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Home › Pediatrics CE Courses › Pediatrics 215: Pediatric Text Neck
At a Glance
| Course: | Pediatrics 215: Pediatric Text Neck — Current Perspectives from Functional Neurology · 2 CE hours · $40 |
| Faculty: | Michael Hall, DC, FIACN |
| Format: | Online, on-demand — start immediately |
| Pricing: | $40 ($20/hr) · automatic bundle discounts |
| Approval: | PACE Provider #34015544 · TCC co-sponsored |
PACE Provider #34015544 · Co-sponsored by Texas Chiropractic College · Completions reported to CE Broker"Text neck" has become a household phrase — and a pediatric one. Children aged 8–18 now average seven and a half hours of screen media a day, and the flexed-neck posture that comes with it loads the cervical spine with the equivalent of 18 kg at 30 degrees and 27 kg at 60 degrees. Pediatrics 215 asks the question most courses skip: is pediatric text neck an original diagnosis, a marketing label, or the visible edge of a much bigger problem?
Michael Hall, DC, FIACN, works from the definition and biomechanics of pediatric text neck through a documented case report, the current AACAP screen-time guidance by age, and the sedentary-child data behind the 2024 D- physical-activity report card — then reframes the problem through functional neurology. The clinical take-home is a brain-eyes-hands framework you can prescribe the same week: brachiation and grip work, horizontal eye-movement and convergence habits, and one hour a day of quality cardio and strength activity.
Where This Course Fits — Four Clusters, One Certification Track
The CCEDseminars Pediatrics series runs 201–214 in four clinical clusters plus a set of stand-alone courses. The four clusters (Pediatrics 201–212) make up the 24-hour CCP certification track; Pediatrics 215 sits outside that track and is taken on its own.
Foundations & Neurological Pearls (201–202)
Pediatrics 201: Introduction to Chiropractic Pediatrics · Pediatrics 202: 3 Key Neurological Pearls for Family Practice
Adjusting & Hands-On Technique (203–211)
Pediatrics 203: Adjusting & Office Procedures I · Pediatrics 204: Adjusting & Office Procedures II · Pediatrics 206: Pediatric Infant Palpation · Pediatrics 211: Pediatric Manual Therapy for Toddlers
Pregnancy & Family Practice (207–210)
Pediatrics 207: Pregnancy & Chiropractic (Part I) · Pediatrics 209: Stress and the Family Wellness Practice · Pediatrics 210: Pediatric Infant Nutrition
The Young Athlete (205, 212)
Pediatrics 205: Chiropractic & The Young Athlete · Pediatrics 212: Sports and the Younger Athlete
Also in Pediatrics — outside the CCP bundle (213, 214, 215) — you are here
Pediatrics 213: Toxic Synovitis · Pediatrics 214: Pearls for the Practicing Chiropractor · Pediatrics 215: Pediatric Text Neck — this course
The full catalog, with pricing and the CCP bundle, lives on the Pediatrics category page.
What You'll Learn
On completing Pediatrics 215 you will be able to:
- Define pediatric text neck (tech neck) as an overuse postural injury — pain in the neck, shoulders and head, loss of the cervical curve, headaches, limited mobility and forward head posture — and explain the cervical-load biomechanics of forward flexion that drive it.
- Summarize current pediatric screen-time statistics and the evidence linking screen exposure to sleep, attention, behavior, language and brain development.
- Apply the AACAP screen-time guidance by age and the Physical Activity Guidelines for Americans (2nd edition) in parent and patient conversations.
- Recognize how low muscle tone and sedentary behavior — not screens alone — shape the postural and metabolic picture in children.
- Describe a functional-neurology framework (brain, eyes, hands) — brachiation and grip work, horizontal eye movements and convergence habits, depth perception and reaction timing — and translate it into activities you can prescribe.
Course Outline
- Framing the question — What is pediatric text (tech) neck? Original diagnosis, marketing label, or a furtherance of a bigger problem?
- Screens and the developing child — screen-time statistics (children 8–18 average 7.5 hours a day); blue light and sleep; MRI evidence on screen time and brain development in preschoolers; associations with attention, behavior, language delay, sleep and executive function.
