Text Neck Syndrome and SMS Thumb: A Comprehensive Physiotherapy Perspective Evidence-Based Assessment, Management, and Prevention Strategies

Abstract

Background: The widespread adoption of smartphones has introduced a new spectrum of musculoskeletal disorders among users of all age groups. Text neck syndrome — defined as sustained anterior cervical flexion posture during device use — and SMS thumb, a repetitive strain injury affecting the thumb and wrist, have emerged as clinically significant conditions requiring structured physiotherapy intervention.
Objective: This article synthesises current physiotherapy evidence relating to the biomechanics, clinical presentation, assessment, treatment, and prevention of text neck and SMS thumb, with practical guidance for clinicians and patients alike.