Severity and Functional Impact of Carpal Tunnel Symptomsin Relation to Mobile Device Usage
DOI:
https://doi.org/10.37506/ecw16e19Keywords:
carpal tunnel syndrome, Musculoskeletal Pain, Smartphone addiction, young adultsAbstract
Background: Prolonged mobile device use may increase the risk of Carpal Tunnel Syndrome (CTS). This study explored
the association between mobile usage patterns and CTS symptoms among college students.
Methods: Two hundred students (115 females, 85 males; mean age = 20.31 ± 1.53 years) participated. Mobile use was assessed
via questionnaire, and CTS symptoms using the Boston Carpal Tunnel Questionnaire, Phalen’s test, and Compression test.
Results: Most (94%) used smartphones for 4–6 hours daily; 12% showed CTS symptoms. CTS was significantly associated
with device type (p = 0.021) and longer screen time.
Conclusion: Extended smartphone use was linked to higher CTS symptoms, emphasizing the need for awareness and
preventive measures among students.
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References
Woo EH, White P, Lai CW. Impact of information and
communication technology on child health. Journal of
paediatrics and child health. 2016 Jun;52(6):590-4.
Mobile device - Wikipedia, 2022, www.wikipedia.com
Hamidi ZS, Abidin ZZ, Ibrahim ZA, Shariff NN.
Indication of radio frequency interference (RFI)
sources for solar burst monitoring in Malaysia. In AIP
Conference Proceedings 2012 Jun 20 (Vol. 1454, No. 1,
pp. 43-46). American Institute of Physics.
Gupta N, Krishnamurthy V, Majhi J, Gupta S. Gadget
dependency among medical college students in
Delhi. Indian Journal of Community Health. 2013
Dec 31;25(4):362-6.
Al Shahrani ES, Al Shehri NA. Association between
smartphone use and carpal tunnel syndrome: A
case-control study. Journal of Family Medicine and
Primary Care. 2021 Aug;10(8):2816.
Goswami V, Singh DR. Impact of mobile phone
addiction on adolescent’s life: A literature review.
International journal of home science. 2016;2(1):69-74.
Lee J, Seo K. The comparison of cervical repositioning
errors according to smartphone addiction grades.
Journal of physical therapy science. 2014;26(4):595-8.
Nagaraj D, Yeshaswi MC, Aishwarya B, Roy A,
Banandur P, Banavaram AA. A Population-based
Study on Risk of Cell Phone Addiction among Youth
(16-30 Years) in Rural Karnataka. Indian Journal of
Youth and Adolescent Health. 2023 May 6;10(1):8-15.
Choudhary MS, Choudary AB, Jamal S, Kumar
R, Jamal S. the impact of ergonomics on children
studying online during COVID-19 lockdown. J. Adv.
Sports Phys. Educ. 2020.
Pachiyappan T, Kumar OV, Mark P, Venugopal R,
Jilumudi D, Palanisamy B. Effects of excessive usage
of electronic gadgets during COVID-19 lockdown on
health of college students: An online cross-sectional
study. Asian Journal of Pharmaceutical Research and
Health Care. 2021:139-45.
Dahlstrom E. ECAR National Study of Undergraduate
Students and Information Technology, 2012. Center
for Applied Research; 2011.
Sohn SY, Krasnoff L, Rees P, Kalk NJ, Carter B. The
association between smartphone addiction and sleep:
a UK cross-sectional study of young adults. Frontiers
in psychiatry. 2021:176.
Alosaimi FD, Alyahya H, Alshahwan H, Al Mahyijari
N, Shaik SA. Smartphone addiction among university
students in Riyadh, Saudi Arabia. Saudi medical
journal. 2016 Jun;37(6):675.
Woo HC, White P, Ng HK, Lai CW. Development
of kinematic graphs of median nerve during active
finger motion: implications of smartphone use. 2016
Jul 1;11(7): e0158455
Woo EH, White P, Lai CW. Musculoskeletal impact
of the use of various types of electronic devices on
university students in Hong Kong: An evaluation by
means of self-reported questionnaire. Manual therapy.
Dec 1; 26:47-53.
Tidke SB, Shah MR, Kothari PH. Effects of smartphone
addiction on pinch grip strength. Int J Heal Sci Res.
;9(10):79-82.
Bower JA, Stanisz GJ, Keir PJ. An MRI evaluation
of carpal tunnel dimensions in healthy wrists:
implications for carpal tunnel syndrome. Clinical
Biomechanics. 2006 Oct 1;21(8):816-25.
