Association of Screen Time and Headache and Its Impact on ADLs in Freelancers

Screen Time and Headache and Its Impact on ADLs

Authors

  • Sameen Arshad Department of Physiotherapy, King Edward Medical University, Lahore, Pakistan
  • Saba Hashmi Jinnah Medical University, Lahore, Pakistan
  • Muhammad Tausif Department of Physiotherapy, King Edward Medical University, Lahore, Pakistan
  • Akash Zameer Azad Jammu and Kashmir Medical College, Jammu Kashmir, Pakistan
  • Rafay Shahab Ansari Ziauddin University, Karachi, Pakistan
  • Noman Qayyum Bacha Khan Medical College, Mardan, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v8i4.1234

Keywords:

Cervicogenic Headache, Impairments, Pain Intensity, Migraine

Abstract

Freelancers are especially vulnerable to Cervicogenic headaches and migraines as a result of prolonged screen time because of inadequate cervical neck curvature and over-illumination. Persistent migraine and Cervicogenic headaches can have a significant impact on a person’s activities of daily life. Objectives: To evaluate the relationship between screen time and headaches and their effects on activities of daily living. Methods: The data of 200 freelancers were collected within 3 months of age 18-45, and descriptive statistics and correlation analysis were done to explore the associations between screen time, headaches, and activities of daily living. Usually, throughout seven days, participants log their screen utilization in real-time or at regular intervals. Results: The mean age of participants was 25, with 77% of freelancers having Cervicogenic headaches and 23% Migraine, among which 25.5% had mild pain, 49.5% had moderate pain, and 25% had severe headaches. The HALDI score of 60.77% showed that freelancers had severe impairments in activities of daily living caused by migraine or Cervicogenic headaches. A p-value of 0.00 showed that screen time was significantly associated with headaches, and a p-value of 0.017 revealed a significant impact of headaches on freelancers' activities in daily life. Conclusions: It was concluded that screen time is significantly associated with headaches, and freelancers suffering from migraine or Cervicogenic headaches can have a severe impact on activities in daily life.

References

Munoz I, Sawyer S, Dunn M. New Futures of Work or Continued Marginalization? The Rise of Online Freelance Work and Digital Platforms. In Proceedings of the 1st Annual Meeting of the Symposium on Human-Computer Interaction for Work 2022 Jun: 1-7. doi: 10.1145/3533406.3533412. DOI: https://doi.org/10.1145/3533406.3533412

Arifianto C, Vallentino M. A Study and Review of Freelancer Value Proposition. Journal of Research in Business, Economics, and Education. 2022 May; 4(1): 50-62.

Abou Hashish EA, Baatiah NY, Bashaweeh AH, Kattan AM. The Online Learning Experience and Reported Headaches Associated with Screen Exposure Time Among Saudi Health Sciences Students During the COVID-19 Pandemic. BioMed Central Medical Education. 2022 Apr; 22(1): 226. doi: 10.1186/s12909-022-03235-8. DOI: https://doi.org/10.1186/s12909-022-03235-8

Çaksen H. Electronic Screen Exposure and Headache in Children. Annals of Indian Academy of Neurology. 2021 Jan; 24(1): 8-10. doi: 10.4103/aian.AIAN_972_20. DOI: https://doi.org/10.4103/aian.AIAN_972_20

Montagni I, Guichard E, Carpenet C, Tzourio C, Kurth T. Screen Time Exposure and Reporting of Headaches in Young Adults: A Cross-Sectional Study. Cephalalgia. 2016 Oct; 36(11): 1020-7. doi: 10.1177/0333102415620286. DOI: https://doi.org/10.1177/0333102415620286

Pardhan S, Parkin J, Trott M, Driscoll R. Risks of Digital Screen Time and Recommendations for Mitigating Adverse Outcomes in Children and Adolescents. Journal of School Health. 2022 Aug; 92(8): 765-73. doi: 10.1111/josh.13170. DOI: https://doi.org/10.1111/josh.13170

Lund J, Berring-Uldum A, Colak M, Debes NM. Headache in Children and Adolescents: The Association Between Screen Time and Headache within a Clinical Headache Population. Neuropediatric. 2022 Aug; 53(04): 221-6. doi: 10.1055/s-0041-1740550. DOI: https://doi.org/10.1055/s-0041-1740550

Tariq M, Asif K, Khursheed HA, Khalid Z, Ashfaq M, Maryam A et al. Excessive Electronic Screen Exposure and Headache in Teenagers. Pakistan Journal of Medical and Health Sciences. 2023 May 25;17(04):242-. doi: 10.53350/pjmhs2023174242. DOI: https://doi.org/10.53350/pjmhs2023174242

Nair AN, Jayan AJ, Santhosh MM, Lalichen LM, Santosh A, Indu PS. High Screen Time and Associated Factors among High School Students in an Urban Setting of Kerala: A Cross-Sectional Study. International Journal of Community Medicine and Public Health. 2022 Feb; 9(2): 767-71. doi: 10.18203/2394-6040.ijcmph20220237. DOI: https://doi.org/10.18203/2394-6040.ijcmph20220237

