Prevalence and Associated Factors of Clinical Myelopathy Signs in Smartphone-Using University Students with Neck Pain

Puntumetakul, Rungthip; Chatprem, Thiwaphon; Saiklang, Pongsatorn; Phadungkit, Supaporn; Kamruecha, Worawan; Sae-Jung, Surachai

doi:10.3390/ijerph19084890

Cited by 11 publications

(13 citation statements)

References 46 publications

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“…Thus, the increasing proportion of the working-age population who spend most of their time in office environments is also contributing to the increased incidence of NP [ 20 ]. Finally, along with the rise in electronic product use, potential risks for NP have also been reported, which may contribute to the increase in incidence [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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Time Trends in the Incidence of Spinal Pain in China, 1990 to 2019 and Its Prediction to 2030: The Global Burden of Disease Study 2019

et al. 2022

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Background: With increasing life expectancy in China, the associated burden of low back and neck pain (spinal pain) on the healthcare system increases, posing a substantial public health challenge. This study aimed to investigate trends in spinal pain incidence across China from 1990 to 2019 and to predict incidence trends between 2020 and 2030. Methods: Data were derived from the Global Burden of Disease Study (GBD) 2019. The annual percentage change (APC) and average annual percentage change (AAPC) between 1990 and 2019 were calculated using Joinpoint regression analysis. The effects of age, period, and cohort on spinal pain were estimated by an age-period-cohort model. An autoregressive integrated moving average (ARIMA) model was used to forecast incidence trends from 2020 to 2030.Results: From 1990 to 2019, the age-standardized incidence rate (ASIR) of low back pain (LBP) significantly decreased in both male and female subjects, while the ASIR of neck pain (NP) slightly increased regardless of sex. Joinpoint regression analysis showed that the incidence rates of LBP decreased in all age groups, and incidence rates of NP increased after 45 years old among men and women. The age effects showed that the relative risks (RR) of LBP incidence increased with age, and the group aged 40-49 years had the highest RR for NP incidence, regardless of sex. Period effects showed that the risk of NP continuously increased with increasing time periods, but not in LBP. The cohort effect showed a continuously decreasing trend in later birth cohorts. The prediction results of the ARIMA model show that the ASIR of NP in both male and female subjects in China shows an increasing trend in the next 10 years, and the ASIR of LBP increased in male but decreased in female subjects. Conclusion: Spinal pain has remained a major public health burden over the past 30 years in China and will likely increase further with population aging. Therefore, spinal pain should be a priority for future research on prevention and therapy, and is especially critical as the aging population increases in China.

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Section: Discussionmentioning

confidence: 99%

“…Lower limit Upper limit Forecast Lower limit Upper limit electronic product use, potential risks for NP have also been reported, which may contribute to the increase in incidence [21].…”

Section: Forecastmentioning

confidence: 99%

Time Trends in the Incidence of Spinal Pain in China, 1990 to 2019 and Its Prediction to 2030: The Global Burden of Disease Study 2019

et al. 2022

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“…Each of these clinical tests for myelopathic signs has been compared with magnetic resonance imaging (MRI) results and proven sensitive in detecting cervical myelopathy in the elderly [ 8 , 9 , 10 , 11 , 12 , 13 , 14 ]. Later studies using myelopathic signs categorized adults with neck pain into groups with myelopathic signs present and myelopathic signs absent [ 15 , 16 ]. They concluded that myelopathic signs were associated with adult neck pain, presumably due to either irritation of the spinal cord or temporary spinal cord ischemia [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Later studies using myelopathic signs categorized adults with neck pain into groups with myelopathic signs present and myelopathic signs absent [ 15 , 16 ]. They concluded that myelopathic signs were associated with adult neck pain, presumably due to either irritation of the spinal cord or temporary spinal cord ischemia [ 15 , 16 ]. Thus, in adult patients without myelopathic symptoms (e.g., gait dysfunction, loss of hand dexterity, and motor/sensory dysfunction), the presence of clinical myelopathic signs may be used as the initial evaluation of CSM [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Physical Performance Tests in Adult Neck Pain Patients with and without Clinical Myelopathic Signs: A Matched Case-Control Study

