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Cervical pain: A comparison of three pillows

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      Abstract

      Objective: To compare three pillows with regard to pain intensity, pain relief, quality of sleep, disability, and overall satisfaction in subjects with benign cervical pain. The three pillows evaluated were the subjects' usual pillow, a roll pillow, and a water-based pillow.
      Study Design: Subjects used their usual pillows for the first week of this 5-week randomized crossover design study. They were subsequently randomly assigned to use each of the other two pillows for 2-week periods.
      Setting: Outpatient neurology and physiatry clinics.
      Patients: Forty-one subjects with benign cervical pain syndromes and free of cognitive impairments.
      Main Outcome Measures: Visual analog scale (VAS), Sleep Questionnaire, Sickness Impact Profile (SIP), and a satisfaction scale rating the pillows.
      Results: The water-based pillow was associated with reduced morning pain intensity, increased pain relief, and improved quality of sleep. The duration of sleep was significantly shorter for the roll pillow. Overall SIP findings showed a significant advantage for the water-based pillow over the roll pillow and standard pillow.
      Conclusions: Proper selection of a pillow can significantly reduce pain and improve quality of sleep but does not significantly affect disability outcomes measured by the SIP.

      References

        • Lawrence JS
        Disc degeneration.
        in: Its frequency and relationship to symptoms. 1st ed. Ann Rheum Dis. 28. 1969: 121-138
        • British Association of Physical Medicine
        Pain in the neck and arm: a multicenter trial of the effects of physical therapy.
        BMJ. 1966; 1: 253-258
        • Bland JH
        Disorders of the cervical spine.
        1st ed. WB Saunders Company, Philadelphia1987
        • Sjaastad O
        Cervicogenic headache: the controversial headache.
        Clin Neurol Neurosurg. 1992; 94 (Suppl): S147-S149
        • Heller JG
        The syndromes of degenerative cervical disease.
        Orthop Clin North Am. 1992; 23: 381-394
        • Jonsson H
        • Bring G
        • Rauschning W
        • Sahlstedt B
        Hidden cervical spine injuries in traffic accident victims with skull fractures.
        J Spinal Disord. 1991; 4: 251-263
        • Taylor JR
        • Tworney LT
        Acute injuries to cervical joints: an autopsy study of neck sprain.
        Spine. 1993; 18: 1115-1122
        • Barnsley L
        • Lord SM
        • Wallis BJ
        • Bogduk N
        The prevalence of chronic cervical zygapophyseal joint pain and whiplash.
        Spine. 1995; 20: 20-25
        • Lord SM
        • Barnsley L
        • Bogduk N
        Third occipital headache: a perspective study.
        J Neurol Neurosurg Psychiatry. 1994; 57: 1187-1190
        • Bogduk N
        • Aprill C
        On the nature of neck pain, discography and cervical zygapophyseal joint blocks.
        Pain. 1993; 54: 213-217
        • Aprill C
        • Bogduk N
        The prevalence of zygapophyseal joint pain.
        in: A first approximation. 3rd ed. Spine. 17. 1992: 744-747
      1. Cassidy JD Scientific Monograph of the Quebec Task Force on whiplash associated disorders. 3rd ed. Spine. 20. 1995: 29s (8 Suppl)
        • Naylor JR
        • Mulley GP
        Surgical collars: a survey of their prescription and use.
        Br J Rheumatol. 1991; 30: 282-284
        • McKinney LA
        Early mobilization and outcome in acute sprains in the neck.
        BMJ. 1989; 199: 1006-1008
        • McKinney LA
        • Dornan JO
        • Ryan M
        The role of physiotherapy in the management of acute neck sprains following road-traffic events.
        Arch Emerg Med. 1989; 6: 27-33
        • Mealy K
        • Brennan H
        • Fenelon GC
        Early mobilization of acute whiplash injuries.
        BMJ. 1986; 292: 656-657
        • Tan JC
        • Nordin M
        Role of physical therapy in the treatment of cervical disk disease.
        Orthop Clin North Am. 1992; 23: 435-449
        • Colachis SC
        • Strohm BR
        • Ganter EL
        Cervical spine motion in normal women: Radiographic study of the effect of cervical collars.
        Arch Phy Med Rehabil. 1973; 54: 161-169
        • Gracely RH
        • McGrath P
        • Dubner R
        Validity and sensitivity of ratio scales of sensory and affective verbal pain descriptors: manipulation of affect by diazepam.
        Pain. 1978; 5: 19-29
        • Gracely RH
        • Dubner R
        • McGrath PA
        Narcotic analgesia: fentanyl reduces the intensity of painful tooth pulp sensations.
        Science. 1979; 203: 1261-1263
        • Haythornthwaite JA
        • Hegel MT
        • Kerns RD
        Development of a sleep diary for chronic pain patients.
        J Pain Symptom Manage. 1991; 6: 65-72
        • Bergner M
        The Sickness Impact Profile: a brief summary of its purpose, uses, and administration.
        (updated by Steinwachs DM, Damiano A) The Johns Hopkins University, Baltimore1993
        • Bogduk N
        • Marsland A
        The cervical zygapophyseal joints as a source of neck pain.
        Spine. 1988; 13: 610-617
        • Dwyer A
        • Aprill C
        • Bogduk N
        Cervical zygapophyseal joint pain patterns I: a study of normal volunteers.
        Spine. 1990; 15: 453-461
        • Calliet R
        Neck and arm pain.
        FA Davis, Philadelphia1964
        • Smythe HA
        The C6–7 syndrome—clinical features and treatment response.
        J Rheumatol. 1994; 21: 1520-1526
        • Nicassio PM
        • Wallston KA
        Longitudinal relationships among pain, sleep problems, and depression in rheumatoid arthritis.
        J Abnorm Psychol. 1992; 101: 514-520
        • Moffitt PF
        • Kalucy EC
        • Kalucy RS
        • Baum FE
        • Cooke RD
        Sleep difficulties, pain and other correlates.
        J Intern Med. 1991; 230: 245-249
        • Crosby LJ
        Factors which contribute to fatigue associated with rheumatoid arthritis.
        J Adv Nurs. 1991; 16: 974-981
        • Jacobsson L
        • Lindgarde F
        • Manthorpe R
        • Phlsson K
        Effect of education, occupation and some lifestyle factors on common rheumatic complaints in a Swedish group aged 50–70 years.
        Ann Rheum Dis. 1992; 51: 835-843
        • Lavigne GS
        • Velly-Miguel AM
        • Montplaisir J
        Muscle pain, dyskinesia, and sleep.
        Can J Physiol Pharmacol. 1991; 61: 678-682
        • Evans FJ
        The placebo response in pain reduction.
        Adv Neurol. 1974; 4: 289-296
        • Turner JA
        • Deyo RA
        • Loeser JD
        • Vankorff M
        • Fordyce WE
        The importance of placebo effects in pain treatment and research.
        JAMA. 1994; 271: 1609-1614