Araştırma Makalesi

A study of the factors associated with musculoskeletal disorders and pain in adolescents studying in five schools in Serdivan district, Sakarya province

Elif Seda Uğurlu1, Ayşe Çevirme2
  1. 1 Sakarya Üniversitesi Sağlık Bilimleri Enstitüsü, Halk Sağlığı Hemşireliği Anabilim Dalı, Sakarya, Türkiye ROR
  2. 2 Sakarya Üniversitesi, Halk Sağlığı Hemşireliği Anabilim Dalı, Sakarya, Türkiye ROR

Öz

Aims: Our study has two aims. The first aim is to investigate the factors associated with musculoskeletal disorders and pain in adolescents; the second aim is to identify adolescents with pain and limitation of movement and refer them to the appropriate specialist.

Method: The total number of students in the 5 selected schools was 3589. The sample size calculated with 95% confidence was 347. Our study is cross-sectional and was conducted between September 2017 and June 2018 with a total of 525 students, using simple random sampling from 5 schools. A questionnaire form, an anthropometric measurement form and the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) for students were used as data collection tools.

Results: 51,6% of the students were female and the mean age was 14.08 years. The mean age was min: 10.0, max: 18.0 and standard deviation: 2.124. The mean pain score and pain intensity in the neck, shoulder, back, waist and wrist were found to be higher in female students (p<0.05). No association was found between exercise, long term use of technological devices and carrying a backpack, which are thought to be associated with pain (p>0.05). However, with regard to BMI, it was found that overall mean scores and mean scores for feeling pain were significantly higher in lean males than in normal/overweight or obese males (p<0.05).

Conclusion: It was found that girls reported more pain than boys, regular exercise, long-term use of technological devices, carrying a backpack and body mass index were not associated with pain in girls.