- The biomechanics — cervical load with flexion: roughly 5 kg in neutral, 18 kg at 30°, 27 kg at 60°.
- Defining pediatric text neck (Fishman, 2008) — overuse injury; symptoms (headaches, limited mobility, forward head posture, loss of cervical curve); causes (prolonged device use, looking down, more than three hours a day); prevention (breaks, devices at eye level, stretching, activity).
- Case report — a six-year-old boy with a one-month history of headache and neck pain, more than eight hours a day on a mobile device and total daily screen time over ten hours; initial and nine-month follow-up cervical films (Chu et al., Cureus 2023).
- Screen-time guidance by age — AACAP Facts for Families No. 54 (updated June 2025); usage data (DataReportal 2025).
- Is it really about screen time? — low muscle tone; the 2024 Physical Activity Alliance report card (overall D-; 28% or fewer of 6–17-year-olds meet 60 minutes a day); sedentary risk (CDC: 40% of school-age children have a chronic condition; JAMA Pediatrics 2022 on adolescent prediabetes).
- Activity guidelines and benchmarks — Physical Activity Guidelines for Americans, 2nd edition (aerobic, muscle-strengthening, bone-strengthening); fitness benchmarks by age 5 and age 10.
- The functional-neurology perspective — baby bars and brachiation (the grasp reflex); the sensory and motor homunculus; convergence insufficiency; six healthy eye habits; hand-eye games.
- Clinical framework — think brain, eyes, hands — horizontal eye movements, tracking and speed; depth perception and reaction timing; grip activities (bar hang, climbing walls, catching, pulling); one hour a day of quality activity, cardio and strength.
Your Instructor
Michael Hall, DC, FIACN is a Fellow of the International Academy of Chiropractic Neurology with over 30 years of clinical and academic experience. A 1990 honors graduate of Parker College of Chiropractic and a Diplomate of the American Board of Chiropractic Neurology since 1993, he founded BrainDC.org and is a leading voice in functional neurology, concussion management and global chiropractic education. In the Pediatrics series he also teaches Pediatrics 212 and Pediatrics 213, alongside courses in the CCEDseminars Neurology and Orthopedics series.
Credit, Reporting & State Rules
Pediatrics 215 is a 2-hour on-demand course. Your completion is recorded electronically when you pass the post-course assessment, and your certificate is issued immediately. Completions are reported to CE Broker for the states CCEDseminars serves.
Boards set their own caps on online hours, and some limit hours by category. Before you plan a block of online hours, confirm your board's current rules on the State/Region CEU Approvals page. Texas licensees can verify provider status through the Texas Board of Chiropractic Examiners.
Approved states for this course are listed at the bottom of this page.
What It Costs — and How to Pay Less
Pediatrics 215 is $40 for 2 CE hours — $20 per hour. Multi-course discounts apply automatically in the cart — 10% on 6–9 hours and 20% on 10 or more — with no promo code to enter.
This course sits outside the 24-hour CCP bundle (Pediatrics 201–212) and does not count toward it. It pairs naturally with Dr. Hall's other stand-alone Pediatrics courses — 213 Toxic Synovitis and 212 Sports and the Younger Athlete — and with 214 Pearls for the Practicing Chiropractor.
References
- Tsantili AR, Chrysikos D, Troupis T. Text Neck Syndrome: Disentangling a New Epidemic. Acta Medica Academica. 2022 Aug 1;51(2).
- Chu EY, Mok TKS, Ng GSN, Chu EC. Pediatric Text Neck Syndrome. Cureus. 2023 Apr 23;15(4):e38034.
- David D, Giannini C, Chiarelli F, Mohn A. Text Neck Syndrome in Children and Adolescents. Int J Environ Res Public Health. 2021 Feb 7;18(4):1565.
- Abdelhameed AA, Abdel-Aziem AA. Exercise training and postural correction improve upper extremity symptoms among touchscreen smartphone users. Hong Kong Physiother J. 2016 Sep 7;35:37–44.
