{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T05:04:55Z","timestamp":1785301495951,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Eur J Dental Education"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Musculoskeletal disorders may begin during dental training and adversely affect clinical performance and long\u2010term professional health. This study compared neck\u2010related disability and cervical posture in dental and engineering undergraduates and evaluated whether a brief exercise programme supported by digital reminders could improve these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this quasi\u2010experimental study with a pilot intervention component, 208 third\u2010year undergraduates (104 dental and 104 engineering students) underwent baseline assessment of the Neck Disability Index (NDI), craniovertebral angle (CVA), and musculoskeletal discomfort. Forty\u2010six participants with neck\u2010related disability completed a standardised 5\u2010min neck exercise programme three times daily for 4\u2009weeks, reinforced by smartphone reminder notifications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline NDI scores were similar between groups (6.73\u2009\u00b1\u20093.41 vs. 6.65\u2009\u00b1\u20094.62;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.89). Engineering students demonstrated greater forward head posture, reflected by significantly lower CVA values than dental students (49.40\u00b0\u2009\u00b1\u20098.62\u00b0 vs. 52.73\u00b0\u2009\u00b1\u20094.29\u00b0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Following the intervention, NDI improved significantly in both groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas CVA improved significantly only among engineering students (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this pilot evaluation, a brief, low\u2010cost exercise programme with digital reminders improved neck\u2010related disability over 4\u2009weeks, although postural (CVA) change was limited and group differences in age and gender warrant cautious interpretation. Larger controlled trials with longer follow\u2010up are needed before routine integration into dental curricula can be recommended.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Clinical Trials Registry of India (CTRI\/2025\/11\/097114)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eje.70255","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:57:43Z","timestamp":1785301063000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Text Neck in Dental Students: Prevalence, Ergonomic Correlates and Response to a Brief Exercise Programme"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5945-9412","authenticated-orcid":false,"given":"Divya","family":"Puvvada","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Vishnu Dental College  Bhimavaram Andhra Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6055-2557","authenticated-orcid":false,"given":"Yaswanth Nath","family":"Yalavarthi","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Vishnu Dental College  Bhimavaram Andhra Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2846-773X","authenticated-orcid":false,"given":"Ramesh","family":"Manumanthu","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Vishnu Dental College  Bhimavaram Andhra Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6613-3779","authenticated-orcid":false,"given":"Sravani","family":"Pampana","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Vishnu Dental College  Bhimavaram Andhra Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4524-8092","authenticated-orcid":false,"given":"Naga Lakshmi","family":"Ponamandi","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Vishnu Dental College  Bhimavaram Andhra Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6347-5781","authenticated-orcid":false,"given":"Shivaji Raju","family":"Uddarraju","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Vishnu Dental College  Bhimavaram Andhra Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3577-2457","authenticated-orcid":false,"given":"Manohar","family":"Bolisetty","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Vishnu Dental College  Bhimavaram Andhra Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.101118"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actpsy.2025.105374"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.63446"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.5644\/ama2006\u2010124.380"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.83025"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178\u2010019\u201009594\u2010y"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11192604"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR\u2010230678"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_977_24"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e22179"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.37.171"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.70252\/GDNN4363"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina61060955"},{"issue":"3","key":"e_1_2_14_15_1","first-page":"211","article-title":"The Association Between Neck Pain, the Neck Disability Index and Cervical Ranges of Motion: A Narrative Review","volume":"55","author":"Howell E. R.","year":"2011","journal-title":"Journal of the Canadian Chiropractic Association"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11162286"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010017\u20105444\u20105"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.28.2929"},{"issue":"7","key":"e_1_2_14_19_1","first-page":"409","article-title":"The Neck Disability Index: A Study of Reliability and Validity","volume":"14","author":"Vernon H.","year":"1991","journal-title":"Journal of Manipulative and Physiological Therapeutics"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13121388"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.124904.2"}],"container-title":["European Journal of Dental Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eje.70255","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/eje.70255","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eje.70255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:57:44Z","timestamp":1785301064000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/eje.70255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":20,"alternative-id":["10.1111\/eje.70255"],"URL":"https:\/\/doi.org\/10.1111\/eje.70255","archive":["Portico"],"relation":{},"ISSN":["1396-5883","1600-0579"],"issn-type":[{"value":"1396-5883","type":"print"},{"value":"1600-0579","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"2026-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"eje.70255"}}