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Not yet recruitingNCT07851805Updated Oct 1, 2026

Comparison of Cervical and TMJ Parameters in Young Adults With and Without Text Neck Syndrome

An observational study in Text Neck Syndrome, Temporomandibular Joint Disorders and Postural Balance, sponsored by Borna Farhoomand. Not yet recruiting. Open to participants aged 18 Months to 30 Years. Per ClinicalTrials.gov, last updated 2026-10-01.

Sponsored by Borna Farhoomand · Observational

Updated Oct 1, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
80
Ages
18 Months to 30 Years
Sex
All
01

Study summary

The aim of this cross-sectional study is to compare temporomandibular joint (TMJ) and cervical spine parameters between young university students aged 18-30 years with and without text neck syndrome, a modern overuse condition caused by prolonged digital device use and repetitive forward head flexion. Given the anatomical, biomechanical, and functional connections between the stomatognathic system and the cervical region, prolonged altered posture may contribute to TMJ dysfunction, pain, and altered physical metrics. Participants are categorized into two groups based on photographic and self-reported text neck severity (levels 3-4 for text neck vs. levels 1-2 for non-text neck) and evaluated across multiple physical parameters, including craniovertebral and cervicothoracic angles, active cervical and mandibular range of motion, cervical joint position sense, neck and TMJ pain intensity via Visual Analog Scale, TMJ dysfunction severity using the Turkish-validated Fonseca Questionnaire, static balance via the single-leg stance test, and dynamic balance via the Y Balance Test.

02

Conditions studied

  • Text Neck Syndrome
  • Temporomandibular Joint Disorders
  • Postural Balance
03

In context

Temporomandibular Joint Disorders

609 studies on the registry are indexed under Temporomandibular Joint Disorders; 160 are open to participants now.

This study's planned enrollment of 80 is below the median of 90 across 165 observational studies indexed under Temporomandibular Joint Disorders.

Browse Temporomandibular Joint Disorders studies →

Lead sponsor

Borna Farhoomand is the lead sponsor of 5 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Months to 30 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

The study population consists of young adult university students aged 18 to 30 years recruited from a university campus environment. Participants will be sampled from healthy undergraduate and graduate students who routinely use digital devices (such as smartphones and tablets) in their daily academic and personal activities.

Inclusion criteria

  • University students aged between 18 and 24 years,
  • Group 1: Individuals with level 3 or level 4 text neck posture based on the self-reported posture assessment diagram,
  • Group 2: Individuals with level 1 or level 2 text neck posture based on the self-reported posture assessment diagram,
  • Being physically and mentally eligible to participate in the study,
  • Willingness to voluntarily participate and provide written informed consent prior to study enrollment.

Exclusion criteria

Exclusion Criteria:

  • History of cervical spine surgery,
  • Ongoing orthodontic treatment,
  • Receiving medical treatment related to the neck or jaw region within the last 3 months,
  • Exposure to trauma related to the neck or jaw region within the last 3 months,
  • Presence of a diagnosed psychiatric disorder.
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
80 participants (estimated)
Patient registry
No

Groups and cohorts

  • Text Neck Syndrome Group
  • Non-Text Neck Group
06

What researchers measure

Primary outcomes

  1. Cervical Posture Angles

    Time frame: Baseline (at a single assessment point)

  2. Cervical and Temporomandibular Joint Pain Intensity

    Description: Will be evaluated using a 10-cm Visual Analog Scale (VAS; 0 = no pain, 10 = worst imaginable pain) for neck pain and TMJ pain (at rest, during activity, and while chewing).

    Time frame: Baseline (at a single assessment point).

  3. Cervical Range of Motion (CROM)

    Description: Will be evaluated in degrees for active cervical flexion, extension, bilateral lateral flexion, and bilateral rotation using the CROM (Cervical Range of Motion) device.

    Time frame: Baseline (at a single assessment point).

  4. Mandibular Range of Motion

    Description: Will be measured in millimeters (mm) using a digital caliper and ruler for maximum mouth opening, right/left lateral movements, and protrusion.

    Time frame: Baseline (at a single assessment point).

  5. Text Neck Posture Classification

    Text neck posture will be assessed using both self-reported perception and standardized photographic analysis.

    Time frame: Baseline (at a single assessment point).

Secondary outcomes

  1. Temporomandibular Joint Dysfunction Severity

    Description: Will be evaluated using the Turkish-validated Fonseca Questionnaire (10 items, total score 0-100; higher scores indicate greater TMD severity).

    Time frame: Baseline.

  2. Cervical Joint Position Sense (JPS)

    Description: Will be evaluated in degrees using the CROM device across flexion-extension, lateral flexion, and rotation planes to measure absolute error from a target angle

    Time frame: Baseline

  3. Static Balance

    Description: Will be measured in seconds with eyes open and eyes closed on a firm surface.

    Time frame: Baseline.

  4. Dynamic Balance Assessment using the Y Balance Test

    Time frame: Baseline

07

Study locations

No study locations are listed for this record.

08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 1, 2026
Show all 1 update
  1. Oct 1, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07851805
Lead sponsor
Borna Farhoomand
Responsible party
Borna Farhoomand (MSc, Physiotherapist, Pamukkale University) — Sponsor-investigator
First posted
Oct 1, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Nov 30, 2026 (estimated)
Completion
Dec 28, 2026 (estimated)
Last update
Oct 1, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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