한국전문물리치료학회지 (Physical Therapy Korea)

  • 제20권1호
  • /
  • Pages.10-17
  • /
  • 2013
  • /
  • 1225-8962(pISSN)
  • /
  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
권호 표지
DOI QR코드

DOI QR Code

스마트폰 사용시간이 목뼈 및 허리뼈의 굽힘각도와 목뼈의 재현오차에 미치는 영향

Influence of the Duration of Smartphone Usage on Flexion Angles of the Cervical and Lumbar Spine and on Reposition Error in the Cervical Spine

  • 김양곤 (인제대학교 대학원 물리치료학과) ;
  • 강민혁 (인제대학교 대학원 재활과학과) ;
  • 김지원 (인제대학교 대학원 재활과학과) ;
  • 장준혁 (해운대 자생한방병원 물리치료실) ;
  • 오재섭 (인제대학교 의생명공학대학 물리치료학과)
  • Kim, Yang-Gon (Dept. of Physical Therapy, The Graduate School, Inje University) ;
  • Kang, Min-Hyeok (Dept. of Rehabilitation Science, The Graduate School, Inje University) ;
  • Kim, Ji-Won (Dept. of Rehabilitation Science, The Graduate School, Inje University) ;
  • Jang, Jun-Hyeok (Dept. of Physical Therapy, Haeundae Jaseng Hospital of Oriental Medicine) ;
  • Oh, Jae-Seop (Dept. of Physical Therapy, College of Biomedical Science and Engineering, Inje University)
  • 투고 : 2013.01.08
  • 심사 : 2013.02.01
  • 발행 : 2013.02.19
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The purpose of this study was to assess the influence of the duration of smartphone usage on cervical and lumbar spine flexion angles and reposition error in the cervical spine. The study included 18 healthy smartphone users (7 males and 11 females). We measured the kinematics of the upper and lower cervical and lumbar spine flexion angles and the reposition error of the upper and lower cervical spine after 3 s and 300 s smartphone use in sitting. A paired t-test was used to compare the effects of the duration of smartphone usage on the kinematics of cervical and lumbar spine flexion angles and reposition error. The flexion angles of the lower cervical and lumbar spine and the reposition error in the upper and lower cervical spine were significantly increased after 300 s smartphone of use (p<.05). However, the flexion angle of the upper cervical spine was not significantly different between the 3 s and 300 s smartphone of use (p>.05). These findings suggest that prolonged use of smartphones can induce changes in cervical and lumbar spine posture and proprioception in the cervical spine.

