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使用希尔因果标准探讨颈部疼痛与文本脖:一项范围综述

Neck pain and text neck using Hill's criteria of causation: A scoping review.

作者信息

Resende Paula Auxiliadora, Tavares Correia Igor Macedo, de Sá Ferreira Arthur, Meziat-Filho Ney, Lunkes Luciana Crepaldi

机构信息

Physiotherapy Department of the Centro Universitário de Lavras (UNILAVRAS), Lavras, MG, Brazil.

Postgraduate Program in Rehabilitation Sciences at Centro Universitário Augusto Motta (UNISUAM), Rio de Janeiro, RJ, Brazil.

出版信息

J Bodyw Mov Ther. 2025 Jun;42:132-138. doi: 10.1016/j.jbmt.2024.12.016. Epub 2024 Dec 9.

DOI:10.1016/j.jbmt.2024.12.016
PMID:40325658
Abstract

BACKGROUND

Technological advances make mobile devices (smartphones, tablets) increasingly part of individuals' routines. The most diverse functionalities can prolong the use of these devices for hours, which instigates discussions about possible musculoskeletal consequences and their association with neck pain.

AIM

To describe the current state of concepts involving text neck and neck pain using Hill's criteria of causation.

METHODS

Scoping review of the literature conducted in the EMBASE, MEDLINE/PubMed, The Cochrane Library, and CINAHL databases. Articles published until August/2023 were analyzed based on the title and abstract and subsequently by general content. Then, causality verification applying Hill's criteria was carried out by two independent reviewers.

RESULTS

21 articles were included. The majority of studies (90%) had an observational design, with the total sample having a mean age of 24 ± 6,32 years. None of Hill's criteria of causation were met by any of the selected articles, with no causal association being evident.

CONCLUSION

The causal association between text neck and neck pain is not supported by current literature based on the evaluation of Hill's criteria, widely used in epidemiology to establish causal links.

摘要

背景

技术进步使移动设备(智能手机、平板电脑)日益成为个人日常生活的一部分。其多种多样的功能可使这些设备的使用时间延长数小时,这引发了关于可能的肌肉骨骼后果及其与颈部疼痛关联的讨论。

目的

使用希尔因果标准描述涉及“短信脖”和颈部疼痛的概念现状。

方法

在EMBASE、MEDLINE/PubMed、考克兰图书馆和护理学与健康领域数据库中进行文献综述。对截至2023年8月发表的文章先根据标题和摘要进行分析,随后再分析全文内容。然后,由两名独立评审员运用希尔标准进行因果关系验证。

结果

纳入21篇文章。大多数研究(90%)采用观察性设计,总样本的平均年龄为24±6.32岁。所选文章均未满足希尔因果标准中的任何一项,未发现明显的因果关联。

结论

基于广泛应用于流行病学以建立因果联系的希尔标准评估,目前的文献不支持“短信脖”与颈部疼痛之间的因果关联。

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