Background: Screen-based activities have become integral to children’s daily routines, raising concerns about musculoskeletal health.

Objective: To assess the relationship between daily screen time and neck disability among school-going children aged 10–14 years.

Methods: A cross-sectional study was conducted among 120 children. Screen time exposure was recorded in hours per day, and neck disability was assessed using the Neck Disability Index (NDI). Statistical analysis was performed to evaluate correlations between screen time and NDI scores.

Results: Children reporting >3 hours/day of screen use demonstrated significantly higher NDI scores compared to those with ≤2 hours/day (p < 0.05). The most affected domains were pain intensity, concentration, and recreational activities.

Conclusion: Prolonged screen time is associated with increased neck disability among school-going children. Preventive strategies such as ergonomic education and regulated screen use are recommended