Referanslar

  1. Adegbehingbe, O. O., Fatusi, A. O., Adegbenro, C. A., Late, A. O. O., Abass, G. O., & Akintunde, A. (2009). Musculoskeletal disorders: Epidemiology and treatment seeking behavior of secondary school students in a Nigerian community. Indian Journal of Community Medicine, 34(1), 52–56. https://doi.org/10.4103/0970-0218.51231
  2. Akbulut, Y. (2013). Çocuk ve ergenlerde bilgisayar ve internet kullanımının gelişimsel sonuçları. Trakya Üniversitesi Eğitim Fakültesi Dergisi, 3(2), 53–68.
  3. Aktürk, S., Büyükavcı, R., & Aktürk, Ü. (2019). Relationship between musculoskeletal disorders and physical inactivity in adolescents. Journal of Public Health, 27(1), 49–56. https://doi.org/10.1007/s10389-018-0923-7
  4. Alaca, N., Safran, E. E., Karamanlargil, A. İ., & Timucin, E. (2019). Translation and cross-cultural adaptation of the extended version of the Nordic musculoskeletal questionnaire into Turkish. Journal of Musculoskeletal & Neuronal Interactions, 19(4), 472.
  5. Alexander, L. M., & Currie, C. (2004). Young people’s computer use: Implications for health education. Health Education, 104(4), 254–261. https://doi.org/10.1108/09654280410546745
  6. Arslan, E., Bütün, P., Doğan, M., Dağ, H., Serdarzade, C., & Arıca, V. (2014). Çocukluk çağında bilgisayar ve internet kullanımı. İzmir Dr. Behçet Uz Çocuk Hastalıkları Dergisi, 4(3), 195–201. https://doi.org/10.5222/buchd.2014.195
  7. Azma, K., Hosseini, A., Safarian, M. H., & Abedi, M. (2015). Evaluation of the relationship between musculoskeletal discomforts and occupational stressors among nurses. North American Journal of Medical Sciences, 7(7), 322. https://doi.org/10.4103/1947-2714.161250
  8. Backpack Basics. (n.d.). KidsHealth. https://kidshealth.org/en/teens/backpack.html (Accessed: 21.01.2023)
  9. Bilgin, E., & Kutsal, Y. G. (2017). Bilgisayar kullanımı ile ilişkili boyun ve üst ekstremite rahatsızlıkları. STED Dergisi, 26(6), 251–255.
  10. Cankurtaran, F., Menevşe, O., Namlı, A., Kızıltoprak, H. Ş., Altay, S., Duran, M., ... & Ekşi, C. (2022). The impact of digital game addiction on musculoskeletal system of secondary school children. Nigerian Journal of Clinical Practice, 25(2), 153. https://doi.org/10.4103/njcp.njcp_177_20
  11. Child and Teen BMI Categories. (2024). Centers for Disease Control and Prevention. https://www.cdc.gov/bmi/child-teen-calculator/bmi-categories.html
  12. D'Aversa, A., Bonetti, F., Gallotti, M., & Maselli, F. (2021). Is it really musculoskeletal pain? Differential diagnosis and screening for referral in paediatric musculoskeletal disorders: A scoping review protocol. MedRxiv. https://doi.org/10.1101/2021.11.23.21266780
  13. Demir Pulat, H., & Turgut, S. (2022). Turkish version of the preschool children’s nutrition screening tool (Nutristep®): A validity and reliability study. European Journal of Clinical Nutrition, 76(6), 1–7. https://doi.org/10.1038/s41430-022-01092-8
  14. Demir, Y. P., Çırak, Y., Dalkılınç, M., Yılmaz, G., Uraş, İ., & Kömürcü, M. (2012). İlkokul çocuklarında çanta taşıma, bilgisayar kullanma alışkanlığı ve postür. Ankara Medical Journal, 12(4), 182–187.
  15. Ece, C. (2021). The relations between the family nutrition and physical activity levels and prevalence of obesity of their children in Turkey. Progress in Nutrition, 23(1). https://doi.org/10.23751/pn.v23iS1.11611
  16. Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell musculoskeletal discomfort questionnaire: Cross-cultural adaptation and validation. Work, 39(3), 251–260. https://doi.org/10.3233/WOR-2011-1173
  17. Giersbergen, M., & Argon, G. (2017). Kas iskelet sisteminin değerlendirilmesi ve klinik karar verme. Içinde: F. Eti Aslan (Editör), Sağlığın Değerlendirilmesi ve Klinik Karar Verme. Akademisyen Tıp Kitabevi.
  18. Hakala, P. T., Rimpela, A. H., Saarni, L. A., & Salminen, J. J. (2006). Frequent computer-related activities increase the risk of neck–shoulder and low back pain in adolescents. European Journal of Public Health, 16(5), 536–541. https://doi.org/10.1093/eurpub/ckl025
