Neck/shoulder pain,habitual spinal posture and computer use in adolescents: the importance of gender

Neck/shoulder pain is a common complaint, with evidence suggesting rates in adolescence have increased in line with increased computer use. The study aimed to examine the influence of gender on relationships between computer use, habitual posture and neck/shoulder pain. Adolescents (n = 1483) participating in the 14 year follow-up of the Raine Study cohort were surveyed for computer use, habitual sitting posture and neck/shoulder pain. Females used computers less than males (52% vs. 45% used for up to 7 h per week). Females sat much more upright than males with greater anterior pelvic tilt (9.4° vs. 0.4°). Females reported a higher 1 month prevalence of neck/shoulder pain (34.7%) than males (23.1%). A multivariate model showed neck/shoulder pain risk was increased in females (OR 2.61, 95% CI 1.70–4.00) and with computer use (OR 1.19, CI 1.01–1.40). Computer use is related to neck/shoulder pain and posture in adolescents but this relationship is different in boys and girls.

Statement of Relevance: This study showed the confounding effect of gender on the relationships among computer use, posture and neck/shoulder pain and thus the need to consider genders separately in research and practice aiming to optimise young people's use of computers.     

Estonia: the remarkable afterlife of the Linnahall concert hall

Built in 1980, the Linnahall Concert Hall in Tallinn, Estonia, is a fairly recent but nonetheless controversial Soviet monument. Having been highly praised on its completion for its bold architectural solution, within a decade its close associations with the previous regime meant that it had fallen into disrepute. Developers, who realised the economic potential of the site, were quick to seize on its controversial history and called for its destruction. Andres Kurg looks at the changing role of the Linnahall in Tallinn over time and asks what the future might now hold for it. Copyright © 2006 John Wiley & Sons, Ltd.