DOI QR코드

DOI QR Code

Changes in upper limb muscle activity during smartphone usage while in stable and unstable positions and during gait

  • Kim, You Lim (Division of Healthcare Technology Assessment Research/National Evidence-based Healthcare Collaborating Agency) ;
  • Lee, Suk Min (Department of Physical Therapy, College of Health and Welfare, Sahmyook University) ;
  • Lee, Hyun-Soo (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Song, Juyeong (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Song, Si-On (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Seol, Min-Ji (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Jang, Yu-Mi (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Im, Jin-Sik (Department of Physical Therapy, The Graduate School, Sahmyook University) ;
  • Im, Ji-Woo (Department of Physical Therapy, The Graduate School, Sahmyook University)
  • Received : 2018.08.23
  • Accepted : 2018.09.14
  • Published : 2018.09.30

Abstract

Objective: The objective of this study was to describe the influence of smartphone usage on the upper limb muscles while in stable and unstable positions and during gait. Design: Cross-sectional study. Methods: The study was conducted with 20 right-handed university students between 20 and 27 years of age. Experiments were carried out on students who have used cell phones for more than a year. In this study, experiments were performed with one-handed and two-handed smartphone operations while on stable ground, and the same parameters were measured during smartphone use on unstable ground and during gait. Subjects were instructed to write a text message in Korean on the smartphone for 3 minutes. This was repeated 3 times, with a rest period of 10 seconds given between each 3-minute period. Electromyography was used to record the muscle activity of the upper trapezius, extensor carpi radialis, extensor pollicis longus, and abductor pollicis (AP) during phone operation. Results: The muscle activity value for the right AP in one-handed and the left-AP in two-handed operations was statistically higher than the other muscles in the stable position and during gait (p<0.0001). Also, the right AP in the one- handed operation condition was statistically higher than the two-handed condition (p<0.0001). Conclusions: The use of smartphones while in a stable position resulted in high muscle activity of the right upper limb AP. However, in an unstable position, there were no significant differences from the other muscle activities. Using smartphone while assuming various positions may lead to musculoskeletal disorders in different places.

Keywords

References

  1. TNS & KT. Economic Research Institute, Smartphone penetration; 2016. 2016 Aug 1. 48p.
  2. Ming Z, Pietikainen S, Hanninen O. Excessive texting in pathophysiology of first carpometacarpal joint arthritis. Pathophysiology 2006;13:269-70. https://doi.org/10.1016/j.pathophys.2006.09.001
  3. Szeto GP, Lee R. An ergonomic evaluation comparing desktop, notebook, and subnotebook computers. Arch Phys Med Rehabil 2002;83:527-32. https://doi.org/10.1053/apmr.2002.30627
  4. Shin G, Zhu X. User discomfort, work posture and muscle activity while using a touchscreen in a desktop PC setting. Ergonomics 2011;54:733-44. https://doi.org/10.1080/00140139.2011.592604
  5. Inal EE, DemIrcI k, CetInturk A, Akgonul M, Savas S. Effects of smartphone overuse on hand function, pinch strength, and the median nerve. Muscle Nerve 2015;52:183-8. https://doi.org/10.1002/mus.24695
  6. Gilman L, Cage DN, Horn A, Bishop F, Klam WP, Doan AP. Tendon rupture associated with excessive smartphone gaming. JAMA Intern Med 2015;175:1048-9. https://doi.org/10.1001/jamainternmed.2015.0753
  7. Kim KS, Lee SW, Choi YH, Jin MR. Carpal tunnel syndrome among service and manufacturing workers with repetitive motion tasks. Ann Occup Environ Med 1998;10:505-23.
  8. Kutsumi K, Amadio PC, Zhao C, Zobitz ME, Tanaka T, An KN. Finkelstein's test: a biomechanical analysis. J Hand Surg Am 2005;30:130-5. https://doi.org/10.1016/j.jhsa.2004.07.001
  9. Lee M, Hong Y, Lee S, Won J, Yang J, Park S, et al. The effects of smartphone use on upper extremity muscle activity and pain threshold. J Phys Ther Sci 2015;27:1743-5. https://doi.org/10.1589/jpts.27.1743
  10. Keun YC. A study on the reliability of EMG examination using EM2. Taehan Chikkwa Uisa Hyophoe Chi. 1989;27:149-54.
  11. Kamei K. The reliability and validity of surface electromyography to study the functional status of the lumbar paraspinal muscles [MS thesis]. Melbourne: RMIT University; 2008.
  12. Geisser ME, Ranavaya M, Haig AJ, Roth RS, Zucker R, Ambroz C, et al. A meta-analytic review of surface electromyography among persons with low back pain and normal, healthy controls. J Pain 2005;6:711-26. https://doi.org/10.1016/j.jpain.2005.06.008
  13. Xie Y, Szeto GP, Dai J, Madeleine P. A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck-shoulder pain. Ergonomics 2016;59:61-72. https://doi.org/10.1080/00140139.2015.1056237
  14. Kim CM, Park JH, Kim GH, Son K. A comparative evaluation about force and fatigue on thumb according to input type for repetitive use of mobile phone. J Biomed Eng Res 2011;32:312-8. https://doi.org/10.9718/JBER.2011.32.4.312
  15. Kasman GS, Wolf SL. Surface EMG made easy: a beginner's guide for rehabilitation clinicians. Scottsdale (AR): Noraxon USA, Inc.; 2002.
  16. von Tscharner V, Barandun M, Stirling LM. Fatigue-related decrease in Piper rhythm frequency of the abductor pollicis brevis muscle during isometric contractions. J Electromyogr Kinesiol 2011;21:190-5. https://doi.org/10.1016/j.jelekin.2010.10.005
  17. Kim DS. Biomechanical analysis of a smartphone task with different postures [MS thesis]. Daegu: Kyungbuk National University; 2011.
  18. Kim YL, Yoo JH, Kang SW, Kim TR, Kim NY, Hong SJ, et al. The comparison of muscle activity according to various conditions during smartphone use in healthy adults. Phys Ther Rehabil Sci 2016;5:15-21. https://doi.org/10.14474/ptrs.2016.5.1.15
  19. Chaudhuri S, Aruin AS. The effect of shoe lifts on static and dynamic postural control in individuals with hemiparesis. Arch Phys Med Rehabil 2000;81:1498-503. https://doi.org/10.1053/apmr.2000.17827
  20. Hamman RG, Mekjavic I, Mallinson AI, Longridge NS. Training effects during repeated therapy sessions of balance training using visual feedback. Arch Phys Med Rehabil 1992;73:738-44.
  21. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007.
  22. Ross SE, Guskiewicz KM. Examination of static and dynamic postural stability in individuals with functionally stable and unstable ankles. Clin J Sport Med 2004;14:332-8. https://doi.org/10.1097/00042752-200411000-00002
  23. De Serres SJ, Milner TE. Wrist muscle activation patterns and stiffness associated with stable and unstable mechanical loads. Exp Brain Res 1991;86:451-8. https://doi.org/10.1007/BF00228972
  24. Maki BE, McIlroy WE, Fernie GR. Change-in-support reactions for balance recovery. IEEE Eng Med Biol Mag 2003;22:20-6.
  25. Hsieh CL, Sheu CF, Hsueh IP, Wang CH. Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke 2002;33:2626-30. https://doi.org/10.1161/01.STR.0000033930.05931.93
  26. Lee KY, Woo HS, Chang KY, Yoo HS. Effect of stable supporting surfaces on the upper extremity function and trunk muscle activity in hemiplegic patients in a sitting position. J Korean Soc Occup Ther 2013;21:61-73.