Evidence map›Paper›PMID 40421338›Full record

ArticleCureus2025

Text Neck and Its Association With Cardiac Autonomic Function, Smartphone Addiction, and Psychophysiological Status in Young Adults.

Divyasree Sureshbabu, Rajasegaran Rajalakshmi, Praveen Prakash, Sonit S Vasipalli

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Divyasree SureshbabuPhysiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Rajasegaran RajalakshmiPhysiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Praveen PrakashPhysiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Sonit S VasipalliPhysiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The increasing use of mobile devices has led to a rise in forward head posture (FHP), or "text neck," contributing to health issues. Additionally, nomophobia, or the fear of being without a mobile phone, has emerged as a growing behavioral concern, particularly among younger users. Methods This cross-sectional study aimed to assess FHP and its association with cardiac autonomic function, smartphone addiction, nomophobia, ergonomic risk, and neck disability in 84 participants aged 19-45 years. FHP was evaluated via craniovertebral (CV) angle measurement and cardiac autonomic status through heart rate variability, alongside smartphone addiction and psychological distress. Results Heart rate variability (HRV) analyses revealed a significant inverse relationship between the CV angle and the LF/HF ratio, indicating heightened sympathetic activity with reduced CV angle. Parasympathetic indicators, root mean square of successive differences between adjacent NN intervals (RMSSD) and pNN50, positively correlated with CV angle, suggesting a link between optimal posture and enhanced parasympathetic function. Psychophysiological assessments showed that smartphone addiction moderately correlated with nomophobia. Conclusion Text neck or forward head posture is associated with increased sympathetic and decreased parasympathetic modulation, as evidenced by HRV indices.

Indexed as

forward head postureheart rate variability (hrv)neck disability index (ndi)nomophobiatext neck syndrome

Identifiers

PMID40421338
PMCPMC12104847

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.