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Background: Portability and access to the internet are now the norm for everyone from school children to corporate business individuals allowing the playing of online games like Player Unknown’s Battlegrounds (PUBG) and other gaming. As for e-sports, there are some cognitive gains while game addiction especially among young people is on the rise. Excessive playing of games can cause musculoskeletal problems like strained neck muscles, and illnesses such as carpal tunnel syndrome, and de Quervain’s tenosynovitis.
Aim(s): This cross-sectional study sought to estimate the percentage prevalence of CTS and DQT in PUBG players and their addiction level to gaming.
Material and methods: The sample comprised 382 students with demographic data obtained using questionnaires completed independently by the participants. Gaming addiction was measured with a 21-item addiction scale while CTS was measured with the Boston Carpal Tunnel questionnaire; and DQT with the Finkelstein test.
Result: Thus, 42.1% of PUBG players were identified as players with GA. The calculated frequency for de Quervain’s tenosynovitis was 52.9% the mean symptom severity of patients was 17.53±6.00 and the functional status of patients was 11.19±4.41 showing mild pain and limitation to the function. However, the level of carpal tunnel syndrome was relatively low in the participants of the present study.
Conclusions: In this PUBG participants’ study, 52.9% had de Quervain’s tenosynovitis, largely with mild to moderate pain. However carpal tunnel syndrome was comparatively low in this instance. These findings indicate that musculoskeletal health is adversely affected by gaming and mostly the upper extremities are affected.
Keywords: Carpal tunnel syndrome, De Quervain’s tenosynovitis, PUBG, Gaming Addiction, Musculoskeletal disease
Young K. Understanding online gaming addiction and treatment issues for adolescents. The American journal of family therapy. 2009;37(5):355-72.
Sharan D, Mohandoss M, Ranganathan R, Jose J. Musculoskeletal disorders of the upper extremities due to extensive usage of hand held devices. Annals of occupational and environmental medicine. 2014;26(1):1-4.
Mamun MA, Griffiths MD. The psychosocial impact of extreme gaming on Indian PUBG gamers: The case of PUBG (PlayerUnknown’s Battlegrounds). International Journal of Mental Health and Addiction. 2021;19(6):2170-4.
Mamun MA, Ullah I, Usman N, Griffiths MD. PUBG‐related suicides during the COVID‐19 pandemic: Three cases from Pakistan. Perspectives in psychiatric care. 2022;58(2):877.
Mohammad WS. Work-related risk factors for Carpal Tunnel Syndrome among Majmaah University female touchscreen users. Pakistan Journal of Medical Sciences. 2019;35(5):1221.
Yazdanpanah P, Aramesh S, Mousavizadeh A, Ghaffari P, Khosravi Z, Khademi A. Prevalence and severity of carpal tunnel syndrome in women. Iranian journal of public health. 2012;41(2):105.
Al Shahrani AS, Albogami SS, Alabdali AF, Alohali SK, Almedbal HS, Aldossary GF. Does the use of electronic devices provoke the carpal tunnel syndrome (CTS) symptoms and functional impairment? A cross-sectional study. The Egyptian Rheumatologist. 2019;41(4):313-7.
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 and tendons journal. 2014;4(1):74.
Ilyas AM, Ast M, Schaffer AA, Thoder J. De quervain tenosynovitis of the wrist. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2007;15(12):757-64.
Goel R, Abzug JM. de Quervain's tenosynovitis: a review of the rehabilitative options. Hand. 2015;10(1):1-5.
Al Shahrani ES, Al Shehri NA. Association between smartphone use and carpal tunnel syndrome: A case-control study. Journal of Family Medicine and Primary Care. 2021;10(8):2816.
Yang S-Y, Chen M-D, Huang Y-C, Lin C-Y, Chang J-H. Association between smartphone use and musculoskeletal discomfort in adolescent students. Journal of community health. 2017;42(3):423-30.
Majid N, Ismail MAE, Masar ML, Syabariyah S. Mobile Games Among University Students: A symptom and functional severity for Carpal Tunnel Syndrome. Environment-Behaviour Proceedings Journal. 2022;7(20):255-60.
Pamungkas NP. HUBUNGAN DURASI BERMAIN GAME ONLINE PUBG MOBILE TERHADAP RISIKO DE QUERVAIN’S SYNDROME PADA MAHASISWA DI KOTA MALANG: University of Muhammadiyah Malang; 2019.
Sehar B, Ashraf I, Rasool S, Raza A. Frequency of thumb pain among mobile phone user students. J Sheikh Zayed Medical College. 2018;9(2):1406-8.
Yang G, Cao J, Li Y, Cheng P, Liu B, Hao Z, et al. Association between internet addiction and the risk of musculoskeletal pain in Chinese college freshmen–a cross-sectional study. Frontiers in psychology. 2019;10:1959.
Wang C-W, Chan CL, Mak K-K, Ho S-Y, Wong PW, Ho RT. Prevalence and Correlates of Video and Internet Gaming Addiction among Hong Kong Adolescents: A Pilot Study. 2014.
Storey PA, Fakis A, Hilliam R, Bradley MJ, Lindau T, Burke FD. Levine-Katz (Boston) Questionnaire analysis: means, medians or grouped totals? Journal of Hand Surgery (European Volume). 2009;34(6):810-2.
Wu F, Rajpura A, Sandher D. Finkelstein's test is superior to Eichhoff's test in the investigation of de Quervain's disease. Journal of hand and microsurgery. 2018;10(02):116-8.
Boonstra AM, Stewart RE, Köke AJ, Oosterwijk RF, Swaan JL, Schreurs KM, et al. Cut-off points for mild, moderate, and severe pain on the numeric rating scale for pain in patients with chronic musculoskeletal pain: variability and influence of sex and catastrophizing. Frontiers in psychology. 2016;7:1466.
Nazir R. NEGATIVE EFFECTS OF PUBG PLAYING ON VERBAL AGGRESSION OF YOUTH AMID COVID-19.
Hua BH, Sugumaran SV, Faryza E, Atiqah N, Jasvindar K, Kabir MS, et al. Prevalence of Musculoskeletal Disorders (MSD) and Smartphone Addictions Among University Students in Malaysia.
Eleftheriou A, Rachiotis G, Varitimidis SE, Koutis C, Malizos KN, Hadjichristodouloul C. Cumulative keyboard strokes: a possible risk factor for carpal tunnel syndrome. Journal of Occupational Medicine and Toxicology. 2012;7(1):1-7.
Zain NHM, Jaafar A, Razak FHA. The Components of Enjoyable Game Design for Motor Impaired Users: Expert Evaluation. Indian Journal of Science and Technology. 2016;9:47.
Woo EHC, White P, Lai CWK. Effects of electronic device overuse by university students in relation to clinical status and anatomical variations of the median nerve and transverse carpal ligament. Muscle & nerve. 2017;56(5):873-80.
Baabdullah A, Bokhary D, Kabli Y, Saggaf O, Daiwali M, Hamdi A. The association between smartphone addiction and thumb/wrist pain: A cross-sectional study. Medicine. 2020;99(10).
Ma T, Song L, Ning S, Wang H, Zhang G, Wu Z. Relationship between the incidence of de Quervain’s disease among teenagers and mobile gaming. International Orthopaedics. 2019;43(11):2587-92.
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