Multimodal exercise program for promoting physical and cognitive health in people with mild to moderate dementia: a feasibility study

(mean = 24.5◦ ± 13.4◦, range = 9.3◦–66.1◦) and active device (mean = 8.0◦ ± 2.8◦, range = 2.7◦–15.4◦). 17 out of 36 subjects (44.7%) reported neck discomfort and 14 subjects (36.8%) reported ULD while playing with handheld device. With active device, 3 out of 36 subjects (7.9%) reported neck discomfort and 11 subjects (28.9%) reported ULD. During handheld device play, positive correlations were found between left CES activity and ULD (ρ = 0.362, n= 36, p= 0.30), and left UT activity and ULD (ρ = 0.362, n= 36, p= 0.30). Conclusion(s): The present results suggest that adolescents are susceptible to musculoskeletal discomforts when they play with EG devices which can lead to prolonged neck flexion posture and static muscle loading. This problem is especially accentuated in using the small-screen handheld game devices, and this may have an adverse effect on musculoskeletal health. Implications: Physical therapists play a leading role in public health education involving musculoskeletal health of the young population, who are becoming intensively relying on handheld electronic device. Acquiring knowledge from more experimental studies on how the musculoskeletal response with prolonged use of these devices, physical therapists can design effective programs to promote healthy use of electronic devices.