Text Neck: Difference between revisions
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== What is Text Neck? == | == What is Text Neck? == | ||
[[File:Text neck.jpeg|right|frameless]] | [[File:Text neck.jpeg|right|frameless|348x348px]] | ||
"Text neck" is a term | "Text neck" is a term used to describe the [[Forward Head Posture]] for prolonged periods of time, for example when viewing a cellphone. This has been reported to cause stress injuries, often resulting in cervical and shoulder pain,[[Headache|headaches]] and [[Thoracic Hyperkyphosis|thoracic hyperkyphosis]]<ref name=":2">Priya DB, Subramaniyam M. [https://aip.scitation.org/doi/abs/10.1063/5.0036429 State of the art survey on effects of extensive usage of smartphone and methods to analyze muscular disorder]s. InAIP Conference Proceedings 2021 Feb 16 (Vol. 2316, No. 1, p. 030003). AIP Publishing LLC.Available from:https://aip.scitation.org/doi/abs/10.1063/5.0036429 (accessed 22.3.2021)</ref><ref name=":3" /><ref name=":1">Toh SH, Coenen P, Howie EK, Straker LM. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5546699/ The associations of mobile touch screen device use with musculoskeletal symptoms and exposures: a systematic review]. PLoS One 2017; 12(8): e0181220. Accessed 18 July 2019. </ref> | ||
It is a cause for increasing concern especially with children given their greater propensity to mobile phone usage.<ref>Vate-U-Lan P. Text Neck Epidemic: A growing problem for smart phone users in Thailand. Proceedings of the twelfth international conference of eLearining for knowledge based society; 2015 December 11-12; Thailand</ref> | It is a cause for increasing concern especially with children given their greater propensity to mobile phone usage.<ref name=":3">Vate-U-Lan P. Text Neck Epidemic: A growing problem for smart phone users in Thailand. Proceedings of the twelfth international conference of eLearining for knowledge based society; 2015 December 11-12; Thailand</ref> | ||
== Epidemiology == | |||
In 2023, reports estimate the total number of global smartphone users to reach 6.8 billion. Given the global population to reach just over 8 billion, 8 in 10 people will be equipped with a smartphone (85%)<ref>Oberlo. How many people have smartphones in 2022. Available from https://www.oberlo.co.uk/statistics/how-many-people-have-smartphones (accessed 1 July 2022)</ref>. | |||
In America, the average time spent on a cellphone is 2 hours, 54 minutes, with 71% checking their phones within 10min of waking up. | |||
Recent figures have shown that around 87% of teenagers (14-18 years) in USA and 79% teenagers (12-15 years) in UK own and use smartphones. | |||
Among adults aged 18-34 years, 92% and 95% reported owing a smartphone in USA and Australia, respectively.<ref name=":1" /> | |||
Looking at the literature on the association between texting and neck pain, the answer is really muddled, because the studies that have been done on the topic are flawed.<ref>McGill Text neck Available from: https://www.mcgill.ca/oss/article/technology-general-science/text-neck-epidemic-truly-over ( accessed 21.3.2021)</ref><ref name=":1" />. | Looking at the literature on the association between texting and neck pain, the answer is really muddled, because the studies that have been done on the topic are flawed.<ref>McGill Text neck Available from: https://www.mcgill.ca/oss/article/technology-general-science/text-neck-epidemic-truly-over ( accessed 21.3.2021)</ref><ref name=":1" />. | ||
Scientific studies don’t appear in a vacuum; they are part of a growing body of evidence. To simply report on a single study is misleading. | |||
Further trials and longitudinal research is needed to establish association between texting and neck pain and guidelines for use<ref name=":1" />. | |||
== Symptoms of Text Neck == | == Symptoms of Text Neck == | ||
[[File:Head 1.jpg|right|frameless|500x500px]] | [[File:Head 1.jpg|right|frameless|500x500px]] | ||
Flexing the head forward to use a smartphone directly affects the spine. | Flexing the head forward to use a smartphone directly affects the spine. | ||
* Tilting the head forward to 15 degrees places about 27 pounds of force on the neck<ref name=":0" />. | * Tilting the head forward to 15 degrees places about 27 pounds of force on the neck<ref name=":0">Neupane S, Ifthikar Ali UT, Mathew A. [http://www.imperialjournals.com/index.php/IJIR/article/view/5343/5143 Text-Neck Syndrome-Systemic review]. Imperial Journal of Interdisciplinary Research. 2017;3(7):141-148. Accessed 18 July 2019.</ref>. | ||
* This increases to 40 pounds at 30 degrees, 49 pounds at 45 degrees and 60 pounds at 60 degrees<ref name=":0" />. | * This increases to 40 pounds at 30 degrees, 49 pounds at 45 degrees and 60 pounds at 60 degrees<ref name=":0" />. | ||
Damage caused by untreated text neck can be similar to occupational overuse syndrome or repetitive stress/strain injury. | Damage caused by untreated text neck can be similar to occupational overuse syndrome or repetitive stress/strain injury. |
Revision as of 16:48, 30 June 2022
Original Editor - Vidhu Sindwani
Top Contributors - Shoko Otsuka, Kim Jackson, Lucinda hampton, Vidhu Sindwani, Lauren Lopez, Rucha Gadgil and Kalyani Yajnanarayan
What is Text Neck?[edit | edit source]
"Text neck" is a term used to describe the Forward Head Posture for prolonged periods of time, for example when viewing a cellphone. This has been reported to cause stress injuries, often resulting in cervical and shoulder pain,headaches and thoracic hyperkyphosis[1][2][3]
It is a cause for increasing concern especially with children given their greater propensity to mobile phone usage.[2]
Epidemiology[edit | edit source]
In 2023, reports estimate the total number of global smartphone users to reach 6.8 billion. Given the global population to reach just over 8 billion, 8 in 10 people will be equipped with a smartphone (85%)[4].
