Association Between the Duration of Smart Phone Use and Back Dysfunction in Patients With Low Back Pain

NCT ID: NCT03517410

Last Updated: 2019-05-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Total Enrollment

62 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-05-15

Study Completion Date

2018-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study investigates the association between the duration of smart phone use and back pain and proprioception deficits in patients with chronic mechanical low back pain (CLBP).

It is hypothesized that increased duration of smart phone use will be associated with

1. Increased back pain as measured by the Visual Analogue Scale (VAS)
2. Reduced proprioception acuity as indicated by increased angle of error of back repositioning as measured by isokinetic dynamometer.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

After patient screening against inclusion and exclusion criteria, eligible patients will be informed about the aim of the study and all testing procedures. Then, they will be asked to participate in the study, if agreed an informed consent will be signed . Basic demographic information as well as questions regarding the average daily smart phone use will be collected .

Patient will be tested in two separate sessions. During each session, the participant will be given a standardized phone and will be asked to play a standardized game "subway surfers " from a standardized sitting position for 10 or 30 minutes.

Pain and back repositioning error will be measured before and after the smart phone use. Pain will be measured first, then repositioning error.

Pain measurement:

Each participant will be instructed to rate the current level of pain by placing a mark across the horizontal VAS line. The distance in millimeters from the lower limit will be measured using a ruler.

Proprioception acuity:

Biodex isokinetic system preparation:

First, the system will be calibrated according to the manufacturer guidelines. For initialization of the Biodex system, the device, computer and dynamometer power will be switched on and all device attachments will be removed. Then, the start key in the control panel will be pressed. Few seconds will be allowed for the dynamometer shaft to rotate freely until the system displays a message that it is initializing the dynamometer. Once the initialization procedure is completed, the start key will be pressed again as indicated by the system status window. The personal data of each subject will be entered into the computer.

Repositioning error measurement:

Each participant will then be seated on the Biodex chair with his or her low back fitted backwards against the lumbar pad. Both knees will be fixed in place using two anterior curved leg pads. Legs will be kept relaxed vertically with both feet off the ground. The upper trunk will be fastened to the back of the chair using a belt. Both thighs will be fastened to the chair using straps while forearms will be kept crossed over the chest. The seat will be adjusted to allow the axis of rotation of the dynamometer to be at the level of L5/S1 disc space. Participants will be instructed to close their eyes during test performance. The limits of available range of motion (ROM) will determined for each participant by starting at the 0° position (neutral sitting with hips flexed 90°) and then instructing the participant to flex his or her trunk as much as possible to determine the available ROM in flexion and examine his or her ability to reach the target position for the isokinetic test (30° of lumbar flexion). The dynamometer will be locked in the 0° position to provide a fixed starting position for all participants during all trials The chosen protocol allows the participants to perform 1 familiarization trial followed by 1 actual test; this step will be repeated 3 times so that there will be 3 familiarization trials and 3 actual testing procedures. The average of the 3 actual testing results will be retrieved from the isokinetic device software. During the familiarization trial and after covering the eyes, participant will be instructed to flex his or her trunk until it is stopped by the machine at 30° of flexion. This position will be held for 5 seconds. The patients will be instructed to remember this position in order to reproduce it as precisely as possible during the subsequent actual test procedure. During the actual test procedure, the tested participants will press a hold button when they assume the target position to allow the device to record and save the reached angle. During the data collection process, no visual (eyes will be closed) or verbal feedback will be provided for the participants.

The results of the test will be recorded and printed by the isokinetic machine. It will include the value of error of every trial and the average error of the 3 trials.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Mechanical Low Back Pain

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Smart phone Use Experimental group

Patients with CLBP

Smart phone use

Intervention Type OTHER

Patients will be asked to use the smart phone while seated for either: (1) 10 minutes or (2) 30 minutes.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Smart phone use

Patients will be asked to use the smart phone while seated for either: (1) 10 minutes or (2) 30 minutes.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Egyptian adult patients with mechanical CLBP Back pain duration is greater than 3 months Age ranging from 18 years to 45

Exclusion Criteria

* Patients with any systemic disease that may affect spine function.
* Patients with previous history of spine trauma or dysfunction other than mechanical LBP.
* Lumbosacral nerve root entrapment.
* Patients with memory loss or impaired cognitive function
* patients who report back pain associated with sitting position
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Aliaa Rehan Youssef

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Aliaa Rehan Youssef

Associate Professor of Orthopedic Physical Therapy

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Aliaa Rehan Youssef, PhD

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Dina Othman Shokri, PhD

Role: STUDY_DIRECTOR

Faculty of Physical Therapy, Badr University

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Faculty of Physical Therapy, Cairo University

Cairo, , Egypt

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Egypt

References

Explore related publications, articles, or registry entries linked to this study.

