{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:54:19Z","timestamp":1791500059473,"version":"4.3.4"},"reference-count":51,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T00:00:00Z","timestamp":1696809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Tynewald Foundation","award":["Project 106719"],"award-info":[{"award-number":["Project 106719"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Restricted motion during touch screen device use may contribute to wrist overuse injuries. Wrist radioulnar deviation and extension while using touch screen devices and digital or manual counterparts in male and female medical professional dominant and non-dominant hands were quantified to test the hypothesis that mobile touch screen device use reduces wrist motion.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>An active motion detection system was used to record wrist motion of 12 participants while: tablet swiping and turning book pages; raising a cell and traditional phone to the ear; texting and typing; and entering numbers on a cell phone and manual calculator. Medial and lateral wrist surface range of motion (ROM) and minimum and maximum wrist radial-ulnar deviation and flexion-extension were quantified.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Device, sex and handedness effects were determined (P&lt;0.05). Maximum medial radial deviation and ROM were greater using a cell versus traditional phone. Maximum medial radial deviation was higher in the nondominant wrist during backward tablet swiping and while backward page turning versus tablet swiping. Maximum and minimum medial extension angles and ROM were greater while typing versus texting. Female nondominant hand maximum lateral extension and ROM were greater for typing versus texting and maximum medial extension and lateral extension ROM greater during manual versus cell phone calculator use with handedness combined. Maximum lateral extension and ROM were greater in females versus males using manual calculators.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Sex and handedness should instruct touch screen, digital and manual device design and use for optimal performance and injury prevention.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0290973","type":"journal-article","created":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T17:41:51Z","timestamp":1696873311000},"page":"e0290973","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Wrist motion is distinct between touch screen and manual or digital devices"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8776-8594","authenticated-orcid":true,"given":"Mandi J.","family":"Lopez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Takawira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary P.","family":"Fox","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengju","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7477-3901","authenticated-orcid":true,"given":"Evan","family":"Boatwright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lucak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0723-8313","authenticated-orcid":true,"given":"Chin-Chi","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryce","family":"Fugarino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,10,9]]},"reference":[{"issue":"5","key":"pone.0290973.ref001","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.rcl.2019.05.001","article-title":"Overuse Injuries of the Wrist.","volume":"57","author":"E Llopis","year":"2019","journal-title":"Radiol Clin North Am."},{"issue":"6","key":"pone.0290973.ref002","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1016\/j.clinbiomech.2015.04.008","article-title":"Computer keyboarding biomechanics and acute changes in median nerve indicative of carpal tunnel syndrome","volume":"30","author":"KK Toosi","year":"2015","journal-title":"Clinical biomechanics (Bristol, Avon)."},{"issue":"9","key":"pone.0290973.ref003","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1002\/jor.20599","article-title":"Effect of wrist posture on carpal tunnel pressure while typing","volume":"26","author":"DM Rempel","year":"2008","journal-title":"J Orthop Res"},{"key":"pone.0290973.ref004","first-page":"40","author":"SM Coppola","journal-title":"Tablet form factors and swipe gesture designs affect thumb biomechanics and performance during two-handed use. 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Tegtmeier","year":"2018"},{"issue":"11","key":"pone.0290973.ref008","doi-asserted-by":"crossref","first-page":"3620","DOI":"10.1002\/art.22956","article-title":"Carpal tunnel syndrome and keyboard use at work: a population-based study","volume":"56","author":"I Atroshi","year":"2007","journal-title":"Arthritis and rheumatism"},{"issue":"7","key":"pone.0290973.ref009","doi-asserted-by":"crossref","first-page":"e0158455","DOI":"10.1371\/journal.pone.0158455","article-title":"Development of Kinematic Graphs of Median Nerve during Active Finger Motion: Implications of Smartphone Use.","volume":"11","author":"HC Woo","year":"2016","journal-title":"PLoS One"},{"issue":"4","key":"pone.0290973.ref010","first-page":"269","article-title":"Excessive texting in pathophysiology of first carpometacarpal joint arthritis.","volume":"13","author":"Z Ming","year":"2006","journal-title":"Pathophysiology.Epub 2006"},{"issue":"1","key":"pone.0290973.ref011","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1080\/00140139.2015.1056237","article-title":"A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck-shoulder pain","volume":"59","author":"Y Xie","year":"2016","journal-title":"Ergonomics"},{"issue":"6","key":"pone.0290973.ref012","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1001\/jamainternmed.2015.0753","article-title":"Tendon rupture associated with excessive smartphone gaming","volume":"175","author":"L Gilman","year":"2015","journal-title":"JAMA Intern Med"},{"issue":"8","key":"pone.0290973.ref013","doi-asserted-by":"crossref","first-page":"e0181220","DOI":"10.1371\/journal.pone.0181220","article-title":"The associations of mobile touch screen device use with musculoskeletal symptoms and exposures: A systematic review.","volume":"12","author":"SH Toh","year":"2017","journal-title":"PLoS One.PubMed Central 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Ther."