Association of Screen Time with Posture and Gross Motor Development in Adolescents
Screen Time with Posture and Gross Motor Development
DOI:
https://doi.org/10.54393/pbmj.v9i1.1344Keywords:
Screen time, Posture Motor Coordination, Adolescents, Musculoskeletal Disorders, ErgonomicsAbstract
Overuse of digital devices (e.g., smartphones) often causes significant negative effects on muscle development and joint health among adolescents, including poor posture and problems with fine motor skills. There is an increasing amount of evidence to support these concerns, due to the high reliance upon devices for learning, communicating with friends and family, and being entertained. Objective: This study aimed to determine the association of screen time with posture and gross motor development in adolescents. Methods: A cross-sectional study was conducted with 184 adolescents (ages 10-19) from different schools/colleges in Lahore. Participants completed self-assessments on daily computer use, motor coordination, and posture-related behaviors using the Adolescent Postural Habits Questionnaire (APHQ) and the Developmental Coordination Disorder Questionnaire (DCDQ). Results: The study found that 59.5% of participants reported low back pain, and 47.8% spent more than 4 hours daily on smartphones for social media. A significant positive correlation was found between daily screen time and poor postural habits (r=0.42, p<0.001). Furthermore, screen time showed a significant negative correlation with motor coordination scores (r= -0.38, p<0.001), indicating that higher screen time was associated with poorer coordination. Conclusions: This research supports the conclusion that adolescents who use screens more frequently have a decreased ability to control their body position as compared to adolescents who use screens less frequently. The results further indicate that an educational intervention that focuses on teaching correct posture and increasing physical activity will combat the adverse effects associated with excessive screen time on the health and overall well-being of adolescents.
References
Aydogan Z, Binay-Bolat K, Ocak E, Tokgoz-Yilmaz S. The Effect of Screen Time on Hearing And Balance in 6–16 Aged Children. Acta Oto-Laryngologica. 2023 Dec; 143(11-12): 965-970. doi: 10.1080/00016489.2023.2296556. DOI: https://doi.org/10.1080/00016489.2023.2296556
Chen H, Wu L, Zhang Y, Liu J, Huang R, Xie J et al. Correlation Between Abnormal Posture, Screen Time, Physical Activity, and Suspected Scoliosis: A Cross-Sectional Study. Journal of Orthopaedic Surgery and Research. 2025 Apr; 20(1): 372. doi: 10.1186/s13018-025-05760-w. DOI: https://doi.org/10.1186/s13018-025-05760-w
Parra-Fernandez DM, Alfonso-Mora ML, Sánchez-Vera MA, Sarmiento-Gonzalez P, García Becerra AM, Guerra-Balic M. Mobile Phone Dependence and Musculoskeletal Pain Prevalence In Adolescents: A Cross-Sectional Study. Frontiers in Pain Research. 2025 Mar; 6: 1-6. doi: 10.3389/fpain.2025.1489293. DOI: https://doi.org/10.3389/fpain.2025.1489293
Khan FM, Shahid MH, Nasir M, Karamat A, Abdullah C. Screen Time Related Musculoskeletal Symptoms among Adolescents: A Cross-Sectional Survey in Twin Cities. Pakistan Journal of Public Health. 2021 Oct; 11(3): 132-135. doi: 10.32413/pjph.v11i3.527. DOI: https://doi.org/10.32413/pjph.v11i3.527
Páez-Herrera J, Álvarez-González S, López-Lara S, Otero-Tricio C, Rojas-Martínez W, Salgado-Díaz S et al. Relationship Between the Use of Screens and the Motor Development of Children from 8 to 10 Years of Age. Children. 2025 Apr; 12(5): 584. doi: 10.3390/children12050584. DOI: https://doi.org/10.3390/children12050584
Yuan R, Zhang J, Song P, Qin L. The Relationship Between Screen Time and Gross Motor Movement: A Cross-Sectional Study of Pre-School Aged Left-Behind Children in China. PLoS One. 2024 Apr; 19(4): 296862. doi: 10.1371/journal.pone.0296862. DOI: https://doi.org/10.1371/journal.pone.0296862
David D, Giannini C, Chiarelli F, Mohn A. Text Neck Syndrome in Children and Adolescents. International Journal of Environmental Research and Public Health. 2021 Feb; 18(4): 1565. doi: 10.3390/ijerph18041565. DOI: https://doi.org/10.3390/ijerph18041565
Zhang R, Zhu H, Xiao Q, Wu Q, Jin Y, Liu T et al. Association Between Excessive Screen Time and Falls, with Additional Risk From Insufficient Sleep Duration in Children And Adolescents, A Large Cross-Sectional Study in China. Frontiers in Public Health. 2024 Dec; 12: 1452133. doi: 10.3389/fpubh.2024.1452133. DOI: https://doi.org/10.3389/fpubh.2024.1452133
Mohd Saat NZ, Hanawi SA, Hanafiah H, Ahmad M, Farah NM, Abdul Rahman NA. Relationship of Screen Time with Anxiety, Depression, and Sleep Quality Among Adolescents: A Cross-Sectional Study. Frontiers in Public Health. 2024 Nov; 12: 1459952. doi: 10.3389/fpubh.2024.1459952. DOI: https://doi.org/10.3389/fpubh.2024.1459952
Priftis N and Panagiotakos D. Screen Time and Its Health Consequences in Children and Adolescents. Children. 2023 Oct; 10(10): 1665. doi: 10.3390/children10101665. DOI: https://doi.org/10.3390/children10101665
Pereira DR, Graup S, Lopes LS, Trevisan CM. Body Posture and Postural Habits in Schoolchildren: Reliability and Validity of a New Assessment Instrument. Journal of Physical Therapy Science. 2018; 30(8): 1004-1010.