키워드

참고문헌

  1. Bababekova Y, Rosenfield M, Hue JE, et al. Font size and viewing distance of handheld smart phones. Optom Vis Sci. 2011;88(7):795-7. https://doi.org/10.1097/OPX.0b013e3182198792
  2. Bendix T, Biering-Sørensen F. Posture of the trunk when sitting on forward inclining seats. Scand J Rehabil Med. 1983;15(4):197-203.
  3. Bonney RA, Corlett EN. Head posture and loading of the cervical spine. Appl Ergon. 2002;33(5):415-417. https://doi.org/10.1016/S0003-6870(02)00036-4
  4. Brumagne S, Lysens R, Swinnen S, et al. Effect of paraspinal muscle vibration on position sense of the lumbosacral spine. Spine (Phila Pa 1976). 1999;24(13):1328-1331. https://doi.org/10.1097/00007632-199907010-00010
  5. Burnett AF, Cornelius MW, Dankaerts W, et al. Spinal kinematics and trunk muscle activity in cyclists: A comparison between healthy controls and non-specific chronic low back pain subjects-a pilot investigation. Man Ther. 2004;9(4): 211-219. https://doi.org/10.1016/j.math.2004.06.002
  6. Carter JB, Banister EW. Musculoskeletal problems in VDT work: A review. Ergonomics. 1994;37(10):1623-1648. https://doi.org/10.1080/00140139408964941
  7. Cheng CH, Wang JL, Lin JJ, et al. Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain. J Electromyogr Kinesiol. 2010;20(5):1014-1020. https://doi.org/10.1016/j.jelekin.2009.11.002
  8. Dolan KJ, Green A. Lumbar spine reposition sense: The effect of a 'slouched' posture. Man Ther. 2006;11(3):202-207. https://doi.org/10.1016/j.math.2006.03.003
  9. Dolan P, Adams MA, Hutton WC. Commonly adopted postures and their effect on the lumbar spine. Spine (Phila Pa 1976). 1988;13(2):197-201. https://doi.org/10.1097/00007632-198802000-00012
  10. Fernández-de-las-Penas C, Alonso-Blanco C, Cuadrado ML, et al. Forward head posture and neck mobility in chronic tension-type headache: A blinded, controlled study. Cephalalgia. 2006;26(3):314-319. https://doi.org/10.1111/j.1468-2982.2005.01042.x
  11. Fredriksson K, Alfredsson L, Ahlberg G, et al. Work environment and neck and shoulder pain: The influence of exposure time. Results from a population based case-control study. Occup Environ Med. 2002;59(3):182-188. https://doi.org/10.1136/oem.59.3.182
  12. Hagberg M, Wegman DH. Prevalence rates and odds ratios of shoulder-neck diseases in different occupational groups. Br J Ind Med. 1987;44(9):602-610.
  13. Han YS, Choi JK, Hwang BH, et al. A study on elderly for improvement of usability on smartphone. J Soc e-Bus Stud. 2012;17(1):39-52.
  14. Harms-Ringdahl K, Ekholm J, Schüldt K, et al. Load moments and myoelectric activity when the cervical spine is held in full flexion and extension. Ergonomics. 1986;29(12):1539-1552. https://doi.org/10.1080/00140138608967267
  15. Janwantanakul P, Sitthipornvorakul E, Paksaichol A. Risk factors for the onset of nonspecific low back pain in office workers: A systematic review of prospective cohort studies. J Manipulative Physiol Ther. 2012;35(7):568-577. https://doi.org/10.1016/j.jmpt.2012.07.008
  16. Jull G, Falla D, Treleaven J, et al. Retraining cervical joint position sense: The effect of two exercise regimes. J Orthop Res. 2007;25(3):404-412. https://doi.org/10.1002/jor.20220
  17. Kang JH, Park RY, Lee SJ, et al. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012;36(1):98-104. https://doi.org/10.5535/arm.2012.36.1.98
  18. Kendall FP, McCreary EK, Provance PG, et al. Muscles: Testing and function with posture and pain. 5th ed. Baltimore, MD, Lippincott Williams & Wilkins, 2005:85-93.
  19. Kim DS, Chae WS. Biomechanical analysis of a smartphone task with different postures. Korean Journal of Sport Biomechanics. 2012;22(2):253-259. https://doi.org/10.5103/KJSB.2012.22.2.253
  20. Kuo YL, Tully EA, Galea MP. Video based measurement of sagittal range of spinal motion in young and older adults. Man Ther. 2009;14(6): 618-622. https://doi.org/10.1016/j.math.2008.12.006
  21. Lee HY, Teng CC, Chai HM, et al. Test-retest reliability of cervicocephalic kinesthetic sensibility in three cardinal planes. Man Ther. 2006;11(1): 61-68. https://doi.org/10.1016/j.math.2005.03.008
