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The reviews of risk factors did not give sufficient information to derive quantitative dose-response relationships, and the findings from the studies that indicated a relationship between duration of computer use and pain complaints could not indicate a threshold value.
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The lack of relationship between pain and duration of computer use is further supported by the fact that severe pain does not have a better prognosis if mouse and computer work is carried out for shorter duration [ 28].
In the Cosali cohort, the Borg Rating of Perceived Exertion Scale, ranging from 6 to 20 and dichotomised into less than hard exertion (6 13) and hard exertion to exhaustion (14 20), was used to study associations between hard exertion to exhaustion and daily duration of computer use.
In these studies, an arbitrary pause definition (Pd; the minimal time between two computer events to constitute a pause) is chosen and the resulting duration of computer work is estimated.
Although the reported duration of computer use was quite low, the prevalence of computer-related MSS was high (52.8%).
The predictors of attitudes in that study were nationality, sex, and duration of computer use (31).
Respondents reported the weekly duration of computer use in response to an open question.
In a previous study of adults self-reported duration of computer use but not recorded computer exposure, was positively associated with upper extremity symptoms [ 29].
Our data shows that the highest duration of computer use among the computer users were found for the ages 30 years and below.
We also acknowledge that the estimation of duration of daily computer use may under or overestimate the contribution of duration of computer use to the observations made in this study.
It should be noted that previous studies relied on self-reports for the measurement of the duration of computer use.
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