Influence of Text Neck Syndrome on Postural Sway and Cervical Proprioception in Adults with and Without Neck Pain

Objective: The objective of the study was to explore the influence of text neck syndrome on postural sway and cervical proprioception in adults with and without neck pain. The study also evaluated the connection between cervical proprioception and postural sway in individuals with and without neck pain under both eyes-open and eyes-closed conditions. Material and Methods: This cross-sectional observational study included 16 participants with neck pain and 16 without neck pain. Subjects’ postural sway was assessed with eyes open and closed for 30 seconds on a solid surface using a Wii board and physio-sensing software. Cervical proprioception was assessed with a laser pointer. Pearson correlation and the independent t-test were used to analyze the data. Results: There were significant differences (p-value<0.05) in ellipse area and mean velocity in both eyes-closed and eyes-open conditions, as well as in cervical proprioception between subjects with and without neck pain. A significantly positive correlation (p-value<0.001) was observed between cervical proprioception error (extension, right and left rotation, and right and left lateral flexion) and postural sway in both eyes-closed and eyes-open conditions in adults with and without neck pain. Conclusion: The findings indicate that there are significant differences in cervical joint position inaccuracy and postural sway between individuals with and without neck pain. Assessing cervical joint position sensation and postural sway in patients with neck pain is important, and clinicians should consider this need. To address these issues, we recommend implementing targeted neck rehabilitation intervention programs to enhance patient outcomes. © 2025 JHSMR.