Correlational Analysis of neck/shoulder Pain and Low Back Pain with the Use of Digital Products, Physical Activity and Psychological Status among Adolescents in Shanghai

Abstract

PurposeThis study investigates the neck/shoulder pain (NSP) and low back pain (LBP) among current high school students in Shanghai and explores the relationship between these pains and their possible influences, including digital products, physical activity, and psychological status.MethodsAn anonymous self-assessment was administered to 3,600 students across 30 high schools in Shanghai. This questionnaire examined the prevalence of NSP and LBP and the level of physical activity as well as the use of mobile phones, personal computers (PC) and tablet computers (Tablet). The CES-D (Center for Epidemiological Studies Depression) scale was also included in the survey. The survey data were analyzed using the chi-square test, univariate logistic analyses and a multivariate logistic regression model.ResultsThree thousand sixteen valid questionnaires were received including 1,460 (48.41%) from male respondents and 1,556 (51.59%) from female respondents. The high school students in this study showed NSP and LBP rates of 40.8% and 33.1%, respectively, and the prevalence of both influenced by the student’s grade, use of digital products, and mental status; these factors affected the rates of NSP and LBP to varying degrees. The multivariate logistic regression analysis revealed that Gender, grade, soreness after exercise, PC using habits, tablet use, sitting time after school and academic stress entered the final model of NSP, while the final model of LBP consisted of gender, grade, soreness after exercise, PC using habits, mobile phone use, sitting time after school, academic stress and CES-D score.ConclusionsHigh school students in Shanghai showed high prevalence of NSP and LBP that were closely related to multiple factors. Appropriate interventions should be implemented to reduce the occurrences of NSP and LBP.

Prevalence and Associated Factors of Low Back Pain (LBP) among Adolescents in Central, Thailand

“…A total of 31% reported a new onset of LBP. The prevalence of LBP in the present study was the same as a recent study from China that also showed the prevalence of LBP among adolescents living in Shanghai, was 33.1% (Shan et al, 2013). One of the limitations in this study was that only adolescents from one school were included.…”

“…A related study on low back pain among adolescents in Shanghai (Shan et al, 2013), reported a prevalence of 33.1%. The sample size calculated with infinite population was Therefore, the sample size (n) was 3,120 participants…”

“…Several personal-related factors including age, height, body mass index (BMI), were shown to be associated with LBP symptoms. Other factors such as daily and physical activity were also shown to be significantly associated with LBP (Louw, Morris, & Grimmer, 2007;Silva, Badaró & Dall'Agnol, 2014;Shan et al, 2013). Unresolved LBP of adolescents could lead to chronic back pain.…”

Types of smartphone usage and relations with problematic smartphone behaviors: The role of content consumption vs. social smartphone use

“…For example, problematic smartphone use is related to traffic accidents (Cazzulino, Burke, Muller, Arbogast, & Upperman, 2014;Thompson, Rivara, Ayyagari, & Ebel, 2013), shoulder and neck problems (Shan et al, 2013;Xie, Szeto, Dai, & Madeleine, 2016), sleep impairment (Demirci, Akgonul, & Akpinar, 2015;Eyvazlou, Zarei, Rahimi, & Abazari, 2016), academic problems (Seo, Park, Kim, & Park, 2016), and poor physical fitness (Rebold, Sheehan, Dirlam, Maldonado, & O'Donnell, 2016). Furthermore, problematic smartphone use is related to mental health problems such as anxiety and depression (reviewed in .…”

Prevalence and factors associated with low lumbar strength in adolescents

“…This fact happens because, generally, regular physical activity in adolescence is more exercised by boys, through games, and competitive sports, which provides improvement in muscle strength/ endurance 25 . In addition, hormonal differences arising from the maturational process in the adolescence phase provide a better performance in physical tests by the boys compared to the girls 25,26 . Therefore, it is important to encourage, especially in females, the regular practice of physical activity in order to improve and possibly develop better levels of lumbar force.…”