Lwin

Puntumetakul

Sae-Jung

et al. 2022

IJERPH

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Patients with neck pain may experience cervical myelopathy, this may be detected by clinical myelopathic signs, although they did not have any symptom of myelopathy, except having neck pain. Decreasing physical performance is one symptom of cervical myelopathy that can lead to reduced quality of life in the elderly, however, in adult neck pain with clinical myelopathic signs have not been evaluated. Therefore, this research aimed to compare physical performance in two groups of adult patients with neck pain: those with and without clinical myelopathic signs. A total of 52 participants, gender, age, and body mass index (BMI) matched were allocated into 2 groups of 26 subjects with neck pain, those with, and without, clinical myelopathic signs. The grip and release test, nine-hole peg test, ten second step test and foot-tapping test were evaluated. The group of neck pain participants with clinical myelopathic signs exhibited greater impairment in all the tests than the group without clinical myelopathic signs (p < 0.001). Effect sizes (Cohen’s d) were grip and release test: 2.031, nine-hole peg test: 1.143, ten second step test: 1.329, and foot-tapping test: 0.798. Neck pain participants with clinical myelopathic signs demonstrated reduced physical performance. Physical performance tests may need to assessed in adult patients with neck pain who had clinical myelopathic signs.

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“…The sample size of the study was 81. It was considered acceptable as described by Naing et al (2006) [ 67 ] and Puntumetakul et al (2022) [ 68 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Static Balance Impairment and Associated Factors of University Student Smartphone Users with Subclinical Neck Pain: Cross-Sectional Study

Wah

Chatchawan

Chatprem

et al. 2022

IJERPH

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The aim of this study was to assess the prevalence of static balance impairment in university student smartphone users with subclinical neck pain and identify the associated risk factors. Because of rapid and widespread smartphones use, and the subsequent effect on neck pain in university students, it is essential to determine the prevalence of balance impairment and associated factors in this population. Simple random sampling was completed among eighty-one participants in this cross-sectional study. A self-reported questionnaire, fitted precisely for smartphone users, was used prior to clinical assessment by the Balance Error Scoring System. Both simple and multiple logistic regressions were used to analyze the prevalence of static balance impairment and associated factors. The prevalence of static balance impairment in university student smartphone users with subclinical neck pain was 74.07% (95% CI: 64.32 to 83.82). The significant risk factors were “daily smartphone use ≥ 4 h’’ (AOR: 19.24 (95% CI 4.72 to 78.48) p = 0.000), “≥4 years of smartphone use” (AOR: 5.01 (95% CI 1.12 to 22.38) p = 0.035), and “≥7 neck disability index score’’ (AOR: 12.91 (95% CI 2.24 to 74.45) p = 0.004). There was a high prevalence of static balance impairment in university smartphone users with subclinical neck pain. University student smartphone users with subclinical neck pain who met at least one of the risk factors should realize their static balance impairment.

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Prevalence and Associated Factors of Clinical Myelopathy Signs in Smartphone-Using University Students with Neck Pain

Cited by 11 publications

References 46 publications

Time Trends in the Incidence of Spinal Pain in China, 1990 to 2019 and Its Prediction to 2030: The Global Burden of Disease Study 2019

Time Trends in the Incidence of Spinal Pain in China, 1990 to 2019 and Its Prediction to 2030: The Global Burden of Disease Study 2019

Physical Performance Tests in Adult Neck Pain Patients with and without Clinical Myelopathic Signs: A Matched Case-Control Study

Prevalence of Static Balance Impairment and Associated Factors of University Student Smartphone Users with Subclinical Neck Pain: Cross-Sectional Study

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