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Gender differences in neck muscle activity during near-maximum forward head flexion while using smartphones with
Yi-Lang Chen1, You-Chun Chan2,3, Hans Alexander2,4
1Department of Industrial Engineering and Management, Ming Chi University of Technology, 84 Gung-Juan Road, Taishan, New Taipei, 243303, Taiwan. ylchen@mail.mcut.edu.tw.
Scientific Reports
|June 6, 2024
Summary
Women experience greater neck discomfort from smartphone use due to higher muscle activity and reduced neck flexion compared to men. This suggests gender-specific factors contribute to neck pain during device usage.
Area of Science:
- Biomechanics
- Ergonomics
- Gender Studies
Background:
- Women report more neck discomfort during smartphone use than men, despite exhibiting less neck flexion.
- Differences in posture and muscle activation patterns between genders during smartphone use are not well understood.
- Previous research highlights gender disparities in neck and shoulder discomfort related to smartphone use.
Purpose of the Study:
- To investigate the influence of gender on neck muscle activity and neck flexion (NF) during smartphone use.
- To analyze gender differences in muscle activation (%MVC) of cervical erector spinae (CES) and upper trapezius (UTZ) across various postures and head angles.
- To explore the relationship between smartphone usage postures, gender, and neck discomfort.
Main Methods:
- 16 men and 16 women participated in the study.
- Muscle activity (CES, UTZ) and NF were measured in standing, supported sitting, and unsupported sitting postures.
- Measurements were taken at head angles of 20°, 30°, 40°, and maximum flexion during smartphone use.
Main Results:
- Gender, head angle, and posture significantly influenced muscle activity and NF.
- Women showed higher CES and UTZ activity but lower NF than men in standing and unsupported sitting postures.
- The cervical flexion-relaxation phenomenon may occur beyond 40° of head flexion during smartphone use.
Conclusions:
- Gender-specific biomechanical differences contribute to higher neck discomfort in women during smartphone use.
- Avoiding extreme head flexion (beyond 40°) during smartphone use is recommended to mitigate neck issues.
- Findings provide a rationale for gender-related disparities in neck and shoulder injury outcomes from smartphone use.