},{"key":"pone.0290973.ref020","doi-asserted-by":"crossref","first-page":"110291","DOI":"10.1016\/j.jbiomech.2021.110291","article-title":"Development of a clinically adoptable joint coordinate system for the wrist","author":"OO Akinnola","year":"2021","journal-title":"J Biomech"},{"issue":"1","key":"pone.0290973.ref021","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1186\/s13018-019-1177-y","article-title":"Minimal detectable difference of the finger and wrist range of motion: comparison of goniometry and 3D motion analysis.","volume":"14","author":"L Reissner","year":"2019","journal-title":"J Orthop Surg Res"},{"issue":"3","key":"pone.0290973.ref022","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.gaitpost.2009.11.007","article-title":"The use of kinematic and parametric information to highlight lack of movement and compensation in the upper extremities during activities of daily living.","volume":"31","author":"A Murgia","year":"2010","journal-title":"Gait Posture"},{"issue":"8","key":"pone.0290973.ref023","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.jmpt.2008.09.003","article-title":"Differences in range of motion between dominant and nondominant sides of upper and lower extremities.","volume":"31","author":"LG Macedo","year":"2008","journal-title":"J Manipulative Physiol Ther"},{"issue":"4","key":"pone.0290973.ref024","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/j.ergon.2007.11.004","article-title":"The effect of age and gender on joint range of motion of worker population in Taiwan.","volume":"39","author":"MJ Chung","year":"2009","journal-title":"International Journal of Industrial Ergonomics"},{"issue":"12","key":"pone.0290973.ref025","doi-asserted-by":"crossref","first-page":"2661","DOI":"10.1002\/jor.24435","article-title":"Predicting Carpal Bone Kinematics Using an Expanded Digital Database of Wrist Carpal Bone Anatomy and Kinematics","volume":"37","author":"B Akhbari","year":"2019","journal-title":"J Orthop Res"},{"issue":"5","key":"pone.0290973.ref026","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1177\/1753193412458751","article-title":"The functional range of movement of the human wrist.","volume":"38","author":"G Brigstocke","year":"2013","journal-title":"J Hand Surg Eur Vol"},{"issue":"3","key":"pone.0290973.ref027","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1007\/s00221-020-05743-9","article-title":"Interlimb differences in coordination of rapid wrist\/forearm movements","volume":"238","author":"GA Srinivasan","year":"2020","journal-title":"Exp Brain Res"},{"issue":"10","key":"pone.0290973.ref028","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1589\/jpts.24.1013","article-title":"3D Motion Analysis Comparison of the Dominant Hand Wrist Flexion during Writing","volume":"24","author":"S Park","year":"2012","journal-title":"Journal of Physical Therapy 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Oldfield","year":"1971","journal-title":"Neuropsychologia."},{"issue":"1","key":"pone.0290973.ref032","doi-asserted-by":"crossref","first-page":"4211","DOI":"10.1038\/s41598-021-83770-4","article-title":"Nondominant hand computer mouse training and the bilateral transfer effect to the dominant hand","volume":"11","author":"D Schweiger","year":"2021","journal-title":"Scientific Reports"},{"key":"pone.0290973.ref033","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/1471-2474-9-47","article-title":"The effect of forearm posture on wrist flexion in computer workers with chronic upper extremity musculoskeletal disorders","author":"RA Burgess","year":"2008","journal-title":"BMC musculoskeletal disorders"},{"issue":"4","key":"pone.0290973.ref034","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1518\/001872098779649300","article-title":"Evaluation of supermarket bagging using a wrist motion monitor.","volume":"40","author":"CF Estill","year":"1998","journal-title":"Hum Factors."},{"key":"pone.0290973.ref035","article-title":"Texting with touchscreen and keypad phones\u2014A comparison of thumb kinematics, upper limb muscle activity, exertion, discomfort, and performance.","volume":"70","author":"E Gustafsson","year":"2018","journal-title":"Appl Ergon [Internet]."},{"key":"pone.0290973.ref036","article-title":"Mobile input device type, texting style and screen size influence upper extremity and trapezius muscle activity, and cervical posture while texting. Appl Ergon","author":"DM Kietrys","year":"2015","journal-title":"Internet]"},{"issue":"4","key":"pone.0290973.ref037","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.3349\/ymj.2013.54.4.1026","article-title":"Four-dimensional real-time cine images of wrist joint kinematics using dual source CT with minimal time increment scanning.","volume":"54","author":"YS Choi","year":"2013","journal-title":"Yonsei Med J"},{"issue":"8","key":"pone.0290973.ref038","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1007\/s00256-009-0775-x","article-title":"Ulnar-sided wrist pain. Part I: anatomy and physical examination.","volume":"39","author":"PS Vezeridis","year":"2010","journal-title":"Skeletal Radiol"},{"issue":"10","key":"pone.0290973.ref039","first-page":"2089","article-title":"Examination of the wrist: radial-sided wrist pain. The Journal of hand surgery","volume":"39","author":"PS Sauve","year":"2014"},{"issue":"1","key":"pone.0290973.ref040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s12178-012-9147-6","article-title":"Trapeziometacarpal joint arthritis.","volume":"6","author":"TJ Patel","year":"2013","journal-title":"Curr Rev Musculoskelet Med"},{"key":"pone.0290973.ref041","article-title":"Clinical study of the factors affecting radioulnar deviation of the wrist joint. 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