  19. Hakala, P. T., Saarni, L. A., Punamäki, R. L., Wallenius, M. A., Nygård, C. H., & Rimpelä, A. H. (2012). Musculoskeletal symptoms and computer use among Finnish adolescents: Pain intensity and inconvenience to everyday life: A cross-sectional study. BMC Musculoskeletal Disorders, 13(41). https://doi.org/10.1186/1471-2474-13-41
  20. Student Specific Cornell Musculoskeletal Discomfort Questionnaires (SS-CMDQ). (n.d.). Cornell University. https://ergo.human.cornell.edu/ahSSCMDQquest.html
  21. İde, D., & Gündüz, T. (2021). Koronavirüs kapanma (kısıtlama) döneminde üniversite öğrencilerinin yorgunluk düzeyi ve kas-iskelet sistemi rahatsızlıkları arasındaki ilişkinin bazı değişkenler açısından incelenmesi. Ergonomi (Online), 4(2), 107–118. https://doi.org/10.33439/ergonomi.935728
  22. İlleez, Ö. G. (2016). Çocuk ve adölesan yaş grubunda bel ağrılarına genel yaklaşım. Boğaziçi Tıp Dergisi, 3(3), 113–117.
  23. Khan, F. M., Shahid, M. H., Nasir, M., Karamat, A., & Abdullah, C. (2021). Screen time-related musculoskeletal symptoms among adolescents: A cross-sectional survey in twin cities. Pakistan Journal of Public Health, 11(3), 132–135. https://doi.org/10.32413/pjph.v11i3.527
  24. Khawar, A., Khan, A., Kanwal, A., Munir, K., Omar, J., Najam, S., Zia, S., Ali, M. U., & Khaliq, N. (2021). Musculoskeletal pains associated with schoolbag carriage in children and adolescents: A cross-sectional study in twin cities. BMC Journal of Medical Sciences, 2(2), 41–45. https://doi.org/10.70905/bmcj.02.02.022
  25. Kurt, S., İbiş, S., Aktuğ, Z. B., & Aka, H. (2021). Üniversite öğrencilerinin kas iskelet sistemi rahatsızlıkları ile fiziksel aktivite düzeyi ve internet bağımlılığı arasındaki ilişkinin incelenmesi. Uluslararası Güncel Eğitim Araştırmaları Dergisi, 7(2), 709–721.
  26. Kuzu, A., Odabaşı, H. F., Erişti, S. D., Kabakçı, I., Kurt, A. A., Akbulut, Y., Dursun, Ö. Ö., Kıyıcı, M., & Şendağ, S. (2008). İnternet kullanımı ve aile. T.C. Başbakanlık Aile ve Sosyal Araştırmalar Genel Müdürlüğü. https://ailetoplum.aile.gov.tr/uploads/pages/arastirmalar/internet-ve-aile.pdf
  27. Malmborg, J. S., Bremander, A., Bergman, S., Haglund, E., & Olsson, M. C. (2022). Musculoskeletal pain and its association with health status, maturity, and sports performance in adolescent sport school students: A 2-year follow-up. BMC Sports Science, Medicine and Rehabilitation, 14(1), 1–11. https://doi.org/10.1186/s13102-022-00437-x
  28. Martínez-Romero, M. T., Cejudo, A., & Sainz de Baranda, P. (2022). Prevalence and characteristics of back pain in children and adolescents from the region of Murcia (Spain): ISQUIOS programme. International Journal of Environmental Research and Public Health, 19(2), 946. https://doi.org/10.3390/ijerph19020946
  29. Martins, R. L., Carvalho, N., Albuquerque, C., Andrade, A., Martins, C., Campos, S., Batista, S., & Dinis, A. I. (2020). Musculoskeletal disorders in adolescents: A study on prevalence and determining factors. Acta Paulista de Enfermagem, 33(1), 1–8. https://doi.org/10.37689/acta-ape/2020AO0173
  30. Mousa, U. (2012). Ötiroid tiroid patolojilerinde metabolik parametreler ve vücut yağ dağılımı. Başkent Üniversitesi Tıp Fakültesi İç Hastalıkları Anabilim Dalı Endokrinoloji ve Metabolizma Hastalıkları Bilim Dalı Yan Dal Uzmanlık Tezi.
  31. Nastri, M. M. F., Lourenço, B., Queiroz, L. B., da Silva, L. E. V., Lourenço, D. M. R., Castro, A. P. B. M., Silva, C. A., & Pastorino, A. C. (2021). Idiopathic musculoskeletal pain, musculoskeletal pain syndromes, and use of electronic devices in adolescents with asthma. Jornal de Pediatria. https://doi.org/10.1016/j.jped.2021.06.002
  32. Nazari, M., Beigi, R., Salesi, M., Cousins, R., & Mokarami, H. (2020). Development and validation of the tool for the evaluation of the behavioral factors affecting the prevalence of musculoskeletal disorders in Iranian students. BMC Pediatrics, 20(1), 1–9. https://doi.org/10.1186/s12887-020-02452-8
  33. Neyzi, O., Günöz, H., Furman, A., Bundak, R., Gökçay, G., Darendeliler, F., & Baş, F. (2008). Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi, 51(1), 1–14. https://cshd.org.tr/article/view/354
