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RecruitingNCT07879313CFME/ CVA/ UCSUpdated Oct 16, 2026

The Association Between Smartphone Overuse and Mechanical Neck Pain Among Galala University Students

An observational study in Mechanical Neck Pain, Forward Head Posture (FHP), Upper Cross Syndrome (UCS), sponsored by Cairo University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 25 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Cairo University · Observational

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Updated Oct 16, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
36
Ages
18 Years to 25 Years
Sex
All
01

Study summary

This study explores the relationship between smartphone overuse and mechanical neck pain among university students offers key value for health promotion in academic settings by developing targeted strategies and preventive measures to reduce neck pain. It equips healthcare professionals and educators with evidence-based recommendations.

Read the detailed description

This study to investigate the association between smartphone overuse and mechanical neck pain severity among Galala University students aged 18-24 years. In addition, exploring the factors linked to smartphone usage and neck pain, and how these factors affect neck pain intensity.

Thirty-six participants aged 18-25 years diagnosed with mechanical neck pain caused by daily smartphone overuse will be recruited. Their neck pain intensity will be evaluated using 11-point Numerical Rating Scale (NRS-11). Smartphone addiction risk will be assessed using Smartphone Application-based Addiction Scale (SABAS). An in-person clinical testing will be performed to evaluate the participants' cervical muscles endurance using Cervical Flexor Muscle Endurance (CFME) Test.

Phase 1 of the study will be a digital screening survey, and Phase 2 will be an in-person physical evaluation of cervical muscular endurance.

02

Conditions studied

  • Mechanical Neck Pain, Forward Head Posture (FHP), Upper Cross Syndrome (UCS)

Keywords

  • Mechanical Neck Pain, Smartphone Overuse, Neck Pain Intensity, Smartphone Addiction, Cervical Muscles Endurance
03

In context

Oculocerebral hypopigmentation syndrome type Preus

37 studies on the registry are indexed under Oculocerebral hypopigmentation syndrome type Preus; 20 are open to participants now.

Browse Oculocerebral hypopigmentation syndrome type Preus studies →

Lead sponsor

Cairo University is the lead sponsor of 4,907 studies on the registry; 1,445 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

A sample size of 36 participants will be established based on a prior power analysis using G*Power software for a Pearson correlation test (effect size = 0.43, á= 0.05, power = 0.80). Thus, 36 male and female students between the ages of 18 and 25 will be selected from Galala University as a convenience sample.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Undergraduate students, who have mechanical neck pain for at least three months and actively used smartphones every day and will be able to safely assume a supine position without severe discomfort.

Exclusion criteria

Exclusion Criteria:

Undergraduate students with a history of cervical spine surgery, severe neck or shoulder trauma, diagnosed neurological disorders, or any musculoskeletal or cardiorespiratory disease requiring hospital admission in the past year will be excluded to ensure data validity (Elvan et al., 2024). Additionally, students who will be actively using drugs that are known to alter posture or musculoskeletal discomfort (such as sedatives or analgesic medicines) or who will having an acute episode of neck pain on the day of the evaluation will be excluded.

05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
36 participants (estimated)
Patient registry
No

Groups and cohorts

  • 36 male and female students between the ages of 18 and 25 will be selected from Galala University.

    A sample size of 36 participants established based on a prior power analysis using G\*Power software for a Pearson correlation test (effect size = 0.43, α= 0.05, power = 0.80). Thus, 36 male and female students between the ages of 18 and 25 will be selected from Galala University. Inclusion Criteria: undergraduate students with mechanical neck pain for at least three months and actively used smartphones every day and will be able to safely assume a supine position without severe discomfort. Exclusion Criteria: Students with a history of cervical spine surgery, severe neck or shoulder trauma, diagnosed neurological disorders, or any musculoskeletal or cardiorespiratory disease requiring hospital admission in the past year will be excluded to ensure data validity (Elvan et al., 2024). Additionally, students who will be actively using drugs that are known to alter posture or musculoskeletal discomfort (such as sedatives or analgesic medicines).