- Souza VK, Schneider IJC, Registro Fonseca MC, Kuriki HU, Marcolino AM, Barbosa RI. Text neck is not associated with neck and upper limb disability in young adults who use smartphones. Eur Spine J. 2024 Mar;33(3):1187–1194.
- Mousavi-Khatir R, Talebian S, Toosizadeh N, Olyaei GR, Maroufi N. The effect of static neck flexion on mechanical and neuromuscular behaviors of the cervical spine. J Biomech. 2018;72:152–8.
- Namwongsa S, Puntumetakul R, Neubert MS, Boucaut R. Effect of neck flexion angles on neck muscle activity among smartphone users with and without neck pain. Ergonomics. 2019;62:1524–33.
- American Academy of Child & Adolescent Psychiatry. Screen Time and Children. Facts for Families No. 54; updated June 2025.
- Physical Activity Alliance. 2024 United States Report Card on Physical Activity for Children and Youth.
- U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans, 2nd edition. 2018.
Frequently Asked Questions
What is pediatric text neck, and is it a real diagnosis?
Pediatric text neck is an overuse postural injury from prolonged forward head flexion over phones, tablets and other screens — pain in the neck, shoulders and head, headaches, limited mobility and loss of the normal cervical curve. Also known as tech neck or text neck syndrome, the label dates to Fishman (2008). Pediatrics 215 opens by asking whether it is an original diagnosis, a marketing label or the visible edge of a bigger sedentary-child problem — and builds the answer from the biomechanics, the case literature and the activity data.
What does Pediatrics 215 cover, and who teaches it?
Michael Hall, DC, FIACN, a Fellow of the International Academy of Chiropractic Neurology, teaches the 2-hour course. It covers screen-time statistics and their effects on sleep, attention and brain development; the cervical-load biomechanics of forward flexion; the definition, symptoms, causes and prevention of pediatric text neck; a documented case report of a six-year-old; AACAP screen-time guidance by age; the sedentary-child activity data; and a functional-neurology framework — brain, eyes, hands — with brachiation, grip, eye-movement and convergence activities you can prescribe.
My child spends hours looking down at a tablet — is that really hurting their neck?
The head weighs about 5 kg in a neutral position; tipped forward 30 degrees the cervical spine carries the equivalent of about 18 kg, and at 60 degrees about 27 kg. Sustained hours in that posture — the course cites more than three hours a day as a common threshold — are associated with neck, shoulder and head pain, headaches and forward head posture in children. The course's practical message for parents is to keep devices at eye level, build in breaks and stretching, and replace sedentary time with an hour a day of real activity. A chiropractor can evaluate your child's posture, cervical motion and activity level and advise on what is appropriate for them.
How is the course delivered, and how do I earn the CE credit?
Pediatrics 215 is online and on-demand: you start immediately after checkout and work at your own pace. When you pass the post-course assessment your completion is recorded electronically and your certificate is issued right away. CCEDseminars is PACE Provider #34015544 and the course is co-sponsored by Texas Chiropractic College; completions are reported to CE Broker for the states served. Approved states are listed at the bottom of this page, and confirming your own board's requirements remains your responsibility.
Does Pediatrics 215 count toward the CCP bundle, and what pairs well with it?
No. The 24-hour CCP certification track is Pediatrics 201–212; Pediatrics 215 sits outside it, like 213 and 214, and is taken on its own. Clinicians who want more of Dr. Hall's pediatric work usually pair it with Pediatrics 213 Toxic Synovitis and Pediatrics 212 Sports and the Younger Athlete, and the multi-course discount applies automatically in the cart when the hours add up.
State approval and licensing reminder. CCEDseminars is PACE Provider #34015544. Approved states for this course are listed at the bottom of this page, and board rules on online hours change — confirming your own board's current requirements before you enroll is your responsibility.
Pediatrics 215: Pediatric Text Neck — Current Perspectives from Functional Neurology
2 CE hours · $40 · online, on demand · Michael Hall, DC, FIACN
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated October 19, 2026 (CT)