Straker Leon M, O'Sullivan Peter B, Smith Anne, Perry Mark
School of Physiotherapy, Curtin University of Technology, GPO Box U1987, Perth, WA 6845, Australia.
Public Health Rep. 2007 Sep-Oct;122(5):634-43. doi: 10.1177/003335490712200511.
Computer use is common in adolescents, and there is evidence that adolescent spinal posture alters during computer use. However, it is unknown if computer use and habitual postures are associated. The objective of this study was to evaluate associations between adolescent computer use and habitual postures.
Eight hundred eighty-four adolescents (408 females, 476 males, mean age, 14.0 years, standard deviation, 0.2) completed a questionnaire assessing weekly computer use. Habitual spinal posture was assessed by photographic analysis while standing and sitting.
Computer use was associated with adolescent habitual postures. In males, increased computer use was associated with increased head flexion and neck flexion. In females, increased computer use was associated with increased lumbar lordosis.
The amount of weekly computer use was associated with changes in habitual spinal postures, and these depended on gender. These associations may result from temporary computer postures leading to adaptive neuromusculoskeletal changes, though further multivariate and longitudinal studies are needed to confirm causality. As some habitual posture changes may place a greater strain on the musculoskeletal system, computer use by adolescents should be viewed as a possible health concern.
计算机在青少年中使用普遍,有证据表明青少年在使用计算机时脊柱姿势会发生改变。然而,计算机使用与习惯性姿势是否相关尚不清楚。本研究的目的是评估青少年计算机使用与习惯性姿势之间的关联。
884名青少年(408名女性,476名男性,平均年龄14.0岁,标准差0.2)完成了一份评估每周计算机使用情况的问卷。通过站立和坐立时的摄影分析评估习惯性脊柱姿势。
计算机使用与青少年习惯性姿势相关。在男性中,计算机使用增加与头部前屈和颈部前屈增加相关。在女性中,计算机使用增加与腰椎前凸增加相关。
每周计算机使用量与习惯性脊柱姿势的改变相关,且这些改变取决于性别。这些关联可能是由于临时的计算机使用姿势导致适应性神经肌肉骨骼变化引起的,不过需要进一步的多变量和纵向研究来证实因果关系。由于一些习惯性姿势改变可能会给肌肉骨骼系统带来更大的压力,青少年使用计算机应被视为一个可能的健康问题。