  22. Lee JH, Park SY, Yoo WG. Changes in craniocervical and trunk flexion angles and gluteal pressure during VDT work with continuous cross-legged sitting. J Occup Health. 2011;53(5): 350-355. https://doi.org/10.1539/joh.11-0050-OA
  23. Loudon JK, Ruhl M, Field E. Ability to reproduce head position after whiplash injury. Spine (Phila Pa 1976). 1997;22(8):865-868. https://doi.org/10.1097/00007632-199704150-00008
  24. Malmström EM, Karlberg M, Holmström E, et al. Influence of prolonged unilateral cervical muscle contraction on head repositioning-decreased overshoot after a 5-min static muscle contraction task. Man Ther. 2010;15(3):229-234. https://doi.org/10.1016/j.math.2009.12.003
  25. Marcus M, Gerr F, Monteilh C, et al. A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. Am J Ind Med. 2002;41(4):236-249. https://doi.org/10.1002/ajim.10067
  26. McGill SM, Brown S. Creep response of the lumbar spine to prolonged full flexion. Clin Biomech (Bristol, Avon). 1992;7(1):43-46. https://doi.org/10.1016/0268-0033(92)90007-Q
  27. Mekhora K, Liston CB, Nanthavanij S, et al. The effect of ergonomic intervention on discomfort in computer users with tension neck syndrome. Int J Ind Ergon. 2000;26(3):367-379. https://doi.org/10.1016/S0169-8141(00)00012-3
  28. O'Sullivan PB, Burnett A, Floyd AN, et al. Lumbar repositioning deficit in a specific low back pain population. Spine (Phila Pa 1976). 2003;28(10): 1074-1079.
  29. O'Sullivan PB, Mitchell T, Bulich P, et al. The relationship between posture and back muscle endurance in industrial workers with flexion-related low back pain. Man Ther. 2006;11(4): 264-271. https://doi.org/10.1016/j.math.2005.04.004
  30. Page P, Frank C, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda approach. Champaign, IL, Human Kinetics, 2009:27-30.
  31. Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil. 1991;72(5):288-291.
  32. Revel M, Minguet M, Gregoy P, et al. Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: A randomized controlled study. Arch Phys Med Rehabil. 1994;75(8):895-899. https://doi.org/10.1016/0003-9993(94)90115-5
  33. Rix GD, Bagust J. Cervicocephalic kinesthetic sensibility in patients with chronic, nontraumatic cervical spine pain. Arch Phys Med Rehabil. 2001;82(7):911-919. https://doi.org/10.1053/apmr.2001.23300
  34. Rowe MJ, Tracey DJ, Mahns DA, et al. Mechanosensory perception: Are there contributions from bone-associated receptors? Clin Exp Pharmacol Physiol. 2005;32(1-2):100-108. https://doi.org/10.1111/j.1440-1681.2005.04136.x
  35. Schüldt K, Ekholm J, Harms-Ringdahl K, et al. Effects of changes in sitting work posture on static neck and shoulder muscle activity. Ergonomics. 1986;29(12):1525-1537. https://doi.org/10.1080/00140138608967266
  36. Solomonow M, Baratta RV, Zhou BH, et al. Muscular dysfunction elicited by creep of lumbar viscoelastic tissue. J Electromyogr Kinesiol. 2003;13(4):381-396. https://doi.org/10.1016/S1050-6411(03)00045-2
  37. Straker LM, Coleman J, Skoss R, et al. A comparison of posture and muscle activity during tablet computer, desktop computer and paper use by young children. Ergonomics. 2008;51(4):540-555. https://doi.org/10.1080/00140130701711000
  38. Swinkels A, Dolan P. Regional assessment of joint position sense in the spine. Spine (Phila Pa 1976). 1998;23(5):590-597. https://doi.org/10.1097/00007632-199803010-00012
  39. Szeto GP, Lee R. An ergonomic evaluation comparing desktop, notebook, and subnotebook computers. Arch Phys Med Rehabil. 2002;83(4):527-532. https://doi.org/10.1053/apmr.2002.30627
  40. Veiersted KB, Westgaard RH. Development of trapezius myalgia among female workers performing light manual work. Scand J Work Environ Health. 1993;19(4):277-283. https://doi.org/10.5271/sjweh.1473
  41. Walsh JC, Quinlan JF, Stapleton R, et al. Three-dimensional motion analysis of the lumbar spine during "free squat" weight lift training. Am J Sports Med. 2007;35(6):927-932. https://doi.org/10.1177/0363546506298276

