A small change in head angle creates a much larger load.
Hansraj’s cervical-spine model estimated that when the head tilts forward by 15 degrees, the force experienced by the cervical spine rises to approximately 12 kilograms. At 30 degrees, it reaches approximately 18 kilograms; at 60 degrees, it reaches approximately 27 kilograms—comparable to the weight of a child pressing down on the neck [Hansraj, 2014].
When this additional load is sustained for long periods, the neck muscles and ligaments remain under excessive tension. Over time, that repeated demand can contribute to muscular overuse, fatigue and degenerative strain.