  34. Nunnally, J. C. (1978). Psychometric Theory (2nd ed.). New York: McGraw-Hill.
  35. Özdemir, S., Gençbaş, D., Tosun, B., Bebiş, H., & Sinan, O. (2021). Musculoskeletal pain, related factors, and posture profiles among adolescents: A cross-sectional study from Turkey. Pain Management Nursing, 22(4), 522–530. https://doi.org/10.1016/j.pmn.2020.11.013
  36. Pereira, D. S., Castro, S. S., Bertoncello, D., Damião, R., & Walsh, I. A. (2013). Relationship of musculoskeletal pain with physical and functional variables and with postural changes in school children from 6 to 12 years of age. Brazilian Journal of Physical Therapy, 17, 392–400. https://doi.org/10.1590/S1413-35552013005000106
  37. Prathivadi Bhayankaram, N., Lacey, R. J., Barnett, L. A., Jordan, K. P., & Dunn, K. M. (2020). Musculoskeletal consultations from childhood to adulthood: A longitudinal study. Journal of Public Health, 42(4), E428–E434. https://doi.org/10.1093/pubmed/fdz141
  38. Rezapur-Shahkolai, F., Gheysvandi, E., Karimi-Shahanjarini, A., Tapak, L., Heidarimoghadam, R., & Dianat, I. (2021). Identification of factors related to behaviors associated with musculoskeletal pain among elementary students. BMC Musculoskeletal Disorders, 22(1), 1–12. https://doi.org/10.1186/s12891-021-04413-3
  39. Salim, N., & Vishal, J. (2021). Prevalence and factors associated with musculoskeletal pain among secondary school students. International Journal of Musculoskeletal Pain Prevention, 6(3), 519–528. https://doi.org/10.52547/ijmpp.6.3.519
  40. Saner, G., Durmaz, Ö., & Gökçe, S. (2010). Beslenme durumunun değerlendirilmesi. In O. Neyzi & T. Ertuğrul (Eds.), Pediatri (4. baskı, cilt 1, pp. 233–238). İstanbul: Nobel Tıp Kitabevi.
  41. Scarabottolo, C. C., Pinto, R. Z., Oliveira, C. B., Zanuto, E. F., Cardoso, J. R., & Christofaro, D. G. D. (2017). Back and neck pain prevalence and their association with physical inactivity domains in adolescents. European Spine Journal, 26(9), 2274–2280. https://doi.org/10.1007/s00586-017-5144-1
  42. Sheikhhoseini, R., Sayyadi, P., & Piri, H. (2021). The relationship between schoolbag carriage with musculoskeletal pain and posture in Iranian students: A systematic review study. Journal of Orthopedic and Spine Trauma, 7(4), 123–126. https://doi.org/10.18502/jost.v7i4.8857
  43. Silva, G. R. R., Pitangui, A. C. R., Xavier, M. K. A., Correia-Júnior, M. A. V., & Araújo, R. C. (2016). Prevalence of musculoskeletal pain in adolescents and association with computer and videogame use. Jornal de Pediatria (Rio J), 92(2), 188–196. https://doi.org/10.1016/j.jped.2015.06.006
  44. Skemiene, L., Ustinaviciene, R., Luksiene, D., Radisauskas, R., & Kaliniene, G. (2012). Computer use and musculoskeletal complaints in the Lithuanian adolescent population. Central European Journal of Medicine, 7(2), 203–208. https://doi.org/10.2478/s11536-011-0126-x
  45. Student Specific Cornell Musculoskeletal Discomfort Questionnaires (SS-CMDQ). https://ergo.human.cornell.edu/ahSSCMDQquest.html.
  46. Toghroli, R., Reisy, L., Mansourian, M., Azar, F. E. F., Ziapour, A., Mehedi, N., & Nejhaddadgar, N. (2021). Backpack improper use causes musculoskeletal injuries in adolescents: A systematic review. Journal of Education and Health Promotion, 10(1), 237. https://doi.org/10.4103/jehp.jehp_306_20
  47. Vitta, A., de Oliveira, P. P., Bento, T. P. F., Cornélio, G. P., Felippe, L. A., & Simeão, S. F. A. P. (2021). Factors associated with intensity and frequent low back pain in high school students. ABCS Health Sciences, 46, E021223. https://doi.org/10.7322/abcshs.2020043.1997
  48. Yosmaoğlu, H. B., Baltacı, G., & Derman, O. (2010). Obez adolesanlarda vücut yağı ölçüm yöntemlerinin etkinliği. Fizyoterapi ve Rehabilitasyon, 21(3), 125–131.
  49. Zakeri, Y., Baraz, S., Gheibizadeh, M., Nejad, D. B., & Latifi, S. M. (2016). Prevalence of musculoskeletal disorders in primary school students in Abadan-Iran in 2014. International Journal of Pediatrics, 4(1), 1215–1223. https://doi.org/10.22038/ijp.2016.6265