Family Medicine & Primary Care Review
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Family Medicine & Primary Care Review
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2/2025
vol. 27
 
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Original paper

Exploring the association between smartphone usage and upper trapezius myofascial pain syndrome among undergraduate medical students: a cross-sectional study at Udayana University

Stevanus Christian Surya
1
,
Ida Ayu Sri Wijayanti
2
,
I Putu Eka Eka Widyadharma
2
,
Kumara Tini
2

  1. Faculty of Medicine, Udayana University, Bali, Indonesia
  2. Department of Neurology, Faculty of Medicine, Udayana University, Bali, Indonesia
Family Medicine & Primary Care Review 2025; 27(2): 198–205
Online publish date: 2025/06/27
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1. Badan Pusat Statistik, BPS-Statistics Indonesia. Statistics of Indonesia Telecommunications 2018. Jakarta: BPS–BPS-Statistics Indonesia; 2018.
2. Demirci K, Akgönül M, Akpinar A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict 2015; 4: 85–92.
3. Panova T, Carbonell X. Is smartphone addiction really an addiction? J Behav Addict 2018; 7: 252–259.
4. Hawi NS, Samaha M. The Relations Among Social Media Addiction, Self-Esteem, and Life Satisfaction in University Students. Soc Sci Comput Rev 2017; 35: 576–586.
5. Serra G, Lo Scalzo L, Giuffrè M, et al. Smartphone use and addiction during the coronavirus disease 2019 (COVID-19) pandemic: cohort study on 184 Italian children and adolescents. Ital J Pediatr 2021; 47: 1–10.
6. Haug S, Paz Castro R, Kwon M, et al. Smartphone use and smartphone addiction among young people in Switzer-land. J Behav Addict 2015; 4: 299–307.
7. Matar Boumosleh J, Jaalouk D. Depression, anxiety, and smartphone addiction in university students – a cross sectional study. PLOS ONE 2017; 12: e0182239.
8. Pereira A, Miller T, Huang YM, et al. Holding a tablet computer with one hand: Effect of tablet design features on bio-mechanics and subjective usability among users with small hands. Ergonomics 2013; 56: 1363–1375.
9. Al Hefzi AI, Alqhtani AMA, Alzahrani AA, et al. Role of Texting on Mobile Phones for Musculoskeletal Disorders in the Neck and Upper Extremities among Saudi Population. Bahrain Med Bull 2021; 43: 724–727.
10. Kim SY, Koo SJ. Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults. J Phys Ther Sci 2016; 28: 1669–1672.
11. Lee M, Hong Y, Lee S, et al. The effects of smartphone use on upper extremity muscle activity and pain threshold. J Phys Ther Sci 2015; 27: 1743–1745.
12. Kim H-J, Kim J-S. The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci 2015; 27: 575–579.
13. Walankar PP, Kemkar M, Govekar A, et al. Musculoskeletal Pain and Risk Factors Associated with Smartphone Use in University Students. Indian J Occup Environ Med 2021; 25: 220–224.
14. Gold JE, Driban JB, Thomas N, et al. Postures, typing strategies, and gender differences in mobile device usage: An observational study. Appl Ergon 2012; 43: 408–412.
15. Zhuang X, Tan S, Huang Q. Understanding of myofascial trigger points. Chin Med J (Engl) 2014; 127: 4271–4277.
16. Hwang UJ, Kwon OY, Yi CH, et al. Predictors of upper trapezius pain with myofascial trigger points in food service workers: The STROBE study. Medicine (Baltimore) 2017; 96(26): e7252, doi: 10.1097/MD.0000000000007252.
17. Centers for Disease Control and Prevention. Body Mass Index (BMI) [cited 21.10.2023]. Available from URL: https://www.cdc.gov/healthyweight/assessing/bmi/index.html.
18. Lim JU, Lee JH, Kim JS, et al. Comparison of World Health Organization and Asia-Pacific body mass index classifica-tions in COPD patients. Int J Chron Obstruct Pulmon Dis 2017; 12: 2465–2475.
19. Simbolon NV, Wijayanti IAS, Widyadharma IPE. Prevalence and Characteristics of Medical Staff Suffering from Lower Back Pain at Udayana University Hospital. E-Jurnal Med Udayana 2021; 10: 66.
20. Mongkonkansai J, Veerasakul S, Tamrin SBM, et al. Predictors of Musculoskeletal Pain among Primary School Students Using Smartphones in Nakhon Si Thammarat, Thailand. Int J Environ Res Public Health 2022; 19(17): 10530, doi: 10.3390/ijerph191710530.
21. Situmorang CK, Widjasena B, Wahyuni I, et al. The Relationship Between Duration, Posture, and Computer Use on Neck Pain Complaints Among Educational Staff. J Kesehat Masy 2020; 8: 672–678.
22. Jayanti PAAP, Wijayanti IAS, Tini K. [Proportion and characteristics of lower back pain in administrative staff at the Faculty of Medicine Udayana University]. J Med Udayana 2024; 13(12): 1–8, doi: 10.24843/MU.2024.V13.i12.P01 (in Indonesian).
23. Kwon M, Kim DJ, Cho H, et al. The smartphone addiction scale: Development and validation of a short version for adolescents. PLOS ONE 2013; 8: 1–7.
24. Arthy CC, Effendy E, Amin MM, et al. Indonesian version of addiction rating scale of smartphone usage adapted from smartphone addiction scale-short version (SAS-SV) in junior high school. Open Access Maced J Med Sci 2019; 7: 3235–3239.
25. Tantanatip A, Chang K-V. Myofascial Pain Syndrome. Treasure Island (FL); 2023.
