Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 4 Issue 10

Association of Neck Disability and Upper Extremity Musculoskeletal Discomfort in Text Neck Syndrome among Adults

Bhavna Anand1*, Sara Nishat1, Natasha Khanna2, Shubhi Kulshrestha1 and Sukriti Raj1

1Amity Institute of Physiotherapy, Amity University Noida, UP, India
2Aarogya Physiotherapy and Rehabilitation, Sarita Vihar, New Delhi, India

*Corresponding Author: Bhavna Anand, Amity Institute of Physiotherapy, Amity University Noida, UP, India.

Received: September 01, 2021; Published: September 23, 2021


Background: Text neck syndrome is a terminology used to describe a repetitive stress injury which occurs when individuals keep their head and neck flexed downwards. This syndrome is known to occur during activities like texting, typing when the neck is bent for extended periods and leads to excessive amount of pain. The aim is to check the association of neck disability and upper extremity musculoskeletal discomfort in text neck syndrome among adults age group 18 - 45 years using smartphones and other electronic devices more than 5 hours a day for more than a year.

Methods: 113 participants took part in survey out of which 22 were excluded as they didn’t fulfil the criteria of inclusion. Data was collected from 91 participants and two standard questionnaires - Neck Disability Index and Upper Extremity Functional Index- 15 were used for data collection. Data was interpreted using Microsoft excel and correlation was found using Pearson coefficient.

Results: There was slightly positive association between neck disability and upper extremity discomfort and out of 91 participants, 80 had some characteristic of neck disability. The present study shows prevalence of neck disability due to text neck syndrome to be around 28.17% in the 18 - 45 age group by using NDI scale. Most affected age group was 21 years.

Conclusion: The study shows weak positive association between neck disability and upper extremity musculoskeletal discomfort in text neck among adults with r value (0.343).

Keywords: Association; Text Neck Syndrome; Upper Extremity Discomfort; Neck Pain; Neck Disability


  1. Neupane S., et al. “Text Neck Syndrome - Systematic Review”. Imperial Journal of Interdisciplinary Research (2017): 141-148.
  2. Nizar Abdul Majeed Kutty. “Text neck: a global epidemic of the modern era”. MOJ Yoga and Physical Therapy (2019): 14-16.
  3. M Vijayakumar., et al. “Assessment of Co- Morbid Factors associated with Text neck syndrome among Mobile Phone users”. International Journal of Scientific Research in Science and Technology (2018): 38-46.
  4. Berolo S., et al. “Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: A preliminary study in a Canadian university population”. Applied Ergonomics (2011): 371-378.
  5. Kietrys DM., et al. “Mobile input device type, texting style and screen size influence upper extremity and trapezius muscle activity, and cervical posture while texting”. Applied Ergonomics (2015): 98-104.
  6. Balakrishnan R., et al. “An extensive usage of hand held devices will lead to musculoskeletal disorder of upper extremity among student in AMU: A survey method”. International Journal of Physical Education, Sports and Health 3 (2016): 368-372.
  7. Lee S., et al. “Head flexion angle while using a smartphone”. Ergonomics (2015): 220-226.
  8. AlAbdulwahab Sami S., et al. “Smartphone use addiction can cause neck disability”. Musculoskeletal Care1 (2017): 10-12.
  9. David DeWitt. “Text Neck Syndrome and Diagnosis” (2018).
  10. Gustafsson E. “Ergonomic recommendations when texting on mobile phones”. Work1 (2012): 5705-5706.
  11. Shah PP., et al. “Correlation of smartphone use addiction with text neck syndrome and SMS thumb in physiotherapy students”. International Journal of Community Medicine and Public Health (2018).
  12. Ning X., et al. “Neck kinematics and muscle activity during mobile device operations”. International Journal of Industrial Ergonomics (2015): 10-15.
  13. Bhattacharya S. “Texting neck” or “iNeck pain” syndrome – An emerging public health threat: In the era of NEW NORMAL”. Journal of Primary Care Specialists (2021): 1-3.
  14. Sathya P., et al. “Prevalence of Text Neck Syndrome in young-adult population”. Ijmaes 2 (2020): 749-759.
  15. Association between the usage of Smartphone as the risk factor for the prevalence of upper extremity and neck symptoms among University students: A cross - sectional survey based study”. Research Journal of Pharmacy and Technology (2017): 1184-1190.
  16. Damasceno GM., et al. “Text neck and neck pain in 18-21-year-old young adults”. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2018): 1249-1254.


Citation: Bhavna Anand., et al. “Association of Neck Disability and Upper Extremity Musculoskeletal Discomfort in Text Neck Syndrome among Adults".Acta Scientific Orthopaedics 4.10 (2021): 82-86.


Copyright: © 2021 Bhavna Anand., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate33%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US