Effect of prescribed sleep surfaces on back pain and sleep quality in patients diagnosed with low back and shoulder pain
Effect of prescribed sleep surfaces on back pain and sleep quality in patients diagnosed with low back and shoulder pain
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DOI：
10.1016/j.apergo.2010.05.004
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发表时间：
2010-12-01
影响因子：
3.2
通讯作者：
Acharya, Hom
中科院分区：
文献类型：
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作者：
Jacobson, Bert H.;Boolani, Ali;Acharya, Hom
本研究的目的是评估睡眠质量和舒适度的参与者诊断为腰痛和僵硬后，睡眠的基础上占主导地位的睡眠姿势个别规定的床垫。受试者包括27例患者（女性，n = 14;男性，n = 13;年龄44.8岁+/- SD 14.6，体重174 lb. +/- SD 39.6，高度68.3 in. +/- SD 3.7）。对于基线（预测试）数据，受试者在自己的床上睡觉时，通过视觉模拟量表（VAS）记录背部和肩部不适、睡眠质量和舒适度，持续21天。随后，根据参与者报告的突出睡眠位置，将参与者的床换成中等硬度的床垫，特别是泡沫和乳胶层，并在接下来的12周内每天再次评估他们的睡眠舒适度和质量。分析得出所有变量和背痛的前后平均值之间存在显著差异，我们发现第一次后测平均值与第4周和第8-12周之间存在显著差异（p < 0.01），因此表明在新床垫上睡觉时背痛和僵硬都有逐步改善。此外，每周经历睡眠不佳和身体不适的天数显着减少。得出的结论是，睡眠表面与睡眠不适有关，并且确实可以通过基于睡姿更换床垫来减少疼痛和不适，并提高慢性背痛患者的睡眠质量。(C)2009年由Elsevier Ltd.出版
The purpose of this study was to assess sleep quality and comfort of participants diagnosed with low back pain and stiffness following sleep on individually prescribed mattresses based on dominant sleeping positions. Subjects consisted of 27 patients (females, n = 14; males, n = 13; age 44.8 yrs +/- SD 14.6, weight 174 lb. +/- SD 39.6, height 68.3 in. +/- SD 3.7) referred by chiropractic physicians for the study. For the baseline (pretest) data subjects recorded back and shoulder discomfort, sleep quality and comfort by visual analog scales (VAS) for 21 days while sleeping in their own beds. Subsequently, participants' beds were replaced by medium-firm mattresses specifically layered with foam and latex based on the participants' reported prominent sleeping position and they again rated their sleep comfort and quality daily for the following 12 weeks. Analysis yielded significant differences between pre- and post means for all variables and for back pain, we found significant (p < 0.01) differences between the first posttest mean and weeks 4 and weeks 8-12, thus indicating progressive improvement in both back pain and stiffness while sleeping on the new mattresses. Additionally, the number of days per week of experiencing poor sleep and physical discomfort decreased significantly. It was concluded that sleep surfaces are related to sleep discomfort and that is indeed possible to reduce pain and discomfort and to increase sleep quality in those with chronic back pain by replacing mattresses based on sleeping position. (C) 2009 Published by Elsevier Ltd.