European Journal of Pediatrics

, Volume 165, Issue 6, pp 408–414 | Cite as

Pain and musculoskeletal pain syndromes related to computer and video game use in adolescents

  • Aura Ligia Zapata
  • Ana Julia Pantoja Moraes
  • Claudio Leone
  • Ulysses Doria-Filho
  • Clovis Artur Almeida Silva
Original Paper


The objective of the present study was to evaluate the presence of pain and musculoskeletal pain syndromes in adolescents and associate them to computer and video game use. A cross-sectional study was performed on the entire adolescent population (n=833) of a private situated in the city of São Paulo. The research included a questionnaire and physical examination of the musculoskeletal system. Statistical analysis was carried out with Fisher, chi-square, Mann Whitney tests and logistic regression. A total of 791 adolescent was evaluated. A computer was used by 99% and video games by 58%. Pain was reported by 312 (39.4%) students: 23% complained of back pain, 9% of upper limb pain, 4% of diffuse pain and 4% of pain in the trapezium muscle. A clinical examination was carried out in 359 students, and one or more musculoskeletal pain syndromes were present in 56 students (15.6%): benign joint hypermobility syndrome in 10%, myofascial syndrome in 5%, tendonitis in 2% and fibromyalgia in 1%. In the multivariate analysis, the logistical regression showed that the independent variables in the prediction of pain were sex [odds ratio (OR): 2.19, 95% confidence interval (95% CI): 1.33–3.61] and age (OR: 1.17, 95% CI: 1.07–1.28) and that the prediction of musculoskeletal pain syndromes were sex (OR: 3.17, 95% CI: 1.69–6.22) and number of days a week using the computer (OR: 1.22, 95% CI: 1.05–1.42). However, the variations in the dependent variables by the mathematical regression models were low. Despite the frequent use of computer and video games among adolescents, this was not associated with the presence of pain and musculoskeletal pain syndromes.


Adolescent Pain Fibromyalgia Hypermobility Computer Video game 


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Aura Ligia Zapata
    • 1
  • Ana Julia Pantoja Moraes
    • 1
  • Claudio Leone
    • 2
  • Ulysses Doria-Filho
    • 2
  • Clovis Artur Almeida Silva
    • 1
  1. 1.Pediatric Rheumatology Unit, Department of PediatricsFaculty of Medicine of University of São Paulo (FMUSP)São PauloBrazil
  2. 2.Núcleo de Consultoria e Apoio em Metodologia de Pesquisa e Estatística (NuCAMPE), Department of PediatricsFaculty of Medicine of University of São Paulo (FMUSP)São PauloBrazil

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