No Detail Found!

Effectiveness of a Structured Program on Awareness Regarding Neck Disability Prevention and Corrective Exercises in Individuals with Text Neck Syndrome: A Quasi-Experimental Study

Author(s)
Yaseen Mohammed Mussa Adult Nursing Department, College of Nursing, University of Kirkuk, Iraq
Rajaa Ibrahim Abed Adult Nursing Department, College of Nursing, University of Baghdad, Iraq
Abstract
Objectives: This study aimed to assess the effectiveness of an instructional program in enhancing individuals' awareness regarding the prevention of neck disability and corrective exercises for Text Neck Syndrome (TNS). It also sought to explore the relationship between participants' awareness and their demographic characteristics. Methods: A quasi-experimental design was employed using non-probability purposive sampling at the Kirkuk Center for Rehabilitation. A total of 40 participants with a Neck Disability Index (NDI) score of 5 or higher (=10%) were included and assigned to study and control groups. Individuals with a history of neck surgery were excluded. Both groups completed pre- and post-tests. The study group received a structured instructional program over four weeks, consisting of weekly 45-60 minute sessions covering TNS anatomy, prevention strategies and corrective exercises, supported by visual materials. Data collection involved a validated and reliable questionnaire (test-retest reliability = 0.80) and analysis was conducted using SPSS version 26.0. Results: No significant differences were found in baseline demographic characteristics between the groups. In the study group, awareness of preventive measures increased significantly from 55% low to 95% good and awareness of corrective exercises improved from 95% poor to 100% good in the post-test. Effect sizes were large (~0.88) for both outcomes, indicating strong intervention impact. In contrast, the control group showed minimal improvement with smaller effect sizes (0.497 for prevention and 0.316 for corrective exercises). A statistically significant association was observed between occupational status and awareness (p = 0.013), while other demographic factors showed no significant relationships (p>0.05). Conclusions: The structured instructional program led to significant improvements in awareness in the intervention group, with effect sizes indicating a strong impact, while the control group exhibited minimal changes.
Publication Details
Page(s) 144-153
Published Journal: Journal of Pioneering Medical Sciences, Volume: 14, Issue: 7, Year: 2025

Request the full text from PASTIC

Keywords
Awareness, prevention, Text Neck Syndrome, Correction Exercises
References
Fares .2017 .Musculoskeletal neck pain in children and adolescents: risk factors and complications. , 8 : .
Sami S . .Smartphone use addiction can cause neck disability. ” Musculoskeletal Care, 15(2017) : 10-12.
Vos .2015 .A systematic analysis for the Global Burden of Disease Study 2013.” The Lancet. , 736(15) : 60692-4.
Shah Priyal P.,Megha S.,Sheth S.,June S. .2018 .Correlation of smartphone use addiction with text neck syndrome and SMS thumb in physiotherapy students. International Journal of Community Medicine and Public Health, 5(6) : .
Kaur ,July .2025 .Awareness and Prevalence of Text Neck Syndrome in smart device users. ” Journal of Emerging Technologies and Innovative Research, 12(7) : JETIR2105750.
Kutty N.A.M. “ . .Text neck: A global epidemic of the modern era. ” MOJ Yoga & Physical Therapy, 4(2019) : 14-16.
Lee ,April 2013 . .Smart pose: mobile posture-aware system for lowering physical health risk of smartphone users. ” CHI'13 Extended Abstracts on Human Factors in Computing Systems, 1 : 2257-2266.
Abdali Yousef,Ali Yousef .2020 .Text neck syndrome prevalence and knowledge among the Saudi population in Jazan, Kingdom of Saudi Arabia: A cross-sectional study. International Journal of Developmental Research, 207 : 1601384962-58.
Akshaya R. .2019 .? direct=true&profile=ehost&scope=site&authtype=crawler&jr nl=09757619&AN=138949594&h=tmd0GRkRBzJH%2FST H8PZ%2FS2O7%2FwmJyCAM9tMTfRSRZJ442H1b2AXr X7vlMY0hq7U%2F5Ns8ZnML%2BAgMKxXcXBLE7g%3 D%3D&crl=c.. ” Drug Invention Today, 12(9) : .
AL-Shammary ,AL-Fayyadh Sadeq. “ . .The effectiveness of non-pharmacological interventions on reducing intramuscular injection-related pain in adult's patients: A randomized control trial. ” Iraqi National Journal of Nursing Specialties, 37(1) : 36-49.
Al-Fahham . .Effectiveness of foot massage and range of motion exercise on diabetic patients' peripheral neuropathy: A randomized controlled trial. ” Iraqi National Journal of Nursing Specialties, 37(1) : 50-64.
Rashid Muayad,Kadhim Muayad .2022 .Prevalence of text neck syndrome among Iraqi medical students: a cross-sectional study. ” Journal of Ideas in Health, 5(1) : 693-699.
AL-Mussawi ,Baqer M. S. N. .2024 .?direct=true&profile=ehost&scope =site&authtype=crawler&jrnl=17274915&AN=184937423& h=mj2FTM2C56w8A5iBRnDviHnEY6SdwI3BA9cB8a%2Fi MsuH59mAjmVdJlRiPpIsuO7MbdAgtDJzmzxfq5yNZcJTQ A%3D%3D&crl=c.. Pakistan Journal of Life & Social Sciences, 22(1) : .
Andersen ,Christoffer H ,January .2011 .Protocol for shoulder function training reducing musculoskeletal pain in shoulder and neck: a randomized controlled trial. ” BMC Musculoskeletal Disorders, 12(1) : 1471.
Petit ,November 2017 . .Risk factors for episodic neck pain in workers: a 5-year prospective study of a general working population. International Archives of Occupational and Environmental Health, 91(3) : 7-1272.
Samani Pankti P.,July Pankti P. .2018 .Awareness of text neck syndrome in young-adult population. International Journal of Community Medicine and Public Health, 5(8) : .
Rathi .2022 .Awareness of text neck syndrome in young-adAwareness about text neck syndrome amongst adolescentsult population. ” Physiotherapy-The Journal of Indian Association of Physiotherapists, 16(2) : 72-76.
Pinto . .A Study to assess the effectiveness of Structured teaching programme on knowledge regarding Text Neck Syndrome among young adults. Asian Journal of Nursing Education and Research, 11(2021) : 311-316.
Majeed ,Haider M. . .Evaluation of nurses' knowledge and attitudes toward pain management at Baghdad Teaching Hospitals. Indian journal of Forensic Medicine & Toxicology, 14(2) : 1575-1579.
Heydari ,April .2022 .Establishing minimal clinically important difference for effectiveness of corrective exercises on craniovertebral and shoulder angles among students with forward head posture: a clinical trial study. ” BMC Pediatrics, 22(1) : .
Fares .2017 .Surgical neurology international. , 8 : .
0

Citations

0

Downloads

72

Views