Cervical Parameters and Body Awareness in Relation to Smartphone Addiction
Does Smartphone Addiction Affect Cervical Spine Mobility, Head Posture, Body Awareness, and Pain Pressure Threshold?
1 other identifier
observational
40
1 country
1
Brief Summary
The study was planned as a observational, cross-sectional study
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Sep 2024
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 12, 2024
CompletedStudy Start
First participant enrolled
September 18, 2024
CompletedFirst Posted
Study publicly available on registry
September 19, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 18, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 18, 2024
CompletedNovember 25, 2025
November 1, 2025
2 months
September 12, 2024
November 20, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Assessment of Body Awareness
Body awareness will be assessed using a questionnaire designed to determine normal or abnormal sensitivity levels in body composition. The questionnaire consists of four subgroups: 1) Changes in body processes, 2) Sleep-wake cycle, 3) Prediction of disease onset, and 4) Prediction of body responses, with a total of 18 items. Participants were asked to rate each item using a scale from 1 to 7. It has a minimum score of 18 and a maximum score of 126, with higher scores indicating greater body awareness. The validity and reliability of this questionnaire have been reported to be high.
Day 1
Assessment of head posture
Head posture will be assessed using photographic methods and craniovertebral angle. The craniovertebral angle is calculated as the angle between a horizontal line passing through C7 and a line extending from the tragus of the ear to C7 \[23\]. An angle less than 49 degrees indicates an anterior head position.
Day 1
Assessment of Cervical Pain Pressure Threshold (PPT)
The cervical PPTs will be assessed using a mechanical pressure algometer (Baseline Force Gauge Model 12-0304; Baseline, NY, USA). A force will be applied perpendicularly to a 0.5 cm² area at an approximate rate of 3 N/s. While the patient is seated, pressure is applied at the midpoint of the upper trapezius muscle, and 2 cm lateral to the C2 spinous process bilaterally \[25\]. For each area, two measurements are taken at intervals, and the average of these measurements is calculated to determine the final value.
Day 1
Assessment of general cervical mobility
Cervical mobility will assessed using the CROM (Cervical Range of Motion) deluxe device, developed by the University of Minnesota. The CROM is an inclinometer system that utilizes gravity and magnetic effects \[26\]. It is validated for accuracy and reliability. The device consists of two fixed inclinometers for the sagittal and frontal planes, a horizontal inclinometer with a magnetic needle mounted on the top of the device, a magnetic neck brace, a scale-equipped arm with a ruler mounted on the top, and a vertebra locator arm with a weighing system.
Day 1
Assessment of upper cervical mobility
The CROM device is securely attached to the participant\'s head while they lay supine on a treatment table. The evaluator asks the participant to relax while the neck is brought to its maximum cervical flexion. In the full flexion position, the head and neck are passively rotated as far as possible within the limits of comfortable pain or physiological stiffness. The procedure is repeated twice on each side with a 30-second rest between tests. The sensitivity of the flexion-rotation test was found to be 91%, its specificity 90%, and its overall diagnostic accuracy 91% . The cervical flexion-rotation test is an important tool in identifying movement impairment at the C1/2 segment and can be used accurately and reliably even by inexperienced examiners.
Day 1
Study Arms (2)
Smartphone addiction group
Participants with smartphone addiction
Control Group
Participants without smarthone addiction
Interventions
Head posture was assessed using photographic methods and craniovertebral angle
The cervical PPTs were assessed using a mechanical pressure algometer (Baseline Force Gauge Model 12-0304; Baseline, NY, USA).
Cervical mobility was assessed using the CROM (Cervical Range of Motion) deluxe device.
It will be assessed using the CROM device and the flexion-rotation test.
Body awareness will be assessed using a questionnaire designed to determine normal or abnormal sensitivity levels in body composition.
Eligibility Criteria
The study population consists of smartphone users aged between 18 and 25.
You may qualify if:
- being a smartphone user
- being between the ages of 18 and 25
You may not qualify if:
- neck pain
- radicular pain
- neurological symptoms
- cervical surgery or cervical trauma
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nagihan Acetlead
Study Sites (1)
Atılım University
Ankara, Turkey (Türkiye)
Related Publications (9)
Sarraf F, Varmazyar S. Comparing the effect of the posture of using smartphones on head and neck angles among college students. Ergonomics. 2022 Dec;65(12):1631-1638. doi: 10.1080/00140139.2022.2047229. Epub 2022 May 4.
PMID: 35199629RESULTRuivo RM, Pezarat-Correia P, Carita AI. Cervical and shoulder postural assessment of adolescents between 15 and 17 years old and association with upper quadrant pain. Braz J Phys Ther. 2014 Jul-Aug;18(4):364-71. doi: 10.1590/bjpt-rbf.2014.0027. Epub 2014 Jul 18.
PMID: 25054381RESULTHanten WP, Lucio RM, Russell JL, Brunt D. Assessment of total head excursion and resting head posture. Arch Phys Med Rehabil. 1991 Oct;72(11):877-80. doi: 10.1016/0003-9993(91)90003-2.
PMID: 1929804RESULTBraun BL, Amundson LR. Quantitative assessment of head and shoulder posture. Arch Phys Med Rehabil. 1989 Apr;70(4):322-9.
PMID: 2930348RESULTNiewiadomski C, Bianco RJ, Afquir S, Evin M, Arnoux PJ. Experimental assessment of cervical ranges of motion and compensatory strategies. Chiropr Man Therap. 2019 Jan 22;27:9. doi: 10.1186/s12998-018-0223-x. eCollection 2019.
PMID: 30680090RESULTMehling WE, Gopisetty V, Daubenmier J, Price CJ, Hecht FM, Stewart A. Body awareness: construct and self-report measures. PLoS One. 2009;4(5):e5614. doi: 10.1371/journal.pone.0005614. Epub 2009 May 19.
PMID: 19440300RESULTKaraca, S., Vücut farkındalığı anketinin Türkçe uyarlaması: geçerlik ve güvenirlik çalışması. Yayınlanmamış yüksek lisans tezi, Muğla Sıtkı Koçman Üniversitesi Sağlık Bilimleri Enstitüsü, Muğla, 2017.
RESULTJung SI, Lee NK, Kang KW, Kim K, Lee DY. The effect of smartphone usage time on posture and respiratory function. J Phys Ther Sci. 2016 Jan;28(1):186-9. doi: 10.1589/jpts.28.186. Epub 2016 Jan 30.
PMID: 26957754RESULTAlZarea, B.K. and S.R. Patil, Mobile phone head and neck pain syndrome: proposal of a new entity. Headache, 2015. 251(63): p. 313-317.
RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Asst. Prof.
Study Record Dates
First Submitted
September 12, 2024
First Posted
September 19, 2024
Study Start
September 18, 2024
Primary Completion
November 18, 2024
Study Completion
December 18, 2024
Last Updated
November 25, 2025
Record last verified: 2025-11