posture

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Undergraduate Category:  Health  Sciences   Degree  Level:  PT/s   Abstract  ID#  1092  

Mobile  Computing  Device  Usage  and  Posture  In  College  Aged  Adults:  An  Observational  Study   Nicholas  Ing,  PT/s;  Kelsey  Jonas,  PT/s;  Luz  Stella  Marin  Ramirez,  Sc.D.;  Jack  Dennerlein,  PhD

BACKGROUND  AND   SIGNIFICANCE  

• Mobile  computing  technology  keeps   changing  every  year! • New  technology  supports  the  use  of   non-­‐traditional  workstations  .2 • Overuse  may  induced   musculoskeletal  disorders  (MSDs).1,3 • Non-­‐neutral  postures  may  be  a  risk   factor.

OBJECTIVE

Describe  variation  in  user  configuration  and  user   postures  across  different  mobile  computing  technology.  

HYPOTHESIS

• •

Hypothesis   1: While  using  mobile  devices,  we  expect   user  configuration  and  upper  extremity  postures  to   differ  across  mobile  computing  devices.   Hypothesis   2: When  using  a  specific  device,  user  trunk   and  upper  extremity  posture  will  differ  across  user   configurations.    

METHODS  

• Design:  Observational  study  of  18-­‐25   year  olds  using   mobile  computing  devices  in  Boston,  MA. • 1052   individuals  observed  over  3  weeks  in  Winter  2016   in   student  centers,  cafes,  libraries,   and  common  spaces • Checklist  categorized  for  each  user: • Technology (Device) • Configuration (Sit/stand,  arms   supported/unsupported,  hand  configuration) • Trunk  and  Upper  extremity  posture of  the  user   (Neck,  spine,  shoulder,  and  wrist) • Multinomial  logistic  regression  tested  the  stated   hypotheses • Data  from  cellphone  and  tables  were  excluded   because  of  the  low  numbers  observed.

SMARTPHONES  AND  LAPTOPS  DOMINATED

ABSTRACT INTRODUCTION/RATIONALE:  With  the  increased  use  of  mobile  computing  devices  and  the  changes  in  their  form  factor,  there   is  concern  for  the  development  of  computer-­‐related  musculoskeletal  disorders  with  new  user  configurations.  The  objective  of   this  study  characterized  trunk  and  upper  extremity  postures  with  potential  risk  factors,  and  tested  differences  associated  with   various  mobile  computing  form  factors  (smartphone,  cell  phone,  tablet,  laptop). METHODS:   Investigators  observed  1052  college-­‐aged  individuals  and  recorded  technology,  user  configuration,  and  posture.   Technology  was  classified  as  small/large  phones,  tablets,  or  laptops.  User  configuration  included  sitting  or  standing.  Posture   included  neck,  spine,  hips,  shoulder,  elbow,  forearm,  and  wrists. RESULTS:   63%  of  the  observed  individuals  were  using  smartphones,  33.6%  laptops,  2.5%  tablets,  and  1%  cell  phones.  Across   devices,  85%  of  individuals  had  a  flexed  neck,  73.3%  had  a  flexed  spine,  58.3%  had  neutral  shoulder  position,  and  60.3%  had   non-­‐neutral  wrist  posture.   CONCLUSION: The  identified  user  configuration  from  this  study  indicate  that  the  upper  extremities  and  the  spine  have  a  lot  of   non-­‐neutral  postures,  which  may  be  associated  with  increased  risk  of  injury.  

POSTURES  DIFFERED  BETWEEN  LAPTOP  AND   SMARTPHONE n  (%)

Smartphone

Laptop

663  (63%)

353  (34%)

p value

NECK Extended

32        (5%)

66      (19%)