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  • Kristen Wong

The Text Neck Epidemic

Symptoms

In Cantonese, there exists the colloquial term of ‘低頭族’, meaning ‘clan of lowered heads’. These are people born into a society with a proliferating usage of mobile phones, and who spend the majority of their time looking down at one - this can’t be healthy, right?


The ‘text neck’ describes the posture caused by an extended period of leaning forward while looking at a mobile device or laptop, resulting in repetitive stress injury.


When one looks down at their phone, their head typically bends forward by 45 degrees, increasing the weight of their head by over 20 kgThis resulting strain holds negative implications for one such person’s physiological health.


Symptoms

  • Stiffness in shoulders and resulting hindrance of motion

  • Pain in neck and shoulders

  • Weakness of shoulder muscles

  • Eye pain

  • Nerve pain


Causes

This pose is attributed to the use of mobile phones. Technological devices such as phones and tablets possess a feature exclusive to themselves - the need for a much steeper neck angle when viewing on a flat surface, and the use of two hands for texting which further brings the shoulders closer together.


Henceforth, a vicious cycle ensues, as muscles decondition due to bad posture, naturally losing their strength, and the forward head posture progressively worsens.


Growing use of mobile phones

Over 90% of people aged ten or above in Hong Kong own and use a mobile phone - this is around 5 million of the population. Globally, mobile phone users exceed 5 billion - and the number of unique mobile phone users is growing at a rate of 2.3% every year. As such, more and more people are falling victim to the text neck.


Implications and consequences

The risk of text neck is not just an old wives’ tale, the paranoid nagging of a worried parent. Such a posture has been shown to prompt a variety of medical conditions, including:

  • Early-onset arthritis, or inflammation of joints, preempting immobility

  • Kyphosis - rounding of the back

  • Spinal degeneration, triggering pain and weakness, among many other physiological disadvantages

  • Disc compression, leading to severe back pain

  • Muscle weakness

  • Loss of lung capacity, limiting one’s ability in physical exertion and obstructing one’s daily life due to breathing difficulties


Prevention and Mitigation

It is therefore crucial to improve posture in order to prevent the onset of a forward head posture.

  • Optimize the workplace environment, so one is naturally inclined to sit straight rather than hunched. This can be achieved by raising the screen monitor so that the center is slightly lower than eye level, positioning the keyboard at a level so that the arms are parallel to the floor, and procuring a chair that supports the back etc.

  • Adjust sleeping environment - for example, by using a cervical pillow

  • Move and stretch the neck to shoulder region and shift positions intermittently

  • Do exercises designed to improve the posture - chin tuck, scapular retraction, pectoralis stretch etc.

  • Limiting mobile phone use


Conclusion

We are a generation of ‘screenagers’, born into a lifetime’s use of technology, such as mobile phones and computers. However, while irreplaceably entertaining and convenient, technology has inadvertently created physiological problems for us in our daily lives. Instead of eschewing technology, we can instead adapt our use of it into a healthier lifestyle.

 

Sources:

 

Writer: Kristen Wong

Editor: Isaac Chow

Artist: Holly Liu


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