Keir PJ, Wells RP, Ranney DA, Lavery W. The effects
of tendon load and posture on carpal tunnel pressure.
The Journal of hand surgery. 1997 Jul 1;22(4):628-34.
Harris-Adamson C, Eisen EA, Kapellusch J, Garg A,
Hegmann KT, Thiese MS, Dale AM, Evanoff B, Burt
S, Bao S, Silverstein B. Biomechanical risk factors
for carpal tunnel syndrome: a pooled study of 2474
workers. Occupational and environmental medicine.
Jan 1;72(1):33-41.
Werner RA, Andary M. Carpal tunnel syndrome:
pathophysiology and clinical neurophysiology.
Clinical Neurophysiology. 2002 Sep 1;113(9):1373-81.
Tanaka S, Wild DK, Seligman PJ, Behrens V, Cameron
L, Putz-Anderson V. The US prevalence of selfreported
carpal tunnel syndrome: 1988 National
Health Interview Survey data. American Journal of
Public Health. 1994 Nov;84(11):1846-8.
LeBlanc KE, Cestia W. Carpal tunnel syndrome.
Am Fam Physician. 2011 Apr 15;83(8):952-8. PMID:
Burton C, Chesterton LS, Davenport G. Diagnosing
and managing carpal tunnel syndrome in primary
care. British Journal of General Practice. 2014 May
;64(622):262-3.
Charan J, Biswas T. How to calculate sample size for
different study designs in medical research, Indian
journal of psychological medicine. 2013 Apr;35(2):
-6.
Prajapati SP, Purohit A. Prevalence of Musculoskeletal
Disorder among College Students in Times of
COVID-19 Pandemic-An Observational Study.
Ahmed S, Mishra A, Akter R, Shah M, Sadia
AA. Smartphone addiction and its impact on
musculoskeletal pain in neck, shoulder, elbow, and
hand among college going students: a cross-sectional
study. Bulletin of Faculty of Physical Therapy. 2022
Dec;27(1):1-8.
Shukla M, Jain S, Rajput M. Daily Excessive Use of
Smartphone, Leads to Exaggerated Hand Symptoms
Among University Students as Checked by Boston
Carpal Tunnel Questionnaire: A Cross-Sectional
Study. Int J Physiother Res. 2020;8(4):3547-53.
Noonari SB, Samejo B, Nonari MH. The Association
Between Hand Grip Strength and Hand Span of
Dominant and Non-dominant Hand of Undergraduate
Physiotherapy Students. Journal of Modern
Rehabilitation. 2019 Oct 1;13(4):193-8.
Din ST, Hafeez N. Relationship of smartphone
addiction with handgrip strength and upper limb
disability. Int. Surg. Case Rep. 2021 Mar 8; 6:1-7.
Kalirathinam D, Manoharlal MA, Mei C, Ling CK,
Sheng TW, Jerome A, Rao MU. Association between
the usage of smartphone as the risk factor for the
prevalence of upper extremity and neck symptoms
among university students: a cross-sectional surveybased
study. Research Journal of Pharmacy and
Technology. 2017 Apr 1;10(4):1184.
Osailan A. The relationship between smartphone
usage duration (using smartphone’s ability to monitor
screen time) with hand-grip and pinch-grip strength
among young people: an observational study. BMC
Musculoskeletal Disorders. 2021 Dec;22(1):1-8.
Storey PA, Fakis A, Hilliam R, Bradley MJ, Lindau
T, Burke FD. Levine-Katz (Boston) Questionnaire
analysis: means, medians or grouped totals.
Journal of Hand Surgery (European Volume). 2009
Dec;34(6):810-2.
Multanen J, Ylinen J, Karjalainen T, Ikonen J,
Häkkinen A, Repo JP. Structural validity of the Boston
Carpal Tunnel Questionnaire and its short version,
the 6-Item CTS symptoms scale: a Rasch analysis one
year after surgery. BMC Musculoskeletal Disorders.
Dec; 21:1-4.
Pattankar S, Roy R, Warade A, Desai K. Analysis of
the Long-Term Outcome in Open Carpal Tunnel
Release Surgeries with and without External
Neurolysis of Median Nerve, Using Boston Carpal
Tunnel Questionnaire–Hindi Version. Journal
of Neurosciences in Rural Practice. 2021 Mar
;12(03):470-7.
Giangarra, Manske. Clinical orthopaedic
rehabilitation: a team approach. Fourth edition.