피인용 문헌

  1. The Effects of Sling and Stretching Exercises on Changes in the Angle of the Cervical Spine vol.6, pp.2, 2015, https://doi.org/10.5854/JIAPTR.2015.10.30.865
  2. Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults vol.28, pp.6, 2016, https://doi.org/10.1589/jpts.28.1669
  3. Smartphone use addiction can cause neck disability vol.15, pp.1, 2017, https://doi.org/10.1002/msc.1170
  4. The effects of smart phone gaming duration on muscle activation and spinal posture: Pilot study vol.33, pp.8, 2017, https://doi.org/10.1080/09593985.2017.1328716
  5. Cumulative IT Use Is Associated with Psychosocial Stress Factors and Musculoskeletal Symptoms vol.14, pp.12, 2017, https://doi.org/10.3390/ijerph14121541
  6. Ergonomic risk assessment of smartphone users using the Rapid Upper Limb Assessment (RULA) tool vol.13, pp.8, 2018, https://doi.org/10.1371/journal.pone.0203394
  7. 핸드폰 사용이 목과 어깨 근육의 근육활성도와 피로도에 미치는 영향 vol.20, pp.3, 2013, https://doi.org/10.12674/ptk.2013.20.3.019
  8. 스마트폰 사용 시간이 목뼈 각도 변화에 미치는 영향 vol.9, pp.2, 2014, https://doi.org/10.13066/kspm.2014.9.2.141
  9. 대학생의 스마트폰 이용 시간과 경항통과의 관련성 연구 vol.31, pp.2, 2013, https://doi.org/10.13045/acupunct.2014028
  10. 목 주위 근육 통증 여부에 따른 스마트폰 사용이 근 피로도와 통증, 목뼈운동범위에 미치는 영향 vol.21, pp.3, 2013, https://doi.org/10.12674/ptk.2014.21.3.028
  11. 칼텐본 경추 관절가동술 후 적용된 능동적 중재가 두부 전방자세 환자의 경추 정렬과 근활성도에 미치는 영향 vol.10, pp.2, 2015, https://doi.org/10.13066/kspm.2015.10.2.17
  12. Effects of Maitland Orthopedic Manipulative Physiotherapy and Stretching applied to Cervical Vertebra on Pain, Range of Motion, and Muscle Tone of Adults with Forward Neck posture vol.7, pp.1, 2016, https://doi.org/10.20540/jiaptr.2016.7.1.925
  13. Relationship of Pain, Disability and Quality of Life in Individual with Neck and Shoulder Pain vol.28, pp.5, 2013, https://doi.org/10.18857/jkpt.2016.28.5.328
  14. The Effects of Screen Smart Devices on the Neck Flexion Angle vol.7, pp.2, 2016, https://doi.org/10.20540/jiaptr.2016.7.2.1051
  15. The Effects of Sitting Posture on Cervical Flexion Angle and Pain during Smart Phone Use in Young Adults vol.24, pp.3, 2017, https://doi.org/10.26862/jkpts.2017.12.24.3.55
  16. The Adverse Effect of Proprioceptive Sense in Head-Neck according to Smartphone Usage vol.30, pp.2, 2013, https://doi.org/10.18857/jkpt.2018.30.2.54
  17. Factors associated with neck disorders among university student smartphone users vol.61, pp.3, 2018, https://doi.org/10.3233/wor-182819
  18. 앞쪽머리자세가 있는 만성 목통증 환자에게 압력 바이오피드백 장비를 이용한 목안정화운동 적용이 목통증과 앞쪽머리자세, 음향학적 특성 변화에 미치는 효과 vol.14, pp.1, 2013, https://doi.org/10.13066/kspm.2019.14.1.121
  19. 화장실에서의 스마트폰 사용 시 앉은 자세에 따른 목, 어깨, 허리의 근활성도에 미치는 영향 vol.14, pp.2, 2019, https://doi.org/10.13066/kspm.2019.14.2.71
  20. The Effect of Posture and Duration of Smartphone Usage on Neck Flexion Angle vol.63, pp.1, 2013, https://doi.org/10.1177/1071181319631137
  21. Effect of neck flexion angles on neck muscle activity among smartphone users with and without neck pain vol.62, pp.12, 2019, https://doi.org/10.1080/00140139.2019.1661525
  22. The Psychology of Smartphone: The Development of the Smartphone Impact Scale (SIS) vol.27, pp.6, 2013, https://doi.org/10.1177/1073191119831788
  23. 헤드 마운티드 디스플레이 착용이 목 관절가동범위와 목 근육 두께 및 통증에 미치는 융합연구 vol.11, pp.9, 2013, https://doi.org/10.15207/jkcs.2020.11.9.277
  24. Effects of Proprioceptive and Craniocervical Flexor Training on Static Balance in University Student Smartphone Users with Balance Impairment: A Randomized Controlled Trial vol.14, pp.None, 2013, https://doi.org/10.2147/jpr.s312202
  25. Effect of Smartphone Usage on Neck Muscle Endurance, Hand Grip and Pinch Strength among Healthy College Students: A Cross-Sectional Study vol.18, pp.12, 2013, https://doi.org/10.3390/ijerph18126290
  26. Efficacy of Forward Head Posture Treatment on Neck Function and Quality of Life vol.10, pp.3, 2013, https://doi.org/10.14474/ptrs.2021.10.3.337
  27. Comparison of two manual therapy approaches combined with exercise on pain, strength and electromyographic muscle activity in athletes with subacute mechanical low back pain vol.17, pp.4, 2013, https://doi.org/10.1007/s11332-021-00750-x