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Differences on the level of attention span among the high school students with and without musculoskeletal discomfort of Cabancalan National High School: Basis for physical therapy intervention program.


Joy Dianne B. Apilan,
Mark Nigel S. Bael,
Greatel S. Capuras,
Patricia Louise A. Dy,
Christine Carmille L. Espiritu,
Jorela Joelle D. Lu

Related Institution

College of Rehabilitative Sciences – Department of Physical Therapy - Cebu Doctors' University

Publication Information

Publication Type
Thesis Degree
Physical Therapy
Publication Date
March 2017


   The study was conducted to determine the differences in the level of attention span between students with musculoskeletal discomfort and those students without the discomfort in Cabancalan National High School as a basis for Physical Therapy Intervention. The study utilized a descriptive comparative survey method. For this purpose, the entire student population (n=1,628) were selected. The Student-Specific Cornell Musculoskeletal Discomfort Questionnaire (SS-CMDQ) by Dr. Alan Hedge was used to assess the incidence of Musculoskeletal Discomfort and Attention Checklist (ACL) by Jagannath P. Das, BA, MA, PhD was used to assess the level of attention span a evaluated by the advisers.

   Out of 1, 628 respondents, there were only 2.3% (38) of the student population who have reported to have musculoskeletal discomfort. According to the level of attention span, out of 1, 628 students, there were 1,461 (89.7%) students having low attention span, 166 (10.2%) had moderate attention span and 1(0.1%) had a high attention span. Students with MSD also have shown a higher mean score of 28.21 as opposed to those in the Without MSD group with a mean score of 27.17 based on the scoring system of Attention Checklist. Using the t-test, there was a mean difference of 1.14 in the attention span between the two (2) groups but the difference was not statistically significant with p-value 0.096 which is greater than 5% of the level of significance.

   Results showed there was little incidence of MSD among high school students in Cabancalan National High School. Approximately 90% of high school students in Cabancalan National High School had low attention span. There was no significant difference on the level of attention span between students with musculoskeletal discomfort and those without musculoskeletal discomfort. The researchers intend to offer a Physical Therapy recommendation program utilizing Yoga as a technique to improve attention span among students. This could be performed by students with and without MSD to further better focus and concentration of high school students. Future researchers could also use this study as baseline information to conduct another study assessing the other possible causes of low attention span of students during class, including the other possible causes of musculoskeletal discomfort among students inside the class room setting. A study can also be conducted by determining the effectiveness of yoga in improving attention span in students.


