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

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.

Text neck syndrome, SMS thumb, cervical spine, repetitive strain injury

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