Heikkila HV, Wenngren BI. Cervicocephalic kinesthetic sensibility, active range of cervical motion, and oculomotor function in patients with whiplash injury. Arch Phys Med Rehabil. 1998 Sep;79(9):1089-94. doi: 10.1016/s0003-9993(98)90176-9.

Reference Type BACKGROUND
PMID: 9749689 (View on PubMed)

Hussien HM, Abdel-Raoof NA, Kattabei OM, Ahmed HH. Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain. J Chiropr Med. 2017 Jun;16(2):94-102. doi: 10.1016/j.jcm.2017.01.003. Epub 2017 Mar 30.

Reference Type BACKGROUND
PMID: 28559749 (View on PubMed)

Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006 Apr;88 Suppl 2:21-4. doi: 10.2106/JBJS.E.01273.

Reference Type BACKGROUND
PMID: 16595438 (View on PubMed)

Kim SY, Koo SJ. Effect of duration of smartphone use on muscle fatigue and pain caused by forward head posture in adults. J Phys Ther Sci. 2016 Jun;28(6):1669-72. doi: 10.1589/jpts.28.1669. Epub 2016 Jun 28.

Reference Type BACKGROUND
PMID: 27390391 (View on PubMed)

Kwon M, Kim DJ, Cho H, Yang S. The smartphone addiction scale: development and validation of a short version for adolescents. PLoS One. 2013 Dec 31;8(12):e83558. doi: 10.1371/journal.pone.0083558. eCollection 2013.

Reference Type BACKGROUND
PMID: 24391787 (View on PubMed)

Lee J, Seo K. The comparison of cervical repositioning errors according to smartphone addiction grades. J Phys Ther Sci. 2014 Apr;26(4):595-8. doi: 10.1589/jpts.26.595. Epub 2014 Apr 23.

Reference Type BACKGROUND
PMID: 24764641 (View on PubMed)

Lee S, Kang H, Shin G. Head flexion angle while using a smartphone. Ergonomics. 2015;58(2):220-6. doi: 10.1080/00140139.2014.967311. Epub 2014 Oct 17.

Reference Type BACKGROUND
PMID: 25323467 (View on PubMed)

Leinonen V, Kankaanpaa M, Luukkonen M, Hanninen O, Airaksinen O, Taimela S. Disc herniation-related back pain impairs feed-forward control of paraspinal muscles. Spine (Phila Pa 1976). 2001 Aug 15;26(16):E367-72. doi: 10.1097/00007632-200108150-00014.

Reference Type BACKGROUND
PMID: 11493866 (View on PubMed)

Mayer T, Gatchel R, Betancur J, Bovasso E. Trunk muscle endurance measurement. Isometric contrasted to isokinetic testing in normal subjects. Spine (Phila Pa 1976). 1995 Apr 15;20(8):920-6; discussion 926-7.

Reference Type BACKGROUND
PMID: 7644957 (View on PubMed)

Melloh M, Roder C, Elfering A, Theis JC, Muller U, Staub LP, Aghayev E, Zweig T, Barz T, Kohlmann T, Wieser S, Juni P, Zwahlen M. Differences across health care systems in outcome and cost-utility of surgical and conservative treatment of chronic low back pain: a study protocol. BMC Musculoskelet Disord. 2008 Jun 6;9:81. doi: 10.1186/1471-2474-9-81.

Reference Type BACKGROUND
PMID: 18534034 (View on PubMed)

Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015;49:1. doi: 10.1590/S0034-8910.2015049005874. Epub 2015 Oct 20.

Reference Type BACKGROUND
PMID: 26487293 (View on PubMed)

Ming Z, Pietikainen S, Hanninen O. Excessive texting in pathophysiology of first carpometacarpal joint arthritis. Pathophysiology. 2006 Dec;13(4):269-70. doi: 10.1016/j.pathophys.2006.09.001. Epub 2006 Oct 17.

Reference Type BACKGROUND
PMID: 17049823 (View on PubMed)

O'Sullivan PB, Burnett A, Floyd AN, Gadsdon K, Logiudice J, Miller D, Quirke H. Lumbar repositioning deficit in a specific low back pain population. Spine (Phila Pa 1976). 2003 May 15;28(10):1074-9. doi: 10.1097/01.BRS.0000061990.56113.6F.

