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Observational Study
. 2021 May 1;46(9):571-578.
doi: 10.1097/BRS.0000000000003854.

Association Between Text Neck and Neck Pain in Adults

Igor Macedo Tavares Correia  1 , Arthur de Sá Ferreira  1 , Jessica Fernandez  1 , Felipe José Jandre Reis  2   3 , Leandro Alberto Calazans Nogueira  1   2 , Ney Meziat-Filho  1
Affiliations
Observational Study

Association Between Text Neck and Neck Pain in Adults

Igor Macedo Tavares Correia et al. Spine (Phila Pa 1976). .

Abstract

Study design: Observational cross-sectional study.

Objective: The aim of this study was to investigate the association between text neck and neck pain (NP) in adults.

Summary of background data: It has been hypothesized that the inappropriate neck posture adopted when texting and reading on a smartphone, called text neck, is related to the increased prevalence of NP.

Methods: The sample was composed of 582 volunteers aged between 18 and 65 years. Sociodemographics, anthropometrics, lifestyle, psychosocial, NP, and smartphone use-related questions were assessed by a self-reported questionnaire. Text neck was assessed by measuring the cervical flexion angle of the participants standing and sitting while typing a text on their smartphones, using the Cervical Range of Motion (CROM) device.

Results: Multiple logistic regression analysis and linear regression analysis showed the cervical flexion angle of the standing participant using a smartphone did not associate with the prevalence of NP (odds ratio [OR] = 1.00; 95% confidence interval [CI]: 0.98-1.02; P = 0.66), NP frequency (OR = 1.01; 95% CI: 1.00-1.03; P = 0.056), or maximum NP intensity (beta coefficient = -5.195 × 10-5; 95% CI: -0.02 to 0.02; P = 0.99). Also, the cervical flexion angle of the sitting participant using the smartphone did not associate with NP (OR = 0.99; 95% CI: 0.98-1.01; P = 0.93), NP frequency (OR = 1.01; 95% CI: 0.99-1.02; P = 0.13), or maximum NP intensity (beta coefficient = 0.002; 95% CI: -0.002 to 0.02; P = 0.71).

Conclusion: Text neck was not associated with prevalence of NP, NP frequency, or maximum NP intensity in adults.Level of Evidence: 4.

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