Mitake T, Iwatsuki K, Hirata H. Differences in
characteristics of carpal tunnel syndrome between
male and female patients. Journal of Orthopaedic
Science. 2020 Sep 1;25(5):843-6.
Chen B, Liu F, Ding S, Ying X, Wang L, Wen Y. Gender
differences in factors associated with smartphone
addiction: a cross-sectional study among medical
college students. BMC psychiatry. 2017 Dec;17(1):1-9.
Ibrahim I, Khan WS, Goddard N, Smitham P. Suppl
: carpal tunnel syndrome: a review of the recent
literature. The open orthopaedics journal. 2012; 6:69.
Sarria JC, Vidal AM, Kimbrough III RC. Salmonella
enteritidis brain abscess: case report and review.
Clinical neurology and neurosurgery. 2000 Dec
;102(4):236-9.
Karande PS. Comparison of prevalence of symptoms
of carpal tunnel syndrome between dental students
and dental practitioners-A cross-sectional study.VIMS
JournalofPhysical Therapy. 2022 Dec 31;4(2):97-101.
Feng B, Chen K, Zhu X, Ip WY, Andersen LL, Page P,
Wang Y. Prevalence and risk factors of self-reported
wrist and hand symptoms and clinically confirmed
carpal tunnel syndrome among office workers in
China: a cross-sectional study. BMC Public Health.
Dec;21(1):1-0.
Andersen JH, Thomsen JF, Overgaard E, Lassen
CF, Brandt LP, Vilstrup I, Kryger AI, Mikkelsen S.
Computer use and carpal tunnel syndrome: a 1-year
follow-up study. Jama. 2003 Jun 11;289(22):2963-9.
Behee B, Wilson JR. The prevalence of signs of
median nerve compres-sion among college students
in kinesiology. Sport Exer Med Open J. 2014;1(1):8-13.
Patil A, Rosecrance J, Douphrate D, Gilkey D.
Prevalence of carpal tunnel syndrome among dairy
workers. American journal of industrial medicine.
Feb;55(2):127-35.
Palmer KT, Cooper C, Walker-Bone K, Syddall H,
Coggon D. Use of keyboards and symptoms in the
neck and arm: evidence from a national survey.
Occupational medicine. 2001 Sep 1;51(6):392-5.
Bamac B, Colak S, Dundar G, Selekler HM, Taşkiran
Y, Colak T, Balci E. Influence of the long-term use
of a computer on median, ulnar and radial sensory
nerves in the wrist region. International journal of
occupational medicine and environmental health.
Dec; 27:1026-35.
Ali KM, Sathiyasekaran BW. Computer professionals
and carpal tunnel syndrome (CTS). International
Journal of Occupational Safety and Ergonomics. 2006
Jan 1;12(3):319-25.
Dogru E, Kizilci MH, Duman F, Korkmaz NC, Canbay
O, Yucekaya B. Researching Effects of Drawing
on Prevalence of Carpal Tunnel Syndrome with
Architecture Students. Science Journal of Public
Health. 2015;3(2):237-41.
Kumar AK, Sherkhane M. Assessment of gadgets
addiction and its impact on health among
undergraduates. International Journal of Community
Medicine And Public Health. 2018 Aug 7;5(8):3624-8.
Al Shahrani, Albogami, Alabdali, Alohali, Almedbal,
Aldossary. Does the use of electronic devices provoke
the carpal tunnel syndrome (CTS) symptoms and
functional impairment? A cross-sectional study. The
Egyptian Rheumatologist. 2019 Oct 1;41(4):313-7.
Werth A, Babski-Reeves K. Effects of portable
computing devices on posture, muscle activation
levels and efficiency. Applied ergonomics. 2014 Nov
;45(6):1603-9.
Keir PJ, Bach JM, Hudes M, Rempel DM. Guidelines
for wrist posture based on carpal tunnel pressure
thresholds. Human factors. 2007 Feb;49(1):88-99.
Mustafaoglu, Yasaci, Zirek, Griffiths, Ozdincler.
The relationship between smartphone addiction
and musculoskeletal pain prevalence among young
population: a cross-sectional study. The Korean
journal of pain. 2021 Jan 1;34(1):72-81.
Shim JM. The effect of carpal tunnel changes on
smartphone users. Journal of Physical Therapy
Science. 2012;24(12):1251-3.
Berolo S, Wells RP, AmickBC. Musculoskeletal
symptoms among mobile hand-held device users
and their relationship to device use: a preliminary
study in a Canadian university population. Applied
ergonomics. 2011 Jan 1;42(2):371-8.
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