3. Austin, S. , Laeng, S. . Yoga. Complementary therapies and wellness New Jersey: Pearson Education, 2003. 283.285-28.
4. Baharampour, S. , Nazari, J. , Dianat, I. , Asgharijafarabadi, M. . "Student" Health Promotion Perspectives 3(2): 165, 2013. Retrieved from: http://doi:10.5681/hpp.2013.020
5. Banfield, M. . (). The posture theory.. . Retrieved December 22, 2016, from: http://users.chariot.net.au/~posture/#EvolutionOfManPosture
6. Breithecker, P.D. . (). Workplace school demands on ergonomic school furniture for today’s classroom. . Retrieved March 22, 2017, from: http://www.lsfurnishings.com/pdfs/VS/%2BBAG7_Educational_Workplace_long_US.pdf
7. Bridger, R. . Introduction to Ergonomics (3rd ed.) Florida: CRC, 2009.
8. Bunce, D. M. , Flens, E. A. , Neiles, K. Y. . "How long can students pay attention in class? a study of student attention decline using clickers" Journal of Chemical Education 87(12): 1438-1443, 2010. Retrieved from: http://pubs.acs.org/doi/abs/10.1021/ed100409p
9. Cherney, K. . (). Musculoskeletal disorders. . Retrieved December 30, 2016, from: http://www.healthline.com/health/musculoskeletal-disorders
10. Cavasos, M. . (). Exercises to improve concentration and focus. . Retrieved April 1, 2017, from: http://www.livestrong.com/article/404974-exercises-to-improve-concentration-and-focus/
11. Chertock, A. , Hodge, J. , McFarlane, S. , Norton, M. . Transitions: Helping ninth graders adapt successfully to block periods. Improving teaching in the high school block period, 2000. 10. . Retrieved from: http://https://books.google.com.ph/books?id=aaHZzN3JSUAC&pg=PA10&lpg=PA10&dq=Many+early+adolescents+have+a+short+attention+span+and+a+strong+need+to+move+about&source=bl&ots=Sm6-K3XaYh&sig=HRB7sPNssuoRXtW2oY9ri9beL1s&hl=en&sa=X&redir_esc=y#v=onepage&q=Man
12. Dalton, D. . The Vertebral Column. Joint Structure and Function a Comprehensive Analysis (5th Ed) Philadelphia, Pennsylvania: Davis plus, 2011. 65.
13. De Looze, M. P. , Kuijt-Evers, L. F. M. , Dieen, J. V. . "Sitting comfort and discomfort and the relationships with objective measures" Ergonomics 46(10): 985-997, 2003. Retrieved from: http://dx.doi.org/10.1080/0014013031000121977
14. Dhara, P. C. , Khaspuri, G. , Sau, K.S. . "Complaints arising from a mismatch between school furniture and anthropometric measurements of rural secondary school children during classwork" Environmental Health and Preventive Medicine 14, 36-45, 2009. Retrieved from: http://doi: 10.1007/s12199-008-0055-8
15. Dutta, S. , Dhara, P. C. . "Evaluation of different sitting postures of rural primary school boys in the classroom" Journal of Ergonomics 2(3): 2012. Retrieved from: http://doi: 10.4172/2165-7556.1000105
16. Ebert, M. . "Yoga in the classroom" Green Teacher: Education for Planet Earth (97): 3, 2012. Retrieved from: http://https://greenteacher.com/yoga-in-the-classroom/
17. Eggen, P. D. , Kauchak, D. . Educational Psychology: Classroom connections New York: Macmillan, 1992.
18. Ehud, M. , An, B. D. , Avshalom, S. . "Here and now: Yoga in Israeli schools" International Journal of Yoga 3(2): 42-47, 2010. Retrieved from: http://doi:10.4103/0973-6131.72629
19. Erdinç, O. , Ekşioğlu, M. . (). Student specific cornell musculoskeletal discomfort questionnaires (SS-CMDQ) (English). . Retrieved April 19, 2017, from: http://www.ie.boun.edu.tr/?q=content%2Fstudent-specific-cornell-musculoskeletal-discomfort-questionnaires-ss-cmdq-english
20. Evangelista, P. . (). Challenges in learning in the digital age. . Retrieved March 21, 2017, from: http://www.ateneo.edu/ls/news/ls-research-updates/challenges-learning-digital-age
21. Gay, R. E. , Bauer, B. A. , Yang, R. K. . Integrative medicine in rehabilitation. Physical medicine and Rehabilitation (4th Ed) Philadelphia, PA: Elsevier Saunders., 2011. 483,490.