26. IASP. Global Year Against Musculoskeletal Pain: Myofascial Pain (2009). International Association for The Study of Pain [cited 21.10.2023]. Available from URL: https://www.iasp-pain.org/wp-content/uploads/2022/10/14.-Myofascial-Pain-Fact-Sheet-Revised-2017.pdf.
27. Association of American Medical Colleges. Applicants, First-Time Applicants, Acceptees, and Matriculants to U.S. MD-Granting Medical Schools by Gender, 2014–2015 through 2023–2024. Available from URL: https://www.aamc.org/media/9576/download?attachment.
28. Gerwin R. Myofascial Pain Syndrome: Here We Are, Where Must We Go? J Musculoskelet Pain 2010; 18: 329–347.
29. Agung I, Murdana N, Purba H. The Relationship Between The Body Mass Index and The Pain Threshold in Myofascial Pain Syndrome: A Cross-sectional Study. Indones J Phys Med Rehabil 2017; 6(1): 8–17, doi: 10.36803/ijpmr.v6i01.147.
30. Lalchhuanawma A. Finding the possible link between physical activities, dietary nutrients and health on myofascial pain syndrome. Curr Med Res Pract 2021; 11: 176.
31. Guzmán-Pavón MJ, Cavero-Redondo I, Martínez-Vizcaíno V, et al. Effect of Physical Exercise Programs on Myofascial Trigger Points-Related Dysfunctions: A Systematic Review and Meta-analysis. Pain Med 2020; 21: 2986–2996.
32. Amidi Mazaheri M, Karbasi M. The Use of Mobile Phone Features Among Students in Isfahan University of Medical Sciences in Iran. Scimetr 2014; 2(3): e18760, doi: 10.5812/scimetr.18760.
33. Singh K, Sarkar S, Gaur U, et al. Smartphones and Educational Apps Use among Medical Students of a Smart Univer-sity Campus. Front Commun 2021; 6: 1–9.
34. Alhazmi AA, Alzahrani SH, Baig M, et al. Prevalence and factors associated with smartphone addiction among medical students at King Abdulaziz University, Jeddah. Pakistan J Med Sci 2018; 34: 984–988.
35. Putri DD. The relationship between gadget use duration during the COVID-19 pandemic and the incidence of asthenopia among medical students at the Faculty of Medicine Sriwijaya University. Sriwijaya 2021 [cited 21.10.2023]. Available from URL: https://repository.unsri.ac.id/59947/.
36. Berolo S, Wells RP, Amick BC. Musculoskeletal symptoms among mobile hand-held device users and their relation-ship to device use: A preliminary study in a Canadian university population. Appl Ergon 2011; 42: 371–378.
37. Eitivipart AC, Viriyarojanakul S, Redhead L. Musculoskeletal disorder and pain associated with smartphone use: A systematic review of biomechanical evidence. Hong Kong Physiother J 2018; 38: 77–90.
38. Kim KJ, Sundar SS. Does screen size matter for smartphones? Utilitarian and hedonic effects of screen size on smartphone adoption. Cyberpsychol Behav Soc Netw 2014; 17: 466–473.
39. Kim HJ, Kim JS. The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci 2015; 27: 575–579.
40. Yustianti YT, Pusparini P. The relationship between gadget usage intensity and neck pain in individuals aged 15–20 years. J Biomedika dan Kesehat 2019; 2: 71–76.
41. Kietrys DM, Gerg MJ, Dropkin J, et al. Mobile input device type, texting style and screen size influence upper extremi-ty and trapezius muscle activity, and cervical posture while texting. Appl Ergon 2015; 50: 98–104.
42. Ko P-H, Hwang Y-H, Liang H-W. Influence of smartphone use styles on typing performance and biomechanical expo-sure. Ergonomics 2016; 59: 821–828.
43. Gustafsson E. Ergonomic recommendations when texting on mobile phones. Work 2012; 41: 5705–5706.
44. da Silva Bertolaccini G, Nakajima RK, Pires de Carvalho Filho IF, et al. The influence of seat height, trunk inclination and hip posture on the activity of the superior trapezius and longissimus. J Phys Ther Sci 2016; 28: 1602–1606.
45. Young JG, Trudeau M, Odell D, et al. Touch-screen tablet user configurations and case-supported tilt affect head and neck flexion angles. Work 2012; 41: 81–91.
46. Kumar VA, Chandrasekaran V, Brahadeeswari H. Prevalence of smartphone addiction and its effects on sleep quality: A cross-sectional study among medical students. Ind Psychiatry J 2019; 28: 82–85.
47. Liu H, Zhou Z, Zhu E, et al. Smartphone addiction and its associated factors among freshmen medical students in China: a cross-sectional study. BMC Psychiatry 2022; 22: 308.
48. Buctot DB, Kim N, Kim JJ. Factors associated with smartphone addiction prevalence and its predictive capacity for health-related quality of life among Filipino adolescents. Child Youth Serv Rev 2020; 110: 104758.
49. Billieux J. Problematic Use of the Mobile Phone: A Literature Review and a Pathways Model. Curr Psychiatry Rev 2012; 8: 299–307.
50. Alsalameh AM, Harisi MJ, Alduayji MA, et al. Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. J Fam Med Prim Care 2019; 8: 2953–2959.
51. Mustafaoglu R, Yasaci Z, Zirek E, et al. The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: A cross-sectional study. Korean J Pain 2021; 34: 72–81.
52. Wang J-L, Wang H-Z, Gaskin J, et al. The role of stress and motivation in problematic smartphone use among college students. Comput Human Behav 2015; 53: 181–188.
53. Sun A, Yeo HG, Kim TU, et al. Radiologic assessment of forward head posture and its relation to myofascial pain syndrome. Ann Rehabil Med 2014; 38: 821–826.
Copyright: © 2025 Family Medicine & Primary Care Review. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
 
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