Internet Usage Profile of Medical Students and Effects of Internet Addiction on Sagittal Balance

Yıl 2019, Cilt: 26 Sayı: 3, 248 - 255, 01.09.2019

Nilgün Şenol , Evrim Aktepe , Selim Günüç , Kemal Ertilav , İlker Alaca

https://doi.org/10.17343/sdutfd.460927

Cited By: 2

Öz

Objective:
The risk of internet addiction increases as the time of internet usage
increases. Long-term internet usage may effect the posture of the person. This
may cause the change of the gravity center and may effect the segmental
degeneration.

Methods:
In Suleyman Demirel University, 168 medical students had internet addiction
scale. The scores ≥81 accepted as internet addicted. Equal number of
adolescents who got the diagnosis of internet addicted and not had cervical/lumbar
x-ray graphics. Sagittal alignments were evaluated by using Cobb’s method. Probable
internet addicted descriptive
analysis, TwoStep Cluster Analysis, ANOVA, Independent Samples t-Test,
Product-Moment Correlation, Mann-Whitney U analysis were used.

Results: Nine(5,4%) students were internet addicted. There was
a significant difference between internet usage habits and internet addiction
scores, but the highest difference was found between “intermittent+long time
usage” and “total usage in once”. There was only a negative(r = -.341) and
significant relation(p= .021) between internet addiction and lumbar Cobb angle.
As the score of internet usage increases, value of lumbar Cobb angle decreases.
Only lumbar Cobb angle values were significantly different(p= .030) for devices
used for internet access. According to the Rank values, students’ lumbar Cobb
angle using laptop as  internet access
device(13,07) were lower than the students’ using cell phone or pads(21,07).

Conclusion: Being in the
same  and unsuited anatomical position
while using internet for a long time may cause changes in the sagittal
alignment. Loadings and stresses on spinal structures influence the spinal
morphology and cause the occurrence of disc degeneration. 

Anahtar Kelimeler

internet addiction, sagittal alignment, Cobb angle, sagittal vertical axis

Tıp Öğrencilerinin İnternet Kullanım Profili ve İnternet Bağımlılığının Sagital Dengeye Etkisi

Öz

Amaç:
İnternet
kullanımının artması ile internet bağımlılığı riski de artmaktadır. Uzun süreli
internet kullanımı kişinin duruşunu etkileyebilmektedir. Bu durum, ağırlık
merkezinin değişmesine ve segmental dejenerasyona neden olabilmektedir.

Metod: Süleyman Demirel Üniversitesi’nde 168 tıp öğrencisine
internet bağımlılığı skalası uygulandı. ≥81 skoru olanlar
ınternet bağımlı olarak kabul edildi. Internet bağımlılığı tanısı almış ve
almamış eşit sayıda adolesandan servikal / lomber dırekt grafiler alındı.
Sagital dizilim Cobb metodu ile değerlendirildi. Olası internet bağımlı
tanımlayıcı analiz, İkiBasamak Küme analizi, ANOVA, bağımsız örnekleme
t-testi,ürün-önem korelasyonu, Mann-Whitney U analizi kullanıldı.

Sonuçlar: Dokuz öğrenci(%5,4)  internet bağımlı idi. İnternet kullanım
alışkanlıkları ile internet bağımlılık skoru arasında anlamlı fark tespit
edildi, ancak en yüksek fark “aralıklı+uzun sure kullanan”  ve “tek seferde total kullanan” grup arasında
bulundu. Sadece internet bağımlılığı ve lomber Cobb açısı arasında negatif (r =
-.341) ve belirgin bir ilişki (p= .021) vardı. İnternet kullanım skoru
arttıkça, lomber Cobb açı değeri azalmaktaydı. İnternet kullanımındaki farklı cihazlar
için lomber Cobb açı değeri belirgin olarak farklıydı(p= .030). Rank
değerlerine gore, laptop kullanan öğrencilerin lomber Cobb açı değeri(13,07),
cep telefonu veya tablet kullananlardan(21,07) daha düşüktü.

Sonuç: Uzun sureli internet kullanımında aynı ve uygun
olmayan anatomik pozisyonda durmak sagittal dizilimde değişikliklere neden
olabilir. Spinal yapılar üzerindeki yüklenmeler ve stres spinal morfolojiyi
etkiler ve disk dejenerasyonlarının ortaya çıkmasına neden olur. 

Anahtar Kelimeler

internet bağımlılığı, sagittal dizilim, Cobb Açısı, sagittal vertikal aks

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