Neck discomfort and pronounced neck flexion have been associated with smartphone use. Eye glasses with a 90 deg prism in each lens were investigated as a potential intervention to reduce awkward head and neck postures during activities involving viewing the device. Sixteen smartphone users with neck pain and 9 asymptomatic users performed a texting task on a smartphone with and without the prism glasses, in sitting and standing postures in a laboratory setting. Cervical erector spinae and upper trapezius muscle activity, head posture and motion, performance, discomfort and other subjective perceptions were assessed. Prism glasses reduced neck extensor muscle activity, neck flexion, and head tilt compared to the direct view. In the symptomatic group, the intervention produced less neck and shoulder discomfort compared to the direct view. This intervention could offer an alternative way of interacting with a smartphone while texting in stationary postures, by reducing exposure to pronounced flexed neck and head posture commonly seen in users, and thereby could reduce neck discomfort associated with smartphone use.
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