Wilson BN, Crawford SG, Green D, Roberts G, Aylott A, Kaplan BJ. Psychometric Properties of the Revised Developmental Coordination Disorder Questionnaire. Physical and Occupational Therapy in Pediatrics. 2009 Jan; 29(2): 182-202. doi: 10.1080/01942630902784761. DOI: https://doi.org/10.1080/01942630902784761
Banadaki FD, Rahimian B, Moraveji F, Varmazyar S. The Impact of Smartphone Use Duration and Posture on The Prevalence of Hand Pain Among College Students. BioMed Central Musculoskeletal Disorders. 2024 Jul; 25(1): 574. doi: 10.1186/s12891-024-07685-7. DOI: https://doi.org/10.1186/s12891-024-07685-7
Almutairi H, Alhammad L, Aldossari B, Alonazi A. Prevalence and Interrelationships of Screen Time, Visual Disorders, And Neck Pain Among University Students: A Cross-Sectional Study at Majmaah University. In Healthcare. 2024 Oct; 12(20): 2067. doi: 10.3390/healthcare12202067. DOI: https://doi.org/10.3390/healthcare12202067
Zong Z, Zhang Y, Qiao J, Tian Y, Xu S. The Association Between Screen Time Exposure and Myopia in Children and Adolescents: A Meta-Analysis. Biomed Central Public Health. 2024 Jun; 24(1): 1625. doi: 10.1186/s12889-024-19113-5. DOI: https://doi.org/10.1186/s12889-024-19113-5
Fan H, Yan J, Yang Z, Liang K, Chen S. Cross-Sectional Associations Between Screen Time and The Selected Lifestyle Behaviors in Adolescents. Frontiers in Public Health. 2022 Sep; 10: 932017. doi: 10.3389/fpubh.2022.932017. DOI: https://doi.org/10.3389/fpubh.2022.932017
Macdonald K, Milne N, Orr R, Pope R. Relationships Between Motor Proficiency and Academic Performance in Mathematics and Reading in School-Aged Children And Adolescents: A Systematic Review. International Journal of Environmental Research and Public Health. 2018 Aug; 15(8): 1603. doi: 10.3390/ijerph15081603. DOI: https://doi.org/10.3390/ijerph15081603
Azadvari M, Sarzaeim M, Rajabi S, Yahyaee A, Razavi SZ, Haghparast A et al. Associations Between Exposure to Common Technology Devices and Reported Neck Pain Among Iranian School-Age Adolescents: A Cross-Sectional Study. Biomed Central Musculoskeletal Disorders. 2023 Nov; 24(1): 883. doi: 10.1186/s12891-023-07010-8. DOI: https://doi.org/10.1186/s12891-023-07010-8
Salameh MA, Boyajian SD, Amaireh EA, Jamal B, Alrfooh H, AbuKhalaf K et al. Prevalence of Text Neck Syndrome, Its Impact on Neck Dysfunction, and Its Associated Factors Among Medical Students: A Cross-Sectional Study. Work. 2024 Nov; 79(3): 1111-1119. doi: 10.3233/WOR-230678. DOI: https://doi.org/10.3233/WOR-230678
Li T, Liu X, Cao C, Yang F, Ding P, Xu S et al. Association Between Screen Time, Homework and Reading Duration, Sleep Duration, Social Jetlag and Mental Health Among Chinese Children And Adolescents. BioMed Central Psychiatry. 2024 Nov; 24(1): 781. doi: 10.1186/s12888-024-06233-w. DOI: https://doi.org/10.1186/s12888-024-06233-w
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