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The Relationship Between Smartphone Addiction and Forward Head Posture in Junior High School Students in North Denpasar

*Nanda Putra Wiguna  -  Universitas Udayana, Indonesia
Nila Wahyuni  -  Universitas Udayana, Indonesia
Agung Wiwiek Indrayani  -  Universitas Udayana, Indonesia
Ari Wibawa  -  Universitas Udayana, Indonesia
Sayu Aryantari Putri Thanaya  -  Universitas Udayana, Indonesia

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Background:Nowadays, the smartphone has become an important requirement. The number of smartphone users and the duration of smartphone use is increasing rapidly, and the side effects can be detrimental one of them is forward head posture. The prevalence of forward head posture is greater women (24.1%) than men (9.1%).

Methods:This study was an analytical observational study with a cross-sectional design.This research was conducted in April 2019 in SMP Negeri 2 Denpasar and SMP Negeri 4 Denpasar andincluding 56 samples, who were recruited through simple random sampling.Variables studied are smartphone addition was measured using the Smartphone Addiction Scale questionnaire, and forward head posture was measured by measuring craniovertebral angles. Data analysis was done using the Chi-Square test. 

Result: Based on this study, smartphone addiction was related to forward head posture. The research shows that as many as 45 samples had Smartphone Addiction (80.35%) while those who had forward head posture were 29 samples (51.78%).

Conclusion : Ignorance of how to sort and choose the effects of globalization, especially smartphone use, which can lead to posture disorders. The factor recognized factors for the occurrences of the forward head posture the lack of education about ergonomic positions when using a smartphone. Parents are advised to set the right smartphone usage for children as early as possible.

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Keywords: Ergonomic; Forward Head Posture; Junior High School Students; North Denpasar; Smartphone Addiction.

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  1. Yang B, Zheng P, Ni LM. 2007. Profesional Microsoft Smartphone Programme. Indianapolis : Wiley Publishing Inc
  2. Kementerian Komunikasi dan Informatika Republik Indonesia. 2016. Mengenal Generasi Millenial (Get to Know the Millenial Generation). Jakarta: Kementerian Komunikasi dan Informatika Republik Indonesia
  3. Kwon M, Lee JY, Won WY, Park JW, Min JA, Hahn C. 2013. Development and Validation of a Smartphone Addiction Scale (SAS). PLoS ONE. 8(2): 2–4
  4. Musdalifah, Indriani N. 2017. Intensitas Penggunaan Smartphone , Interaksi Sosial, Mahasiswa (Smartphone Usage Intensity, Social Interaction, College Students). SNITT-Politeknik Negeri Balikpapan. 2(1): 144–147
  5. Park J, Kim J, Kim N. 2015. The Effects of Heavy Smartphone Use on The Cervical Angle, Pain Threshold of Neck Muscles and Depression. Bioscience and Medical Research. 91: 12–17
  6. Lee J, Seo K. 2014. The Comparison of Cervical Repositioning Errors According to Smartphone Addiction Grades. Journal of Physical Therapy Science. 26(4): 595–598
  7. Russell I J. 2004. Soft Tissue Pain Syndromes: Clinical Diagnosis and Pathogenesis - Preface. Journal of Musculoskeletal Pain. 12: 17
  8. Szeto G, Straker L, Raine S. 2002. A Field Comparison of Neck and Shoulder Postures in Symptomatic and Asymptomatic Office Workers. Applied Ergonomics. 33(1): 75-84
  9. Widhiyanto A, Munawir A, Prayitno H. 2017. The Effect of Duration of Smartphone Usage on Neck Pain. Dama International Journal of Researchers. 2(11): 54–6
  10. Maghsoud E, Alilou A, Ghafurinia S, Fereydounnia S. 2012. Prevalence of Faulty Posture in Children and Youth from A Rural Region in Iran. Biomedical Human Kinetics. 4: 10–11
  11. Kang JH, Lee S. 2012. The Effect of The Forward Head Posture on Postural Balance in Long Time Computer Based Worker. Annals of Rehabilitation Medicine. 36(1): 98–104
  12. De-La-Llave-Rincón A, Fernández-De-Las-PeÑas C, Palacios-CeÑ. D, Joshua A. 2009. Increased Forward Head Posture and Restricted Cervical Range of Motion in Patients With Carpal Tunnel Syndrome. Journal of Orthopaedic & Sports Physical Therapy. 39(9): 658–664
  13. Dimitriadis Z. 2009. Respiratory Dysfunction in Chronic Neck Pain. PQDT - UK & Ireland. 1
  14. Fernändez-De-Las-Peñas C. 2007. Performance of The Craniocervical Flexion Test, Forward Head Posture, and Headache Clinical Parameters in Patients With Chronic Tension-Type Headache: A Pilot Study. Journal of Orthopaedic & Sports Physical Therapy. 37(2): 33–39
  15. Australia Chiropractors Association. About Text Neck, (dikutip 20 Februari 2019). available URL:
  16. Kim TW, An DI, Lee HY, Jeong HY, Kim DH, Sung YH. 2016. Effects of elastic band exercise on subjects with rounded shoulder posture and forward head posture. Journal of Physical Therapy Science. 28(6): 1733-7
  17. Do YL, Nam CW, Sung YB, Kim K, Lee HY. 2017. Changes in rounded shoulder posture and forward head posture according to exercise methods. Journal of Physical Therapy Science. 29(10):1824-7
  18. Quek J, Pua Y H, Clark R, Bryant A. 2016. Effect of Thoracic Kyphosis and Forward Head Posture on Cervical Range of Motion in Older Adults. Manual Therapy. 18(1): 65-71
  19. Bogdanis GC. 2012. Effects of Physical Activity and Inactivity on Muscle Fatigue. Frontiers in Physiology. 3: 142
  20. Childs J, Cleland J A, Elliot J M. 2008. Neck Pain: Clinical Practice Guidelines Linked to The Interactional Classification of Functioning, Disability, and Health From The Orthopedic Section of The American Physical Therapy Association. Journal Orthopedic Sports Physical Therapy. 38(9): 1-34
  21. Vakili L. 2016. Prevalence of Common Postural Disorders Among Academic Dental Staff. Asian Journal of Sports Medicine. 7(2): 1–9
  22. Kim E, Kim J. 2016. Correlation Between Rounded Shoulder Posture, Neck Disability Indices, and Degree of Forward Head Posture. The Journal of Physical Therapy Science. 28: 2929-2932

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