Revolutionizing “Text Neck Syndrome” Management: Paradigm Shifting from “Posture Correction” to “Posture Change”

Abstract

Purpose: The pervasive use of mobile devices has precipitated an increase in musculoskeletal disorders, notably “text neck
syndrome” (TNS), characterized by neck pain, stiffness, and dysfunction due to prolonged forward head posture. Traditional
management strategies have focused on static posture correction exercises, but recent research advocates for a paradigm
shift towards a dynamic and holistic approach, emphasizing joint-specific mobility and stability. This technical note critiques
the limitations of conventional posture correction and explores the scientific basis for the joint-by-joint approach (JBJA)
training program, which prioritizes mobility restoration to promote sustainable posture change.
Conclusions: The JBJA model highlighted the necessity of addressing the entire kinetic chain, particularly the thoracic spine
and shoulder girdle, to alleviate cervical spine strain. Evidence from recent studies supports the efficacy of this approach
in reducing TNS symptoms and improving overall posture. Implementing posture change into TNS management involves
education, technology-assisted reminders, environmental modifications, and movement-based interventions. This shift not
only addresses the biomechanical imbalances that contribute to TNS but also empowers patients to actively manage their
condition, fostering long-term well-being.