{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:07:31Z","timestamp":1790273251373,"version":"4.1.0"},"reference-count":55,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Tablet use has been steadily increasing, particularly among students. However, the long-term effects of tablet tilt on neck pain remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study examined tablet tilt angles and factors associated with neck pain (Numeric Pain Rating Scale; NRS\u2009\u2265\u20094) among university students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted among undergraduate students using a self-administered questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 328 responses were collected from 17 universities, with 95% being complete. Participants were predominantly female, aged 21 (20,22) years old. The prevalence of tablet-related neck pain (NRS\u2009\u2265\u20094) was 42.17%. Fourth-year students had lower risk (aOR = 0.30, 95% CI: 0.14\u20130.66), whereas 10\u00b0 and 60\u00b0 tablet tilt angles increased the risk (aOR = 3.93, 95% CI: 1.83\u20138.46; aOR = 2.94, 95% CI: 1.15\u20137.51) with moderate predictive ability (AUC\u2009=\u20090.69, 95% CI: 0.63\u20130.75).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Tablet tilt angles of 10\u00b0 and 60\u00b0 were associated with increased neck pain. Proper tablet positioning and posture are essential to reduce musculoskeletal strain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0358968","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:26:33Z","timestamp":1790270793000},"page":"e0358968","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinically significant neck pain and tablet tilt angles in real-world educational settings: A nationwide cross-sectional study of university students"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1533-3399","authenticated-orcid":true,"given":"Saikaew","family":"Chuachan","sequence":"first","affiliation":[{"name":"Prince of Songkla University","place":["Songkhla, Thailand"],"department":["Department of Physical Therapy, Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jetsadakorn","family":"Thawornrattanachot","sequence":"additional","affiliation":[{"name":"Prince of Songkla University","place":["Songkhla, Thailand"],"department":["Department of Physical Therapy, Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakrapan","family":"Sen","sequence":"additional","affiliation":[{"name":"Prince of Songkla University","place":["Songkhla, Thailand"],"department":["Department of Physical Therapy, Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaworn","family":"Chanpen","sequence":"additional","affiliation":[{"name":"Prince of Songkla University","place":["Songkhla, Thailand"],"department":["Department of Physical Therapy, Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4599-4390","authenticated-orcid":true,"given":"Narumon","family":"Roynarin","sequence":"additional","affiliation":[{"name":"Prince of Songkla University","place":["Songkhla, Thailand"],"department":["Department of Physical Therapy, Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7660-8555","authenticated-orcid":true,"given":"Nimit","family":"Kosura","sequence":"additional","affiliation":[{"name":"Prince of Songkla University","place":["Songkhla, Thailand"],"department":["Department of Physical Therapy, Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"issue":"7","key":"pone.0358968.ref001","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1136\/annrheumdis-2013-204431","article-title":"The global burden of neck pain: estimates from the global burden of disease 2010 study","volume":"73","author":"D Hoy","year":"2014","journal-title":"Ann Rheum Dis"},{"key":"pone.0358968.ref002","doi-asserted-by":"crossref","unstructured":"Safiri S, Kolahi A-A, Hoy D, Buchbinder R, Mansournia MA, Bettampadi D, et al. 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