In America, the average time spent on a cellphone is 2 hours, 54 minutes, with 71% checking their phones within 10min of waking up.
Recent figures have shown that around 87% of teenagers (14-18 years) in USA and 79% teenagers (12-15 years) in UK own and use smartphones.
Among adults aged 18-34 years, 92% and 95% reported owing a smartphone in USA and Australia, respectively.[3]
Looking at the literature on the association between texting and neck pain, the answer is really muddled, because the studies that have been done on the topic are flawed.[5][3]. Scientific studies don’t appear in a vacuum; they are part of a growing body of evidence. To simply report on a single study is misleading.
Further trials and longitudinal research is needed to establish association between texting and neck pain and guidelines for use[3].
Symptoms of Text Neck[edit | edit source]
Flexing the head forward to use a smartphone directly affects the spine.
- Tilting the head forward to 15 degrees places about 27 pounds of force on the neck[6].
- This increases to 40 pounds at 30 degrees, 49 pounds at 45 degrees and 60 pounds at 60 degrees[6].
Damage caused by untreated text neck can be similar to occupational overuse syndrome or repetitive stress/strain injury.
The most common presentation of Text Neck is neck pain, stiffness and soreness. The main symptoms include[6]:
- Stiff neck: soreness and difficulty in moving the neck is usually present when trying to move the neck after long usages
- Pain: can be localized to one spot or may be diffused over an area, usually lower part of the neck. Can be described as dull aching or can also be sharp or stabbing in extreme cases
- Radiating pain: there can often be radiation of pain into the shoulders and arms.
- Muscular weakness: shoulders muscles namely, trapezius, rhomboids and shoulder external rotators are often weak
- Headache: sub-occipital muscle tightness can lead to tension type headaches.
In addition to these common symptoms there can also be:
- Flattening of thoracic kyphosis
- Early onset arthritis
- Spinal degeneration
- Disc compression
- Muscle weakness
- Loss of lung capacity
Management[edit | edit source]
Prevention is the key when it comes to Text Neck. The following recommendations from a systematic review[3] of Text Neck should be kept in mind while using smartphones or other hand held devices:
- Avoid excessive usage and take frequent breaks
- Avoid prolonged static postures
- Position the device such that it reduces stresses both on the head/neck and the upper extremities
- Avoid high repetitions of movements such as prolonged typing or swiping
- Avoid holding large or heavy devices in one hand for long duration
Rehabilitation is found to be very effective in treating the stress injury resulting from Text Neck. Rehabilitation can be designed as a 2-4 week program starting with soft tissue mobilization, Grade 1 and 2 joint mobilization, active and passive stretches of tight muscles and progressing to muscle strengthening, posture retraining and home exercise program.[7]
In acute cases, pain relief is the main goal. It can be achieved by:
- Regular neck movements: rotations and side bending
- Restoring function to upper trapezius and serratus[8]
- Chin tuck exercises
- Ice/heat packs
- Massage
In extreme chronic cases pain medication, injection into the facet joint or trigger point or acupuncture can be done.[6]
References[edit | edit source]
- ↑ Priya DB, Subramaniyam M. State of the art survey on effects of extensive usage of smartphone and methods to analyze muscular disorders. InAIP Conference Proceedings 2021 Feb 16 (Vol. 2316, No. 1, p. 030003). AIP Publishing LLC.Available from:https://aip.scitation.org/doi/abs/10.1063/5.0036429 (accessed 22.3.2021)
- ↑ 2.0 2.1 Vate-U-Lan P. Text Neck Epidemic: A growing problem for smart phone users in Thailand. Proceedings of the twelfth international conference of eLearining for knowledge based society; 2015 December 11-12; Thailand
- ↑ 3.0 3.1 3.2 3.3 3.4 Toh SH, Coenen P, Howie EK, Straker LM. The associations of mobile touch screen device use with musculoskeletal symptoms and exposures: a systematic review. PLoS One 2017; 12(8): e0181220. Accessed 18 July 2019.
- ↑ Oberlo. How many people have smartphones in 2022. Available from https://www.oberlo.co.uk/statistics/how-many-people-have-smartphones (accessed 1 July 2022)
- ↑ McGill Text neck Available from: https://www.mcgill.ca/oss/article/technology-general-science/text-neck-epidemic-truly-over ( accessed 21.3.2021)
- ↑ 6.0 6.1 6.2 6.3 Neupane S, Ifthikar Ali UT, Mathew A. Text-Neck Syndrome-Systemic review. Imperial Journal of Interdisciplinary Research. 2017;3(7):141-148. Accessed 18 July 2019.
- ↑ Sharan D, Mohandoss M, Ranganathan R, Jose J. Musculoskeletal disorders of upper extremities due to extensive usage of hand held devices. Annals of Ann Occup Environ Med. 2014; 26(22). Accessed 18 July 2019.
- ↑ Kwon JW, Son SM, Lee NK. Changes in upper-extremity muscle activities due to head position in subjects with a forward head posture and rounded shoulders. J Phys Ther Sci. 2015. 27; 6:1739–1742. Accessed 18 July 2019.