22. Gerschler, J. . (). Classroom strategies for maintaining focus among latin american ESL students. . Retrieved January 28, 2017, from: http://www.philica.com/ printer_article.php?article_id=420
23. Ghazila, R.A.R. , Taha, Z. , Kamaruddin, S. , Hasanuddin, I. . "Pilot Investigations on the Mismatches of classroom furniture and student Body Dimensions in Malaysian secondary schools" Journal of Social Sciences, 6(2): 287-292, 2010. Retrieved from: http://thescipub.com/PDF/jssp.2010.287.292.pdf
24. Gothe, N. , Pontefex, M. B. , Hillman, C. , McAuley, E. . "The acute effects of yoga on executive function" Journal of Physical Activity and Health , 1-23, 2012. Retrieved from: http://https://www.academia.edu/3145421/The_Acute_Effects_of_Yoga_on_Executive_Function
25. Jensen, E. , Dabney, M. , Markowitz, K. , Selsor, K. . (). Environments for learning. . Retrieved March 11, 2017, from: http://files.hbe.com.au/samplepages/CO1082.pdf
26. Juanga, J. M. V. , Ressureccion, A. C. . "Comparison of academic performance and attention span of children between montessori and traditional pedagogical approaches of preschools" ICICTE Proceedings, 2015. . Retrieved from: http://www.icicte.org/ICICTE2015Proceedings(Papers)/9.4%20Final%20Juanga%20_Ressureccion.pdf (Accession No. 110548299
27. Kravitz, L. . (). Exercise and the brain: It will make you want to work out.. . Retrieved March 27, 2017, from: http://www.ideafit.com/fitness-library/exercise-and-the-brain-it-will-make-you-want-to-work-out
28. Krentzman, R. . (). Bending over backwards: Stay safe in your yoga practice.. . Retrieved March 27, 2017, from: http://embodyphysicaltherapy.com/bending-over-backwards-stay-safe-in-your-yoga-practice/
29. Kumar, G , Chhabra, A. , Dewan, V. , Yadav, T. P. . "Idiopathic musculoskeletal pain in indian children–prevalence and impact on daily routine" Revista Brasileira de Reumatologia 457(1): 1-9, 2017. Retrieved from: http://doi:http://dx.doi.org/10.1016/j.rbre.2015.07.015
30. Laporte, C. . (). The importance of the neck and upper back positioning in Overall health. . Retrieved March 11, 2017, from: http://https://www.calainc.org/Handouts/Participant_handouts/IMPORTANCE%20OF%20THE%20NECK%20AND%20UPPER.pdf
31. Lewinski, P. . "Effects of classrooms’ architecture on academic performance in view of telic versus paratelic motivation: A review" Frontiers in Psychology , 2015. Retrieved from: http://doi:10.3389/fpsyg.2015.00746
32. Lipardo, D. S. , Espaldon, M. J. H. , Javier, A. L. V. , Lopez, P. N. l. , Ng Tsai, A. C. , Yruma, M .E. M. . "Anthropometric measurements of public elementary school students in district IV of manila" Philippine Journal of Allied Health Sciences 1, 9-16, 2006. Retrieved from: http://https://www.researchgate.net/publication/304151123_ANTHROPOMETRIC_MEASUREMENTS_OF_PUBLIC_ELEMENTARY_SCHOOL_STUDENTS_IN_DISTRICT_IV_OF_MANILA
33. Loh, A. . (). How to increase attention span in children?. . Retrieved March 21, 2017, from: http://www.brainy-child.com/articles/increase-attention-span-in-children.shtml
34. Makofsky, H. W. , Goldstein, L. B. . (). The role of body posture in musculoskeletal pain syndromes. . Retrieved January 29, 2017, from: http://https://www.practicalpainmanagement.com/treatments/bracing/role-body-posture-musculoskeletal-pain-syndromes
35. Mishra, A. K. , Ramgopal, M. . "A comparison of student performance between conditioned and naturally ventilated classrooms" Building and Environment 84, 18-118, 2015. Retrieved from: http://doi:http://dx.doi.org/10.1016/j.buildenv.2014.11.008
36. Moutrey, G. . "Think better Neuroscience: The next competitive advantage" Steel Case 360 Magazine 11(36): 2015. Retrieved from: http://https://www.steelcase.com/eu-en/360