Sakai F, Hirata K, Igarashi H, Takeshima T, Nakayama T, Sano H et al. A Study to Investigate the Prevalence of Headache Disorders and Migraine among People Registered in a Health Insurance Association in Japan. The Journal of Headache and Pain. 2022 Dec; 23(1): 70. doi: 10.1186/s10194-022-01439-3. DOI: https://doi.org/10.1186/s10194-022-01529-2

Im HJ, Hong YH, Cho SJ. Neck Pain Disability on Headache Impact and the Association Between Sleep Disturbance and Neck Pain in Migraine. Journal of Clinical Medicine. 2023 Jun; 12(12): 3989. doi: 10.3390/jcm12123989. DOI: https://doi.org/10.3390/jcm12123989

Donthu RK, Badabagni R, Mohammed AS, Vuddandam KV, Chatti VS. Association of Screen Time with Physical and Mental Health among Children: A Cross-Sectional Study. Journal of Indian Association for Child and Adolescent Mental Health. 2022 Oct; 18(4): 272-82. doi: 10.1177/09731342231168495. DOI: https://doi.org/10.1177/09731342231168495

Jain S, Shrivastava S, Mathur A, Pathak D, Pathak A. Prevalence and Determinants of Excessive Screen Viewing Time in Children Aged 3–15 Years and Its Effects on Physical Activity, Sleep, Eye Symptoms, and Headache. International Journal of Environmental Research and Public Health. 2023 Feb; 20(4): 3449. doi: 10.3390/ijerph20043449. DOI: https://doi.org/10.3390/ijerph20043449

Mataftsi A, Seliniotaki AK, Moutzouri S, Prousali E, Darusman KR, Adio AO et al. Digital Eye Strain in Young Screen Users: A Systematic Review. Preventive Medicine. 2023 May; 170: 107493. doi: 10.1016/j.ypmed.2023.107493. DOI: https://doi.org/10.1016/j.ypmed.2023.107493

Nakshine VS, Thute P, Khatib MN, Sarkar B. Increased Screen Time as A Cause of Declining Physical, Psychological Health, and Sleep Patterns: A Literary Review. Cureus. 2022 Oct; 14(10). doi: 10.7759/cureus.30051. DOI: https://doi.org/10.7759/cureus.30051

Anarte-Lazo E, Carvalho GF, Schwarz A, Luedtke K, Falla D. Differentiating Migraine, Cervicogenic Headache and Asymptomatic Individuals Based on Physical Examination Findings: A Systematic Review and Meta-Analysis. BioMed Central Musculoskeletal Disorders. 2021 Dec; 22: 1-8. doi: 10.1186/s12891-021-04595-w. DOI: https://doi.org/10.1186/s12891-021-04595-w

Vernon H and Lawson G. Development of the Headache Activities of Daily Living Index: Initial Validity Study. Journal of Manipulative and Physiological Therapeutics. 2015 Feb; 38(2): 102-11. doi: 10.1016/j.jmpt.2014.12.002. DOI: https://doi.org/10.1016/j.jmpt.2014.12.002

Roy S, Iktidar MA, Chowdhury S, Pulock OS, Pinky SD, Sharif AB. Increased Screen Time and Its Association to Migraine and Tension-Type Headache: A Cross-Sectional Investigation among Bangladeshi Students. British Medical Journal Neurology Open. 2024 May; 6(1): e000656. doi: 10.1136/bmjno-2024-000656. DOI: https://doi.org/10.1136/bmjno-2024-000656

Ambah T, Abidoye FE, McCalla CA, Kalejaiye M, Ihunda IC, Onwua-maegbu et al. Digital Age Headaches: Exploring the Neurological Impact of Screen Time and Blue Light. International Journal of Clinical and Medical Case Reports. 2025; 49 (3). doi: 10.46998/IJCMCR.2025.49.001212. DOI: https://doi.org/10.46998/IJCMCR.2025.49.001212

Ligthart L, Gerrits MM, Boomsma DI, Penninx BW. Anxiety and Depression Are Associated with Migraine and Pain in General: An Investigation of the Interrelationships. The Journal of Pain. 2013 Apr; 14(4): 363-70. doi: 10.1016/j.jpain.2012.12.006. DOI: https://doi.org/10.1016/j.jpain.2012.12.006

Awaki E, Takeshima T, Matsumori Y, Hirata K, Miyazaki N, Takemura R et al. Impact of Migraine on Daily Life: Results of the Observational Survey of the Epidemiology, Treatment, and Care of Migraine (OVERCOME [Japan]) study. Neurology and Therapy. 2024 Feb; 13(1): 165-82. doi: 10.1007/s40120-023-00569-3. DOI: https://doi.org/10.1007/s40120-023-00569-3

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Published

2025-04-30
CITATION
DOI: 10.54393/pbmj.v8i4.1234
Published: 2025-04-30

How to Cite

Arshad, S., Hashmi, S., Tausif, M., Zameer, A., Ansari, R. S., & Qayyum, N. (2025). Association of Screen Time and Headache and Its Impact on ADLs in Freelancers: Screen Time and Headache and Its Impact on ADLs . Pakistan BioMedical Journal, 8(4), 35–40. https://doi.org/10.54393/pbmj.v8i4.1234

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