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1 The Effect of Acute Active PC-Video Game on the Upper Extremity of Adolescents Dong-soo Kim, Jae-Hu Jung, & Woen-sik Chae* Kyungpook National University

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3 Fig. 1. The locations of reflective markers Table 1. Definition of the joint angle Joint Distal interphalangeal (DIP) Proximal interphalangeal (PIP) Metacarpophalangeal (MCP) Carpometacarpal (CMC) Distal Distal Phalanx Middle phalanx Proximal phalanx Link Proximal Middle phalanx Proximal phalanx Metacarpal Movement Analysis Metacarpal Radius RF/UF Ω

4 Table 2. Electrode placements Muscle Upper Trapezius (UT) Extensor Digitorum (ED) Extensor Carpi Ulnaris (ECU) Extensor Carpi Radialis (ECR) Electrode placement Along the ridge of the shoulder, slightly lateral to and one half the distance between the cervical spine at C-7 and the acromion Palpate the middle of the forearm approximately three quarters of the distance between the elbow and the wrist while the patient extend their fingers Palpate the ulnar side of arm a few cm below the elbow Palpate the muscle mass approximately 5cm distal from the lateral epicondyle Maximum Isometric contraction Shoulder elevation Wrist extension Ulnar deviation Radial deviation Fig 2. Motion analysis and EMG recording

5 m ax Table 3. Angular displacement during the task1 DIP PIP 2nd MCP CMC Joint PRE POST Flex 154.3± ±7.0 Ext 172.8± ±4.8 Flex 144.0± ±8.0 Ext 164.3± ±7.0 Flex 143.6± ±6.9 Ext 158.4± ±6.4 RF 4.1± ±2.0 UF 4.5± ±1.4 (deg) Table 4. Angular displacement during the task2 DIP PIP 3rd MCP CMC Joint PRE POST Flex 158.3± ±7.8 Ext 140.4± ±8.3 Flex 151.4± ±5.9 Ext 3.9± ±0.7 Flex 173.9± ±5.4 Ext 153.6± ±10.4 RF 160.9± ±6.1 UF 5.4± ±1.4 (deg) Table 5. Angular displacement during the task3 (deg) Joint PRE POST DIP Flex 154.3± ±7.0 Ext 172.8± ±4.8 PIP Flex 144.0± ±8.0 Ext 164.3± ±7.0 2nd MCP Flex 143.6± ±6.9 Ext 158.4± ±6.4

6 Table 6. Angular velocity Parameter Joint PRE POST Maximum velocity ( /s) Task1 Task2 Task3 2nd MCP CMC 2nd MCP CMC DIP PIP 2nd MCP RF/UF RF/UF ± ± ± ± ± ± ±80.5 (deg/s) ± ± ± ± ± ± ±66.8 Table 7. Average & Maximum IEMG during the task1 (%MVIC) Muscle Average IEMG Peak IEMG PRE POST PRE POST UT 3.8± ± ± ±2.5 ED 5.5± ± ± ±6.8 ECU 8.1± ± ± ±3.9 ECR 2.0± ± ± ±2.0 Table 8. Average & Maximum IEMG during the task2 (%MVIC) Muscle Average IEMG Peak IEMG PRE POST PRE POST UT 3.9± ± ± ±3.7 ED 6.2± ± ±10.1* 22.6±11.1* ECU 8.1± ± ± ±5.8 ECR 1.7± ± ± ±1.4 < Table 9. Average & Maximum IEMG during the task3 (%MVIC) Muscle Average IEMG Peak IEMG PRE POST PRE POST UT 4.9±1.6* 3.7±1.4* 9.9± ±2.5 ED 5.8± ± ± ±5.9 ECU 6.6± ± ± ±2.7 ECR 1.8± ± ± ±1.4 <

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8 Abdel-Aziz, Y., & Karara, H. M. (1971). Direct linear transformation from comparator coordinates in object-space coordinates in close range photogrammetry. Proceedings of the ASP Symposium of Close-Range Photogrammetry. Urbana, IL. Amstrong, T. J. (1986). Ergonomics and cumulative trauma disorders, Hand Clinics, 2(3), Aaras, A., Horgen, G., Bjorset, H. H., Ro, O., & Thoresen, M. (1998). Musculoskeletal, visual and psychosocial stress in VDU operators before and after multidisciplinary ergonomic interventions. Applied Ergonomics, 29(5), Busan News(2016). How can I quit the addiction? Retrieved February 16, 2016 from newscontroller.jsp?newsid= Cram, J. R., & Kasman, G. S. (1998). Introduction to surface electromyography. Alexandria: Aspen Publications. Cho, W. H., Lee, W. Y., & Choi, H. K. (2008). An investigation on the biomechanical effects of turtle neck syndrome through EMG analysis. The Korean Society of Precision Engineering. 11, Cook, C., Burgess-limerick, R., & Papalia, S.(2004) The effect of wrist rests and forearm support during keyboard and mouse use. International Journal of Industrial Ergonomics, 33, Drury, C. G. (1987). A biomechanical evaluation of the repetitive motion injury potential of industrial jobs. Seminar in Occupational Medicine, 21(1), Eltayeb, S., Staal, J. B., Kennes, j., Lamberts, P. H., & de Bie, R. A. (2007). Prevalence of complaints of arm, neck and shoulder among computer office workers and psychometric evaluation of a risk factor questionnaire. Biomedcentral musculoskeletal disorders, 8, 68. Gerr F, Monteilh, C. P., & Marcus, M. (2006). Keyboard use and musculoskeletal outcomes among computer users. Journal of Occupational Rehabilitation, 16(3), Gupta, A. D., & Mahalanabis, D. (2006). Study of hand function in an group of shoe factory workers engaged in repetitive work. Journal of Occupational Rehabilitation, 16(4), Herald Business (2016). The brain of game addict is better for concentration and perception ability than normal people.

