Reliability of two pragmatic tools for assessing text neck

Damasceno, Gerson Moreira; Ferreira, Arthur de Sá; Nogueira, Leandro Alberto Calazans; Reis, Felipe José Jandre dos; Lara, Rodrigo Wagner; Meziat‐Filho, Ney

doi:10.1016/j.jbmt.2018.01.007

Cited by 5 publications

(5 citation statements)

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“…The term text neck has arisen, being defined as the ''detrimental'' posture of cervical flexion adopted while using smartphones. [8][9][10][11] Nevertheless, a cross-sectional study of Damasceno et al 10 did not find an association of text neck with NP or frequency of NP. However, there were some limitations, such as a subjective photographic assessment of smartphone posture, a small sample (n ¼ 150) of participants, and restricted age range (18-to 21 years' old).…”

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confidence: 93%

“…However, there were some limitations, such as a subjective photographic assessment of smartphone posture, a small sample (n ¼ 150) of participants, and restricted age range (18-to 21 years' old). 11 Gustafsson et al 12 reported no association between smartphone use duration and new episodes of NP in a longitudinal study; moreover, the authors did not evaluate the posture adopted during the smartphone use. Therefore, we sought to investigate the association of text neck by the cervical flexion angle during smartphone use with NP in a larger number of individuals with a broader age range.…”

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confidence: 99%

“…In 2017, Cuéllar et al 8 claimed that text neck was an epidemic of the modern era of cell phones. The term text neck has arisen, being defined as the “detrimental” posture of cervical flexion adopted while using smartphones 8–11 …”

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confidence: 99%

“…Nevertheless, a cross-sectional study of Damasceno et al 10 did not find an association of text neck with NP or frequency of NP. However, there were some limitations, such as a subjective photographic assessment of smartphone posture, a small sample (n = 150) of participants, and restricted age range (18- to 21 years’ old) 11 . Gustafsson et al 12 reported no association between smartphone use duration and new episodes of NP in a longitudinal study; moreover, the authors did not evaluate the posture adopted during the smartphone use.…”

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Association Between Text Neck and Neck Pain in Adults

Correia

Ferreira

Fernandez

et al. 2020

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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] ¼ 1.00; 95% confidence interval [CI]: 0.98-1.02; P ¼ 0.66), NP frequency (OR ¼ 1.01; 95% CI: 1.00-1.03; P ¼ 0.056), or maximum NP intensity (beta coefficient ¼ À5.195 Â 10 À5 ; 95% CI: À0.02 to 0.02; P ¼ 0.99). Also, the cervical flexion angle of the sitting participant using the smartphone did not associate with NP (OR ¼ 0.99; 95% CI: 0.98-1.01; P ¼ 0.93), NP frequency (OR ¼ 1.01; 95% CI: 0.99-1 . 0 2 ; P ¼ 0 . 1 3 ) , o r m a x i m u m N P i n t e n s i t y ( b e t a coefficient ¼ 0.002; 95% CI: À0.002 to 0.02; P ¼ 0.71). Conclusion. Text neck was not associated with prevalence of NP, NP frequency, or maximum NP intensity in adults.

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Association Between Text Neck and Neck Pain in Adults

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Ferreira

Fernandez

et al. 2020

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“…There is a hypothesis that the growing use of mobile phones in an inappropriate posture to text and read (text neck) could be a reason for the increasing prevalence of neck pain in the past decade. Before testing if there is an association between text neck and neck pain, it is necessary to develop reliable pragmatic tools appropriate to epidemiological studies [7] .…”

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Reliability and validity of text neck questionnaire for assessing neck pain and its associated symptoms due to smartphone use in college going students

Agrawal,

Shirsath,

Pathak

et al. 2024

Int. J. Appl. Res.

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Background: These days, text neck syndrome is an alarming problem as more people engage in technology. There are some tools available in the literature which are used for assessing text neck but the reliability and validity of these tools is still questionable. Moreover, the association of neck disability with various behaviors during the use of smartphones is still unclear in the literature. Therefore, this study aims to find out the reliability and validity of TNQ as a screening tool for assessing text neck and its associated factors due to smartphone use in college going students. Purpose: To examine the Reliability and Validity of Text Neck Questionnaire for assessing text neck and its associated factors due to smartphone use in college going students. Methodology: Text Neck Questionnaire was developed and Validity was assessed with content validity, analyzed by content validity index (CVI). A total of 111 participants were included in this study according to the inclusion criteria. Scale evaluation was done by assessing internal consistency reliability, inter-rater reliability, concurrent validity and construct validity. Result:The result of this study demonstrated that the TNQ has good internal consistency (Cronbach's Alpha: 0.814) and good inter-rater (ICC 0.814) reliability as quantified by ICC when used to assess Text Neck due to smartphone use in college going students. The final CVI calculated from the ratings was found to be 1. In the present study, it was also observed that the TNQ scale is moderately correlated with NPAD (Spearman rho = 0.648). Construct validity was estimated using Pearson's correlation coefficient which was found to be 0.603. Conclusion:The TNQ is a reliable and valid tool for the screening of text neck among smartphone users. It is comprehensive, culturally appropriate and user-friendly instrument for use in clinical settings as well as research purposes.

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