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Understanding Tech Neck and Its Impact on Postural Health

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS

June 15, 2025

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Question

What is "Tech Neck", and how does it affect postural health?

Answer

Tech Neck, also known as Text Neck Syndrome (TNS), is a postural dysfunction caused by prolonged use of electronic devices such as smartphones, tablets, and computers. It is characterized by forward head posture, rounded shoulders, and excessive thoracic kyphosis. These postural deviations lead to muscle imbalances, increased stress on the cervical spine, and a higher risk of developing musculoskeletal pain and dysfunction. Research shows that excessive screen time—averaging nearly five hours per day for Americans—has significantly contributed to this condition.

Over time, the sustained forward head position places additional strain on the cervical spine, increasing the load from approximately 12 pounds in a neutral position to up to 60 pounds when the head is fully flexed. This excessive load can cause ligament stress, muscle tightness, and joint dysfunction, leading to symptoms such as neck pain, headaches, and even respiratory dysfunction due to altered diaphragm mechanics. Addressing Tech Neck requires a multifaceted approach, including ergonomic adjustments, posture correction exercises, and patient education to promote better habits and reduce strain on the cervical spine.

This Ask the Expert is an edited excerpt from the course, "Strategies for Correcting Postural Dysfunction: Tech Neck," presented by Scott Cheatham, PhD, DPT, OCS, ATC, CSCS.


scott cheatham

Scott Cheatham, PhD, DPT, OCS, ATC, CSCS

Dr. Scott Cheatham is a Professor in the Division of Kinesiology at California State University Dominguez Hills in Carson, California. He is owner of Sports Medicine Alliance (SMA). Dr. Cheatham received his Doctor of Physical Therapy (DPT) and his Doctor of Philosophy (PhD) in Physical Therapy. Dr. Cheatham is a Board Certified Orthopedic Physical Therapist (OCS) and a Certified Athletic Trainer (ATC). He also holds several fitness certifications and is a certified ergonomic specialist. 

Dr. Cheatham is a national presenter for various organizations and has authored over 120 peer-reviewed publications, textbook chapters, and several home study courses on the topics of orthopedics, health & fitness, and sports medicine.

Dr. Cheatham is an education and research consultant for various health and fitness organizations. His research interests include myofascial interventions and the efficacy of interventions for various musculoskeletal pathologies. His current clinical practice includes sports medicine services, general orthopedics, and sports-performance training. 


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Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of general and 1 hour of Direct Access CE credit.

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