06

What researchers measure

Primary outcomes

  1. Evaluation of Neck Pain Intensity

    The Arabic version of the 11-point Numerical Rating Scale (NRS-11) will be used to gauge the degree of neck pain. The range of the scale is 0 ("No pain") to 10 ("Very much pain"). In Arabic-speaking populations, the translated Arabic NRS-11 has shown a high test-retest reliability of 0.86 and significant construct validity (Finianos et al., 2022).

    Time frame: Three weeks

Secondary outcomes

  1. Assessment of Smartphone Addiction Risk

    The Arabic version of the Smartphone Application-Based Addiction Scale (SABAS) will be used to assess the risk of smartphone addiction. Using a 6-point Likert scale (from 1 = strongly disagree to 6 = strongly agree), this short, 6-item test evaluates the fundamental characteristics of addiction. The total score ranges from 6 to 36. Particularly among university students who know Arabic, this Arabic adaption demonstrates acceptable internal consistency and convergent validity (Vally \& Alowais, 2022).

    Time frame: Three weeks

  2. Cervical Flexor Muscle Endurance (CFME)

    The individual will be placed in a supine, crook-lying position to test their deep cervical flexor endurance. The participants will be told to raise their heads about 2.5 cm off the plinth while doing a craniocervical flexion, sometimes known as a chin tuck. The test will be timed in seconds and ended if the participant's head touched the examiner's hand for more than a second or if the chin's skin folds split (Elvan et al., 2024). The established normative baseline values for healthy young adults using this protocol are 39 seconds for males and 29 seconds for females (Domenech et al., 2011).

    Time frame: Three weeks

07

Study locations

1 of 1 sites recruiting
  • Galala University
    Cairo, 11775, Egypt
    • Shreen Ahmed Lashien, Ph.D. · Contact · lasheensh2020@gmail.com · 01090913270
    • Shreen Ahmed Lashien, Ph.D. · Principal investigator
    Recruiting
08

References and documents

Publications

  • Elvan A, Cevik S, Vatansever K, Erak I. The association between mobile phone usage duration, neck muscle endurance, and neck pain among university students. Sci Rep. 2024 Aug 29;14(1):20116. doi: 10.1038/s41598-024-71153-4. PubMed 39209955 ↗
  • Finianos J, Sanchez-Rodriguez E, Ferrando PJ, Miro J. Translation, adaptation and psychometric properties of the Arabic version of the numerical rating scale when used with children and adolescents. Curr Med Res Opin. 2022 Jun;38(6):963-969. doi: 10.1080/03007995.2022.2042973. Epub 2022 Mar 17. PubMed 35166145 ↗

Study documents

  • Protocol and statistical analysis plan · Jun 7, 2026

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — According to the ethics requirements prior to participation, each subject will be given a digital consent after being informed of the study's objectives. A written informed consent form will be signed by each participant before any assessment will be taken place. All data will be collected and will be stored confidentially, with participant identities will be replaced by coded identifiers in the dataset.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2026 (actual). Primary completion is estimated for Nov 2026, 5 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 10, 2026
First posted
Oct 16, 2026
StartActual
Jun 8, 2026
Primary completionEst.
Nov 20, 2026
CompletionEst.
Nov 30, 2026
Last update
Oct 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 16, 2026
Show all 1 update
  1. Oct 16, 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 ↗

10

Registry details

Key details

Study ID
NCT07879313
Lead sponsor
Cairo University
Responsible party
Shreen Lashien (Lecturer of Orthopedic Physical Therapy, Galala University) — Principal investigator
First posted
Oct 16, 2026
Start date
Jun 8, 2026
Primary completion
Nov 20, 2026 (estimated)
Completion
Nov 30, 2026 (estimated)
Last update
Oct 16, 2026

Oversight

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

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