Prevalence of Forward Head Posture and Its Association with Smartphone Use among University Students
Prevalence of Forward Head Posture and Association with Smartphone Use
DOI:
https://doi.org/10.54393/pbmj.v7i10.1141Keywords:
Forward Head Posture, Smartphone Addiction Scale, Craniovertebral AngleAbstract
A person exhibits forward head posture when their spine is out of neutral alignment with their head. Nowadays, smartphones are a necessary tool whose use is becoming increasingly significant. The side effect of smartphone use is forward head posture, which is most common among university students. Objectives: To determine the prevalence of forward head posture and its association with smartphone use among university students. Methods: This correlational study was conducted on university students with a sample size of 340. Both male and female students aged between 18-28 years, who use their smartphones for at least four hours and have no previous record of birth defects of cervical and lumber vertebrae were included. Whereas, any history of cervical surgery, or spinal abnormalities was excluded from the study. The goniometer and ruler method were used to measure the craniovertebral angle, and a smartphone addiction scale was used to screen the participants. Results: A positive correlation was found between craniovertebral angle and duration of smartphone usage with a correlation coefficient of r=0.084 and p=0.02. In contrast, a negative correlation was observed between the ruler method and the duration of smartphone usage with a correlation coefficient of r=0.54 and p=0.403. Conclusions: It was concluded that the prevalence of forward head posture was found to be 47.9% by the ruler method and 62.1% by the craniovertebral angle measurement. There is a correlation between craniovertebral angle and smartphone use and the duration of smartphone usage.
References
Singh S, Kaushal K, Jasrotia S. Prevalence of Forward Head Posture and Its Impact on the Activity of Daily Living Among Students of Adesh University–A Cross-Sectional Study. Adesh University Journal of Medical Sciences & Research. 2020 Dec; 2(2): 99-102. doi: 10.25259/AUJMSR_18_2020. DOI: https://doi.org/10.25259/AUJMSR_18_2020
Wiguna NP, Wahyuni N, Indrayani AW, Wibawa A, Thanaya SA. The Relationship Between Smartphone Addiction and Forward Head Posture in Junior High School Students in North Denpasar. Jurnal Epidemiologi Kesehatan Komunitas. 2019 Aug; 4(2): 84-9. doi: 10.14710/jekk.v4i2.5268.
Alsiwed KT, Alsarwani RM, Alshaikh SA, Howaidi RA, Aljahdali AJ, Bassi MM. The Prevalence of Text Neck Syndrome and Its Association with Smartphone Use among Medical Students in Jeddah, Saudi Arabia. Journal of Musculoskeletal Surgery and Research. 2021 Nov; 5(4): 266-72. doi: 10.25259/JMSR_99_2021. DOI: https://doi.org/10.25259/JMSR_99_2021
Sirajudeen MS, Alzhrani M, Alanazi A, Alqahtani M, Waly M, Unnikrishnan R et al. Prevalence of text Neck Posture, Smartphone Addiction, and Its Association with Neck Disorders among University Students in the Kingdom of Saudi Arabia During the COVID-19 Pandemic. PeerJ. 2022 Dec; 10: e14443. doi: 10.7717/peerj.14443. DOI: https://doi.org/10.7717/peerj.14443
Lee J and Seo K. The Comparison of Cervical Repositioning Errors According to Smartphone Addiction Grades. Journal of Physical Therapy Science. 2014; 26(4): 595-8. doi: 10.1589/jpts.26.595. DOI: https://doi.org/10.1589/jpts.26.595
Szeto GP, Straker L, Raine S. A Field Comparison of Neck and Shoulder Postures in Symptomatic and Asymptomatic Office Workers. Applied Ergonomics. 2002 Jan; 33(1): 75-84. doi: 10.1016/S0003-6870(01)00043-6. DOI: https://doi.org/10.1016/S0003-6870(01)00043-6
Namwongsa S, Puntumetakul R, Neubert MS, Boucaut R. Factors Associated with Neck Disorders among University Student Smartphone Users. Work. 2018 Jan; 61(3): 367-78. doi: 10.3233/WOR-182819. DOI: https://doi.org/10.3233/WOR-182819