Reference Type BACKGROUND
PMID: 12768152 (View on PubMed)

Olaogun, M. O. B., Adedoyin, R. A., Ikem, I. C., & Anifaloba, O. R. (2004). Reliability of rating low back pain with a visual analogue scale and a semantic differential scale. Physiotherapy Theory and Practice, 20(2), 135-142.

Reference Type BACKGROUND

Ostelo RW, de Vet HC. Clinically important outcomes in low back pain. Best Pract Res Clin Rheumatol. 2005 Aug;19(4):593-607. doi: 10.1016/j.berh.2005.03.003.

Reference Type BACKGROUND
PMID: 15949778 (View on PubMed)

Parasuraman S, Sam AT, Yee SWK, Chuon BLC, Ren LY. Smartphone usage and increased risk of mobile phone addiction: A concurrent study. Int J Pharm Investig. 2017 Jul-Sep;7(3):125-131. doi: 10.4103/jphi.JPHI_56_17.

Reference Type BACKGROUND
PMID: 29184824 (View on PubMed)

Richter HO, Zetterberg C, Forsman M. Trapezius muscle activity increases during near work activity regardless of accommodation/vergence demand level. Eur J Appl Physiol. 2015 Jul;115(7):1501-12. doi: 10.1007/s00421-015-3125-9. Epub 2015 Feb 20.

Reference Type BACKGROUND
PMID: 25697148 (View on PubMed)

Salaffi F, Stancati A, Silvestri CA, Ciapetti A, Grassi W. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. Eur J Pain. 2004 Aug;8(4):283-91. doi: 10.1016/j.ejpain.2003.09.004.

Reference Type BACKGROUND
PMID: 15207508 (View on PubMed)

Samaha, M., & Hawi, N. S. (2016). Relationships among smartphone addiction , stress , academic performance , and satisfaction with life. Computers in Human Behavior, 57, 321-325.

Reference Type BACKGROUND

Alhalabi MS, Alhaleeb H, Madani S. Risk factors associated with chronic low back pain in Syria. Avicenna J Med. 2015 Oct-Dec;5(4):110-6. doi: 10.4103/2231-0770.165123.

Reference Type BACKGROUND
PMID: 26629465 (View on PubMed)

Ali M, Asim M, Danish SH, Ahmad F, Iqbal A, Hasan SD. Frequency of De Quervain's tenosynovitis and its association with SMS texting. Muscles Ligaments Tendons J. 2014 May 8;4(1):74-8. eCollection 2014 Jan.

Reference Type BACKGROUND
PMID: 24932451 (View on PubMed)

Atlas SJ, Deyo RA. Evaluating and managing acute low back pain in the primary care setting. J Gen Intern Med. 2001 Feb;16(2):120-31. doi: 10.1111/j.1525-1497.2001.91141.x.

Reference Type BACKGROUND
PMID: 11251764 (View on PubMed)

Balague F, Mannion AF, Pellise F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6.

Reference Type BACKGROUND
PMID: 21982256 (View on PubMed)

Balakrishnan, R., Chinnavan, E., & Feii, T. (2016). An extensive usage of hand held devices will lead to musculoskeletal disorder of upper extremity among student in AMU : A survey method. International Journal of Physical Education, Sport and Health, 3(2), 368-372.

Reference Type BACKGROUND

Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med. 2001 Dec;8(12):1153-7. doi: 10.1111/j.1553-2712.2001.tb01132.x.

Reference Type BACKGROUND
PMID: 11733293 (View on PubMed)

Chany AM, Marras WS, Burr DL. The effect of phone design on upper extremity discomfort and muscle fatigue. Hum Factors. 2007 Aug;49(4):602-18. doi: 10.1518/001872007X215683.

Reference Type BACKGROUND
PMID: 17702212 (View on PubMed)

Borenstein DG. Chronic low back pain. Rheum Dis Clin North Am. 1996 Aug;22(3):439-56. doi: 10.1016/s0889-857x(05)70281-7.

Reference Type BACKGROUND
PMID: 8844907 (View on PubMed)

Chiang HY, Liu CH. Exploration of the associations of touch-screen tablet computer usage and musculoskeletal discomfort. Work. 2016 Mar 10;53(4):917-25. doi: 10.3233/WOR-162274.

Reference Type BACKGROUND
PMID: 26967038 (View on PubMed)

Deyo RA. Early diagnostic evaluation of low back pain. J Gen Intern Med. 1986 Sep-Oct;1(5):328-38. doi: 10.1007/BF02596214. No abstract available.

Reference Type BACKGROUND
PMID: 2945917 (View on PubMed)

Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Ann Rheum Dis. 1978 Aug;37(4):378-81. doi: 10.1136/ard.37.4.378.

