[Purpose] The purpose of this study was to examine the effects of the cervical flexion
angle on muscle fatigue and pain in the cervical erector spinae and upper trapezius in
normal adults in their 20s. [Subjects and Methods] The study’s subjects were 14 normal
adults. After sitting on a chair with their back against the wall, they held a smartphone
with both hands for 10 minutes and fatigue and pain in the neck and shoulder muscles were
measured at different cervical flexion angles (0°, 30°, and 50°). Electromyography was
performed to analyze the muscle fatigue of the right upper trapezius, left upper
trapezius, right cervical erector spinae, and left cervical erector spinae, and a
CommanderTM Algometer was used to measure pain. The cervical range of motion
was used as an instrument to compare and analyze the cervical flexion angles. [Results]
The study’s results showed statistically significant differences in the muscle fatigue and
pain of the right upper trapezius and left upper trapezius depending on the cervical
flexion angle and a post-hoc test showed statistically significant lower levels of muscle
fatigue and pain at 50° than at 0° or 30°. No statistically significant differences were
found between the right cervical erector spinae and left cervical erector spinae.
[Conclusion] The cervical flexion angle during smartphone use may influence the muscle
fatigue and pain of the upper trapezius.