Abstract
The objective of the present study was to evaluate the presence of pain and musculoskeletal pain syndromes in adolescents and associate them to computer and video game use. A cross-sectional study was performed on the entire adolescent population (n=833) of a private situated in the city of São Paulo. The research included a questionnaire and physical examination of the musculoskeletal system. Statistical analysis was carried out with Fisher, chi-square, Mann Whitney tests and logistic regression. A total of 791 adolescent was evaluated. A computer was used by 99% and video games by 58%. Pain was reported by 312 (39.4%) students: 23% complained of back pain, 9% of upper limb pain, 4% of diffuse pain and 4% of pain in the trapezium muscle. A clinical examination was carried out in 359 students, and one or more musculoskeletal pain syndromes were present in 56 students (15.6%): benign joint hypermobility syndrome in 10%, myofascial syndrome in 5%, tendonitis in 2% and fibromyalgia in 1%. In the multivariate analysis, the logistical regression showed that the independent variables in the prediction of pain were sex [odds ratio (OR): 2.19, 95% confidence interval (95% CI): 1.33–3.61] and age (OR: 1.17, 95% CI: 1.07–1.28) and that the prediction of musculoskeletal pain syndromes were sex (OR: 3.17, 95% CI: 1.69–6.22) and number of days a week using the computer (OR: 1.22, 95% CI: 1.05–1.42). However, the variations in the dependent variables by the mathematical regression models were low. Despite the frequent use of computer and video games among adolescents, this was not associated with the presence of pain and musculoskeletal pain syndromes.
Similar content being viewed by others
References
Aftimos S (1989) Myofascial pain in children. N Z Med J 102:440–441
Arroyo I, Brewer EJ, Giannini EH (1998) Arthritis, artralgia and hipermobility of the joints in schoolchildren. J Rheumatol 15:978–980
Bates T, Grunwaldt E (1958) Myofascial pain in childhood. J Pediatr 53:198–209
Beighton P, Solomon L, Soskolne CL (1973) Articular mobility in an African population. Ann Rheum Dis 32:413–418
Burke A, Peper E (2002) Cumulative trauma disorder risk for children using computer products: results of a pilot investigation with a student convenience sample. Public Health Rep 117:350–357
Clark P, Burgos-Vargas R, Medina-Palma C, Lavielle P, Marina FF (1998) Prevalence of fibromialgia in children: a clinical study of Mexican children. J Rheumatol 25:2009–2014
Cleary AG, McKendrick H, Sills JA (2002) Hand-arm vibration syndrome may be associated with prolonged use of vibrating computer games. BMJ 324:301
Ehrmann Feldman D, Shier I, Rossignol M (2002) Risk factors for the development of neck and upper limb pain in adolescents. Spine 27:523–528
Fine PG (1987) Myofascial trigger point pain in children. J Pediatr 111:547–548
Gerr F, Marcus M, Monteilh C (2004) Epidemiology of musculoskeletal disorders among computer users: lesson learned from the role of posture and keyboard use. J Electromyogr Kinesiol 14:25–31
Hagberg M (1996) ABC of work related disorders: neck and arm disorders. BMJ 313:419–422
Hair JF, Anderson RE, Tatham RL (1995) Multivariate data analysis with readings. 4nd edn. Prentice-Hall, New York
Hennekens CH, Buring JE (1987) Epidemiology in medicine. Lippincott Williams & Wilkins, Philadelphia
Hulley SB, Cummings SR, Browner WS, Grady D, Hearst N, Newman TB (2001) Designing clinical research. 2nd edn. Lippincott Williams & Wilkins, Philadelphia
Ho SM, Lee TM (2001) Computer usage and its relationship with adolescent lifestyle in Hong Kong. J Adolesc Health 29:258–266
Jacobs K, Baker NA (2002) The association between children’s computer use and musculoskeletal discomfort. Work 18:221–226
Jirasatmathakul P, Poovorawam Y (2000) Prevalence of video games among Thai children: impact evaluation. J Med Assoc Thai 83:1509–1513
Johnsson-Smaragdi U, d’Haenens L, Krotz F (1998) Patterns of old and new media use among young people in Flanders, Germany and Sweden. Eur J Commun 13:479–501
Katz JN, Amick BC, Carroll BB, Hollis C, Fossel AH, Coley CM (2000) Prevalence of upper extremity musculoskeletal disorders in college students. Am J Med 109:586–588
Koh TH (2000) Ulcerative “nintendinitis”: a new kind of repetitive strain injury. MJA 173:671
Kristjánsdóttir G (1996) Prevalence of self-reported back pain in school children: a study of sociodemographic differences. Eur J Pediatr 155:984–986
Kujala UM, Taimela S, Viljanen T (1999) Leisure physical activity and various pain symptoms among adolescents. Br J Sports Med 33:325–328
Luckstead EF Sr, Satran AL, Patel DR (2002) Sport injury profiles, training and rehabilitation issues in American sports. Pediatr Clin North Am 49:753–767
MacGregor DM (2000) Nintendinitis? A case report of repetitive strain injury in a child as a result of playing computers games. Scot Med J 45:150
Malleson P, Clinch J (2003) Pain syndromes in children. Curr Opin Rheumatol 15:572–580
McBeth J, Harkness EF, Hunt IM (2001) Is work-related mechanical injury a risk for the onset of chronic widespread pain? A prospective population based study. Arthritis Rheum 44:S68
Mensel S, Simons DG, Russell IJ (2001) Muscle pain: understanding its nature, diagnosis and treatment. Lippincott Williams & Wilkins, Baltimore
Mikkelsson M, Salminen JJ, Kautiainen H (1997) Non-specific musculoskeletal pain in preadolescents: prevalence and 1-year persistence. Pain 73:29–35
Osterman AL, Weinberg P, Miller G (1987) Joystick digit. JAMA 257:782
Prochaska JJ, Sallis JF, Long B (2001) A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med 155:554–559
Roberts DF (2000) Media and youth: access, exposure and privatization. J Adolesc Health 27[Suppl]:8–14
Roberts DF, Foehr UG, Rideout VJ (2003) Kids & media @ the new millennium [Online]. Available at: http://www.kff.org/entmedia/1535-index.cfm
Sherry DD, Malleson PN (2001) Idiopatic musculoskeletal pain syndromes. In: Cassidy JT, Petty RE (eds) Textbook of Pediatric Rheumatology, 4th edn. WB Saunders, Philadelphia, pp 381–394
Simons DG (2001) Dolor y disfunción miofascial: um manual de los puntos gatillo. 2nd edn. Médica Panamericana, Madrid
Tazawa Y, Okada K (2001) Physical signs associated with excessive television-game playing and sleep deprivation. Pediatr Int 43:647–650
Van der Voort T, Beentjes WWJ, Bovill Ml Y (1998) Young people’s ownership and uses of new and old forms of media in Britain and The Netherlands. Eur J Commun 13:457–477
Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of multicentre criteria committee. Arthritis Rheum 33:160–172
Wood J (2001) The “how!” sign central palmar blister induced by overplaying on a Nintendo console. Arch Dis Child 84:288
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zapata, A.L., Pantoja Moraes, A.J., Leone, C. et al. Pain and musculoskeletal pain syndromes related to computer and video game use in adolescents. Eur J Pediatr 165, 408–414 (2006). https://doi.org/10.1007/s00431-005-0018-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00431-005-0018-7