Reference Type BACKGROUND
PMID: 686873 (View on PubMed)

Drouin JM, Valovich-mcLeod TC, Shultz SJ, Gansneder BM, Perrin DH. Reliability and validity of the Biodex system 3 pro isokinetic dynamometer velocity, torque and position measurements. Eur J Appl Physiol. 2004 Jan;91(1):22-9. doi: 10.1007/s00421-003-0933-0. Epub 2003 Sep 24.

Reference Type BACKGROUND
PMID: 14508689 (View on PubMed)

Garcia-Vaquero MP, Barbado D, Juan-Recio C, Lopez-Valenciano A, Vera-Garcia FJ. Isokinetic trunk flexion-extension protocol to assess trunk muscle strength and endurance: Reliability, learning effect, and sex differences. J Sport Health Sci. 2020 Dec;9(6):692-701. doi: 10.1016/j.jshs.2016.08.011. Epub 2016 Nov 14.

Reference Type BACKGROUND
PMID: 33308821 (View on PubMed)

Georgy EE. Lumbar repositioning accuracy as a measure of proprioception in patients with back dysfunction and healthy controls. Asian Spine J. 2011 Dec;5(4):201-7. doi: 10.4184/asj.2011.5.4.201. Epub 2011 Nov 28.

Reference Type BACKGROUND
PMID: 22164313 (View on PubMed)

Gustafsson E, Johnson PW, Lindegard A, Hagberg M. Technique, muscle activity and kinematic differences in young adults texting on mobile phones. Ergonomics. 2011 May;54(5):477-87. doi: 10.1080/00140139.2011.568634.

Reference Type BACKGROUND
PMID: 21547792 (View on PubMed)

Haug S, Castro RP, Kwon M, Filler A, Kowatsch T, Schaub MP. Smartphone use and smartphone addiction among young people in Switzerland. J Behav Addict. 2015 Dec;4(4):299-307. doi: 10.1556/2006.4.2015.037.

Reference Type BACKGROUND
PMID: 26690625 (View on PubMed)

Shan Z, Deng G, Li J, Li Y, Zhang Y, Zhao Q. Correlational analysis of neck/shoulder pain and low back pain with the use of digital products, physical activity and psychological status among adolescents in Shanghai. PLoS One. 2013 Oct 11;8(10):e78109. doi: 10.1371/journal.pone.0078109. eCollection 2013.

Reference Type BACKGROUND
PMID: 24147114 (View on PubMed)

Silva GR, Pitangui AC, Xavier MK, Correia-Junior MA, De Araujo RC. Prevalence of musculoskeletal pain in adolescents and association with computer and videogame use. J Pediatr (Rio J). 2016 Mar-Apr;92(2):188-96. doi: 10.1016/j.jped.2015.06.006. Epub 2015 Dec 28.

Reference Type BACKGROUND
PMID: 26738891 (View on PubMed)

O'Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005 Nov;10(4):242-55. doi: 10.1016/j.math.2005.07.001. Epub 2005 Sep 9.

Reference Type BACKGROUND
PMID: 16154380 (View on PubMed)

Swinkels A, Dolan P. Regional assessment of joint position sense in the spine. Spine (Phila Pa 1976). 1998 Mar 1;23(5):590-7. doi: 10.1097/00007632-199803010-00012.

Reference Type BACKGROUND
PMID: 9530791 (View on PubMed)

Takala EP, Korhonen I, Viikari-Juntura E. Postural sway and stepping response among working population: reproducibility, long-term stability, and associations with symptoms of the low back. Clin Biomech (Bristol). 1997 Oct;12(7-8):429-437. doi: 10.1016/s0268-0033(97)00033-8.

Reference Type BACKGROUND
PMID: 11415752 (View on PubMed)

Wilson SE, Granata KP. Reposition sense of lumbar curvature with flexed and asymmetric lifting postures. Spine (Phila Pa 1976). 2003 Mar 1;28(5):513-8. doi: 10.1097/01.BRS.0000048674.75474.C4.

Reference Type BACKGROUND
PMID: 12616167 (View on PubMed)

Yoon JO; BHSc; Kang MH, Kim JS; BHSc; Oh JS. The effects of gait with use of smartphone on repositioning error and curvature of the lumbar spine. J Phys Ther Sci. 2015 Aug;27(8):2507-8. doi: 10.1589/jpts.27.2507. Epub 2015 Aug 21.

Reference Type BACKGROUND
PMID: 26357430 (View on PubMed)

Oxford Dictionary of English

Reference Type BACKGROUND

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

MWahba

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Spinal Kinematics Variability
NCT03507296 COMPLETED