9 Retrieved February 12, 2016 from view.php?ud= Jeong, D. H. (2003). The effect of computer input devices on wrist posture and muscular fatigue around the neck in text entry tasks. Unpublished doctoral dissertation, Daegu Graduate School of Rehabilitation Science. Jonsson, P., Johnson, P. W., Hagberg, M., & Forsman, M.(2011). Thumb joint movement and muscular activity during mobile phone texting - A methodological study. Journal of Electromyography and Kinesiology, 21(2), Karlqvist, L., K., Hafberg, M., Koster, M., Wenemark, M., & Anell, R. (1996). Musculoskeletal symptoms among computer-assisted design operators and evaluation of a self-assessment questionnaire. International Journal of Occupational Environment, 2, Kim, C. H. (1991). Psychophysical frequency at different forces and wrist postures of females for a drilling task. Unpublished PhD diseertation, The Wichita State University, Wichita, Kansas. Kim, J. S. (2012). A study on the design development of ergonomical mouse. Unpublished Master s Thesis, Kookmin Graduate School of Product Design. Lateh, H., & Muniandy, V. (2011). Technology integrated teaching in Malaysian schools: GIS, a SWOT analysis. World Journal on Educational Technology, 3(2), Lee, J. M. & Sim, J. W. (2010). Effects of computer game addiction in children. The korean society for computer game, 23(2), Liu, C. W., Chen, T. W., Wang, M. C., Chen, C. H., Lee, C. L., & Huang, M. H. (2003). Relationship between carpal tunnel syndrome and wrist angle in computer workers. Journal of Medicine and Science, 19(12), Marras, W. S., & Schoenmarklin, R. W.(1993). Wrist motion in industry, Ergonomics, 36(4), Mezei, G., Benyi, M., & Muller, A. (2007). Mobile phone ownership and use among school children in three Hungarian cities. Bioelectromagnetics, 28(4), Moore, J. S.(1997). De Quervain's tenosynovitis. Stenosing tenosynovitis of the first dorsal compartment. Journal of Occupational and Environmental Medicine, 39(10), Nocutnews (2012). CNN has focused on game addiction in Korea. Retrieved August 8, 2012 from show.asp?idx= Putz-Anderson, V. (1988). Cumulative trauma disorders: A manal for musculoskeletal disorders of the upper limbs. London: Taylor & Francis. Rempel, D., M., Keir, P., J., & Bach, J., M. (2008). Effect of wrist posture on carpal tunnel pressure while typing. Journal of orthopaedic research, 26, Shim, H. T. (2001). A study of the effectiveness of wristbands for mouse user. Unpublished Master s Thesis, Hongik Graduate School of Industrial Engineering. Tanaka, S., & McGlothin, J. D. (1989). A conceptual model to assess musculoskeletal stress of manual work for establishment of quantitative guidelines to prevent hand and wrist cumulative trauma disorders (CTD's). In, Mital, A. (Ed), Advances in Industrial Ergonomics and Safety I. New York: Taylor & Francis. van Rijn, R., M., Huisstede B., M., A., Koes, B., W., & Burdorf, A. (2009). Associations between work-related factors and the carpal tunnel syndrome-a systematic review. Scandinavian Journal of Work Environment and Health, 35(1), Wan, C. S., & Chiou, W. B. (2006). Psychological motives and online games addiction: A test of flow theory and humanistic needs theory for Taiwanese adolescents. CyberPsychology and Behavior, 9, Wood, G. (1982). Data smoothing and differentiation procedures in biomechanics. In R. L. Terjung (Eds), Exercise and Sport Sciences Reviews; Vol. 10, Lexington, MIA: D.C. Health and Company. Yoo, H. S. (2007). Comparison of muscle activity and input performance of operators using a computer mouse and a trackball. Unpublished Master s Thesis, Yonsei Graduate School of Health and Environment. Young, K. S. (1998). Internet Addiction: The Emergence of a New Clinical Disorder. Cyberpsychology and Behavior, 1(3),

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