Maayah MF, Nawasreh ZH, Gaowgzeh RA, Neamatallah Z, Alfawaz SS, Alabasi UM. Neck Pain Associated with Smartphone Usage among University Students. PloS One. 2023 Jun; 18(6): e0285451. doi: 10.1371/journal.pone.0285451. DOI: https://doi.org/10.1371/journal.pone.0285451
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. Telemedicine and e-Health. 2019 Nov; 25(11): 1049-56. doi: 10.1089/tmj.2018.023. DOI: https://doi.org/10.1089/tmj.2018.0231
Foltran-Mescollotto F, Gonçalves ÉB, Castro-Carletti EM, Oliveira AB, Pelai EB, Rodrigues-Bigaton D. Smartphone Addiction and the Relationship with Head and Neck Pain and Electromiographic Activity Of Masticatory Muscles. Work. 2021 Jan; 68(3): 633-40. doi: 10.3233/WOR-203398. DOI: https://doi.org/10.3233/WOR-203398
Sarraf F and Varmazyar S. Comparing the Effect of the Posture of Using Smartphones on Head and Neck Angles among College Students. Ergonomics. 2022 Dec; 65(12): 1631-8. doi: 10.1080/00140139.2022.2047229. DOI: https://doi.org/10.1080/00140139.2022.2047229
Moustafa IM, Diab AA, Harrison DE. Does Forward Head Posture Influence Somatosensory Evoked Potentials and Somatosensory Processing in Asymptomatic Young Adults? Journal of Clinical Medicine. 2023 Apr; 12(9): 3217. doi: 10.3390/jcm12093217. DOI: https://doi.org/10.3390/jcm12093217
Fercho J, Krakowiak M, Yuser R, Szmuda T, Zieliński P, Szarek D et al. Kinematic Analysis of the Forward Head Posture Associated With Smartphone Use. Symmetry. 2023 Mar; 15(3): 667. doi: 10.3390/sym15030667. DOI: https://doi.org/10.3390/sym15030667
Bomen BB and Kulkarni S. The Relationship Between Addiction to Smartphone Usage and Protracted Shoulders, Forward Head Posture and Thoracic Kyphosis in College Students. International Journal of Health Sciences and Research. 2022 Feb; 12: 220-6. doi: 10.52403/ijhsr.20220231. DOI: https://doi.org/10.52403/ijhsr.20220231
Janet A, Rajalaxmi V, Ramachandran S, Priya C, Yuvarani G, Tharani G et al. Prevalence of Forward Neck Posture and Influence of Smartphones In Physiotherapy Students. Biomedicine. 2021 Oct; 41(3): 660-4. doi: 10.51248/.v41i3.1203. DOI: https://doi.org/10.51248/.v41i3.1203
Patil S, Hindocha S, Nagulkar J. Prevalence of Smartphone Addiction and Its Correlation Forward Head Posture and Neck Disability among Physiotherapy Students. International Journal of Allied Medical Sciences and Clinical Research. 2020; 8(3): 659-66. doi: 10.61096/ijamscr.v8.iss3.2020.659-666.
Bertozzi L, Negrini S, Agosto D, Costi S, Guccione AA, Lucarelli P et al. Posture and Time Spent Using A Smartphone Are Not Correlated with Neck Pain and Disability in Young Adults: A Cross-Sectional Study. Journal of Bodywork and Movement Therapies. 2021 Apr; 26: 220-6. doi: 10.1016/j.jbmt.2020.09.006 DOI: https://doi.org/10.1016/j.jbmt.2020.09.006
Ramalingam V and Subramaniam A. Prevalence and Associated Risk Factors of Forward Head Posture Among University Students. Scopus Indian Journal of Public Health Research & Development Citation Score. 2019 Jul; 10(7): 775. doi: 10.5958/0976-5506.2019.01669.3. DOI: https://doi.org/10.5958/0976-5506.2019.01669.3
Wah SW, Chatchawan U, Chatprem T, Puntumetakul R. Prevalence of Static Balance Impairment and Associated Factors of University Student Smartphone Users with Subclinical Neck Pain: Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2022 Aug; 19(17): 10723. doi: 10.3390/ijerph191710723. DOI: https://doi.org/10.3390/ijerph191710723
Kwon M, Kim DJ, Cho H, Yang S. The Smartphone Addiction Scale: Development and Validation of a Short Version for Adolescents. PloS one. 2013 Dec; 8(12): e83558. doi: 10.1371/journal.pone.0083558. DOI: https://doi.org/10.1371/journal.pone.0083558
Karthik V, Arulpragassame S, Felix AJ, Parkavi K. Prevalence of Forward Head Posture and Its Association with Gender, BMI and Neck Pain among College Going Students–A Cross Sectional Study. Journal of Positive School Psychology. 2022 Oct; 6(9): 5084-90.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pakistan BioMedical Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are 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. For comments editor@pakistanbmj.com