total, 319 university students (203 females and 116 males; mean age = 20.5 ± 2.45) were included in the study. Participants were divided into the following three groups: a smartphone non-user group (n = 71, 22.3%), a low smartphone use group (n = 121, 37.9%), and a high smartphone use group (n = 127, 39.8%). All participants were evaluated using the Pittsburgh Sleep Quality Index, Beck Depression Inventory, Beck Anxiety Inventory; moreover, participants other than those in the smartphone non-user group were also assessed with the Smartphone Addiction Scale. Results The findings revealed that the Smartphone Addiction Scale scores of females were significantly higher than those of males. Depression, anxiety, and daytime dysfunction scores were higher in the high smartphone use group than in the low smartphone use group. Positive correlations were found between the Smartphone Addiction Scale scores and depression levels, anxiety levels, and some sleep quality scores. Conclusion The results indicate that depression, anxiety, and sleep quality may be associated with smartphone overuse. Such overuse may lead to depression and/or anxiety, which can in turn result in sleep problems. University students with high depression and anxiety scores should be carefully monitored for smartphone addiction.
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            The effect of lifting during work on low back pain: a health impact assessment based on a meta-analysis

            Pieter Coenen, Vincent Gouttebarge, Aafje S A M van der Burght … (2014)
            Article 0 comments Cited 87 times – based on 0 reviews     Review now
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              Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: A preliminary study in a Canadian university population.

              Sophia Berolo, Richard Wells, Benjamin C Amick (2010)
              The study aims were, in a population of university students, staff, and faculty (n = 140), to: 1) determine the distribution of seven measures of mobile device use; 2) determine the distribution of musculoskeletal symptoms of the upper extremity, upper back and neck; and 3) assess the relationship between device use and symptoms. 137 of 140 participants (98%) reported using a mobile device. Most participants (84%) reported pain in at least one body part. Right hand pain was most common at the base of the thumb. Significant associations found included time spent internet browsing and pain in the base of the right thumb (odds ratio 2.21, 95% confidence interval 1.02-4.78), and total time spent using a mobile device and pain in the right shoulder (2.55, 1.25-5.21) and neck (2.72, 1.24-5.96). Although this research is preliminary, the observed associations, together with the rising use of these devices, raise concern for heavy users. Copyright © 2010 Elsevier Ltd and The Ergonomics Society. All rights reserved.
              Article 0 comments Cited 79 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Siao Hui Toh: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Writing – original draftRole: Writing – review & editing
                Pieter Coenen: Role: ConceptualizationRole: Formal analysisRole: InvestigationRole: MethodologyRole: SupervisionRole: Writing – original draftRole: Writing – review & editing
                Erin K. Howie: Role: ConceptualizationRole: InvestigationRole: MethodologyRole: SupervisionRole: Writing – original draftRole: Writing – review & editing
                Leon M. Straker:
                ORCID: http://orcid.org/0000-0002-7786-4128
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: Writing – original draftRole: Writing – review & editing
                Heiner Baur: Role: Editor
                Journal
                Journal ID (nlm-ta): PLoS One
                Journal ID (iso-abbrev): PLoS ONE
                Journal ID (publisher-id): plos
                Journal ID (pmc): plosone
                Title: PLoS ONE
                Publisher: Public Library of Science (San Francisco, CA USA )
                ISSN (Electronic): 1932-6203
                Publication date (Electronic): 7 August 2017
                Publication date Collection: 2017
                Volume: 12
                Issue: 8
                Electronic Location Identifier: e0181220
                Affiliations
                [1 ] School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
                [2 ] Physiotherapy Department, KK Women’s and Children’s Hospital, Singapore, Singapore
                [3 ] Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands
                [4 ] Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, Arkansas, United States of America
                Bern University of Applied Science, SWITZERLAND
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                http://orcid.org/0000-0002-7786-4128
                Article
                Publisher ID: PONE-D-17-07472
                DOI: 10.1371/journal.pone.0181220
                PMC ID: 5546699
                PubMed ID: 28787453
                SO-VID: 67323cc1-20d7-4e8d-8e1e-cdcbbc1016ea
                Copyright © © 2017 Toh et al
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date received : 24 February 2017
                Date accepted : 28 June 2017
                Page count
                Figures: 1, Tables: 2, Pages: 22
                Funding
                The authors received no specific funding for this work.
                Categories
                Subject: Research Article
                Subject: Engineering and Technology
                Subject: Equipment
                Subject: Communication Equipment
                Subject: Cell Phones
                Subject: Biology and Life Sciences
                Subject: Anatomy
                Subject: Musculoskeletal System
                Subject: Limbs (Anatomy)
                Subject: Arms
                Subject: Wrist
                Subject: Medicine and Health Sciences
                Subject: Anatomy
                Subject: Musculoskeletal System
                Subject: Limbs (Anatomy)
                Subject: Arms
                Subject: Wrist
                Subject: Biology and Life Sciences
                Subject: Anatomy
                Subject: Head
                Subject: Medicine and Health Sciences
                Subject: Anatomy
                Subject: Head
                Subject: Biology and Life Sciences
                Subject: Anatomy
                Subject: Neck
                Subject: Medicine and Health Sciences
                Subject: Anatomy
                Subject: Neck
                Subject: Medicine and Health Sciences
                Subject: Diagnostic Medicine
                Subject: Signs and Symptoms
                Subject: Pain
                Subject: Myalgia
                Subject: Medicine and Health Sciences
                Subject: Pathology and Laboratory Medicine
                Subject: Signs and Symptoms
                Subject: Pain
                Subject: Myalgia
                Subject: Research and Analysis Methods
                Subject: Research Design
                Subject: Cross-Sectional Studies
                Subject: Biology and Life Sciences
                Subject: Anatomy
                Subject: Musculoskeletal System
                Subject: Limbs (Anatomy)
                Subject: Arms
                Subject: Hands
                Subject: Thumbs
                Subject: Medicine and Health Sciences
                Subject: Anatomy
                Subject: Musculoskeletal System
                Subject: Limbs (Anatomy)
                Subject: Arms
                Subject: Hands
                Subject: Thumbs
                Subject: Biology and Life Sciences
                Subject: Anatomy
                Subject: Musculoskeletal System
                Subject: Shoulders
                Subject: Medicine and Health Sciences
                Subject: Anatomy
                Subject: Musculoskeletal System
                Subject: Shoulders
                Custom metadata
                Data Availability Data are available in the published articles reviewed.

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