37. Murphy, S. , Buckle, P. , Stubbs, D. . "Classroom posture and self-reported back and neck pain in schoolchildren" Applied Ergonomics 35, 113-120, 2004. Retrieved from: http://doi:10.1016/j.apergo.204.01.001
38. Noggle, J. J. , Steiner, N. J. , Minami, T. , Khalsa, S. B. . "Benefits of yoga for psychosocial well-being in a US high school curriculum: a preliminary randomized controlled trial" Journal of Developmental & Behavioral Pediatrics , 2012. Retrieved from: http://dm.education.wisc.edu/tminami/intellcont/Noggle_etal_JDBP_2012-1.pdf
39. Papadopoulos, T. C. , Das, J. P. , Kodero, H. M. N. , Solomon, V. . "Assessment of attention in school children: teachers’ ratings related to tests of attention" European Journal of Special Needs Education 17(10): 15-32, 2002. Retrieved from: http://doi:10.1080/08856250110098999
40. Pastrana, D. . (). Dilapidated, overcrowded public schools in the philippines. . Retrieved March 30, 2017, from: http://https://www.wsws.org/en/articles/2014/06/20/phil-j20.html
41. Patel, S. . (). Breathing for life the mind-body healing benefits of pranayama. . Retrieved March 23, 2017, from: http://www.chopra.com/articles/breathing-for-life-the-mind-body-healing-benefits-ofpranayama#sm.00013edk0crdfes6pua19qf9ewwyr
42. Pensri, P. , Janwantanakul, P. , Chaikumarn, M. . "Biopsychosocial risk factors for musculoskeletal symptoms of the spine in salespeople" International Journal of Occupational and Environmental Health 16(3): 2010. Retrieved from: http://doi: 10.1179/oeh.2010.16.3.303
43. Philip, R.T. . (). How to deal with teenage learning fatigue. . Retrieved March 21, 2017, from: http://https://www.edutopia.org/engaging-tweens-teens
44. Quinn, E. . (). Why no pain, no gain is bad advice. . Retrieved August 27, 2016, from: http://https://www.verywell.com/exercise-pain-vs-discomfort-3120455
45. Rangan, R. , Nagendra, H. R. , Bhatt, R. . "Effect of yogic education system and modern education system on sustained attention" International Journal of Yoga 2, 35-38, 2009. Retrieved from: http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2009;volume=2;issue=1;spage=35;epage=38;aulast=Rangan
46. Ross, A. . Nutrition and its effects on academic performance how can our schools improve?. Northern Michigan University. 2010. (MA) . Retrieved from: http://www.kidseatsmart.ca/wp-content/uploads/2014/10/Nutrition-and-its-effects-on-academic-performance.pdf
47. Sadiri, S. N. , Mohammed, M. , Naji, F. L. , Chian, C. P. , Sangelaj, I. B. . "Yoga as a treatment for musculoskeletal discomforts" Revista Pesquisa em Fisioterapia 6(3): 236-246, 2016. Retrieved from: http://doi:10.17267/2238-2704rpf.v6i3.984
48. Santrock, J.W. . Educational Psychology (4th ed.) New York: McGraw Hill, 2009.
49. Sheela, H. R. R. N. , Nagendra, H. R. , Ganpat, T. S. . "Efficacy of yoga for sustained attention in university students" Ayu 34(3): 270-272, 2013. Retrieved from: http://https://www.ncbi.nlm.nih.gov/pubmed/24501521
50. Shephard, R. J. . "Habitual physical activity and academic performance" Nutrition Reviews 54(4): S32-S36, 1996. Retrieved from: http://https://peandhealth.wikispaces.com/file/view/Shephard+1996.pdf
51. Silva, A. P. , Prado, S. O. S. , Scardovelli, T. A. , Boschi, S. R. M. s. , Campos, L. C. , Frère, A. F. . "Measurement of the effect of physical exercise on the concentration of individuals with ADHD." PloS one 10(3): 1-13, 2015. Retrieved from: http://www.ncbi.nlm.gov/pmc/articles/PMC4372555/
52. Smith, T. J. . "Designing learning environments to promote student learning: Ergonomics in all but name" Work 44(1): 1-2, 2013. Retrieved from: http://www.ncbi.nlm.gov/pubmed/23241704
53. (). Stating the obvious: The state of the Philippine education sector. . Retrieved March 11, 2017, from: http://philrights.org/wp-content/uploads/2010/10/Stating-the-Obvious.pdf
54. Steeves, A. . "Recent study ties physical activity to longer attention span." Healthy UNH. , 2013. Retrieved from: http://https://www.unh.edu/healthyunh/blog/2013/07/recent-study-ties-physical-activity-longer-attention-span
55. Steiner, N. J. , Sidhu, T. K. , Pop, P. G. , Frenette, E. c. , Perrin, E. C. . "Yoga in an urban school for children with emotional and behavioral disorders: a feasibility study" Journal of Child and Family Studies , 2012. Retrieved from: http://doi: 10.1007/s10826-012-9636-7
56. Stuart, J. , Rutherford, R.J. . "Medical student concentration during lectures" Lancet 2(8088): 514-516, 1978. Retrieved from: http://https://www.ncbi.nlm.nih.gov/pubmed/79879
57. Szpunar, K. K. , Moulton, S. T. , Schacter, D. L. . "Mind wandering and education: from the classroom to online learning" Frontiers in Psychology 4(495): 1-4, 2013. Retrieved from: http://doi:10.3389/fpsyg.2013.00495
58. Tan, W. Z. B. . (). Physical activity: Its implication on attention span and quality of life in children with autism spectrum disorder.. . Retrieved March 11, 2017, from: http://doi: 10.5176/2251-2853_2.2.121
59. Tayeg, A. . Effects of overcrowded classrooms on teacher-student interactions. University of Biskra. 2015. (MA) . Retrieved from: http://dspace.univ-biskra.dz:8080/jspui/bitstream/123456789/5846/1/Tayeg%20Asma%20.pdf
60. Taylor, M.J. . Yoga therapeutics an ancient practice in a 21st century setting. Complementary therapies and wellness: In Rehabilitation New Jersey: SLACK, 2009. 185.
61. Telles, S. , Dash, M. , Naveen, K. V. . "Effect of yoga on musculoskeletal discomfort and motor functions in professional computer users" Work 33, 297-306, 2009. Retrieved from: http://https://www.researchgate.net/profile/Manoj_Dash3/publication/26817101_Effect_of_yoga_on_musculoskeletal_discomfort_and_motor_functions_in_professional_computer_users/links/02bfe5139d79d2af25000000.pdf
62. Toftum, J. , Kjeldsen, B. U. , Wargocki, P. , Menå, H. R. , Hansen, E. M. , Clausen, G. . "Association between classroom ventilation mode and learning outcome in Danish schools" Building and Environment 92(2015): 494-503., 2015. Retrieved from: http://www.sciencedirect.com/science/article/pii/S0360132315002450
63. Weimer, M. . (). Students and attention: An interesting analysis. . Retrieved March 11, 2017, from: http://www.facultyfocus.com/articles/teaching-and-learning/students-attention-interesting-analysis/
64. White, R. F. , Campbell, R. , Echeverria, D. , Knox, S. S. , Janulewicz, P. . "Assessment of neuropsychological trajectories in longitudinal population-based studies of children." Journal of Epidemiology and Community Health 63(1): 115-126, 2009. Retrieved from: http://doi:10.1136/jech.2007.071530
65. Wilson, K. , Korn, J. H. . "Attention during lectures: beyond ten minutes" Teaching of Psychology 34(2): 2007. Retrieved from: http://www.ministryoftruth.me.uk/wp-content/uploads/2014/09/WilsonKorn2007-Attention.pdf
66. Woodyard, C. . "Exploring the therapeutic effects of yoga and its ability to increase quality of life" International Journal of Yoga 4(2): 49-54, 2011. Retrieved from: http://doi: 10.4103/0973-6131.85485
67. Vidal, V. . (). Vero Yoga. . Retrieved March 27, 2017, from: http://www.veroyoga.com/2017/01/31/6-reason-why-you-should-practice-downward-dog-everyday/
68. Yang, Z. , Gerber, B. , Mino, L. . "A study on student perceptions of higher education classrooms: impact of classroom attributes on student satisfaction and performance" Building and Environment 70(2013): 171-188, . Retrieved from: http://doi:http://dx.doi.org/10.1016/j.buildenv.2013.08.030
69. Young, M.R. . "How to improve student attention span in christian academia" Christian Academia Magazine , May 2016. Retrieved from: http://christianacademiamagazine.com/attention-training-in-christian-academia/#_edn1

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