A Comparative Study on the Effects of Three Types of Pillows on Head-neck Pressure Distribution and Cervical Spine Alignment
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Sleep accounts for approximately one-third of a person’s lifetime. It is a relaxing activity that relieves mental and physical fatigue. Pillows of different sizes, shapes, and materials have been designed to improve sleep quality by achieving an optimal sleep posture. Objects: This study aimed to determine which pillow provides the most comfortable and supports the head and neck during sleep, which may enhance sleep quality. Methods: Twenty-eight healthy adults (19 males and 9 females) with an average age of 29 years participated in this cross-sectional study. This experiment was conducted while the participants laid down for 5 minutes in four different pillow conditions: (1) no pillow (NP), (2) neck support foam pillow (NSFP), (3) standard microfiber filled pillow (SFP), and (4) hybrid foam pillow (HFP). The head-neck peak pressure, cranio-vertebral angle in supine (CVAs), cranio-horizontal angle in supine (CHAs), chin-sternum distance (CSD), and muscle tone of sternocleidomastoid were analyzed using one-way repeated measures analysis of variance (ANOVA). The significance level was set at p < 0.05. Results: The head-neck peak pressure was the highest in the NSFP condition, followed by the NP, SFP, and HFP conditions. The CVAs, CHAs, and CSD of the SFP were lower than those of the other pillows. Muscle tone was the highest in the NP condition, followed by the of NSFP, HFP, and SFP conditions. The participants subjective comfort level in both the supine and side-lying postures was highest in the HFP condition, followed by the SFP and NSFP conditions. Conclusion: This study can be used to establish the importance of pillow selection for highquality sleep. The results of this study, suggest that a hybrid pillow with a good supportive core and appropriate fluffiness can maintain comfort and correct cervical spine alignment during sleep.
Abstract
Background: Sleep accounts for approximately one-third of a person’s lifetime. It is a relaxing activity that relieves mental and physical fatigue. Pillows of different sizes, shapes, and materials have been designed to improve sleep quality by achieving an optimal sleep posture. Objects: This study aimed to determine which pillow provides the most comfortable and supports the head and neck during sleep, which may enhance sleep quality. Methods: Twenty-eight healthy adults (19 males and 9 females) with an average age of 29 years participated in this cross-sectional study. This experiment was conducted while the participants laid down for 5 minutes in four different pillow conditions: (1) no pillow (NP), (2) neck support foam pillow (NSFP), (3) standard microfiber filled pillow (SFP), and (4) hybrid foam pillow (HFP). The head-neck peak pressure, cranio-vertebral angle in supine (CVAs), cranio-horizontal angle in supine (CHAs), chin-sternum distance (CSD), and muscle tone of sternocleidomastoid were analyzed using one-way repeated measures analysis of variance (ANOVA). The significance level was set at p < 0.05. Results: The head-neck peak pressure was the highest in the NSFP condition, followed by the NP, SFP, and HFP conditions. The CVAs, CHAs, and CSD of the SFP were lower than those of the other pillows. Muscle tone was the highest in the NP condition, followed by the of NSFP, HFP, and SFP conditions. The participants subjective comfort level in both the supine and side-lying postures was highest in the HFP condition, followed by the SFP and NSFP conditions. Conclusion: This study can be used to establish the importance of pillow selection for highquality sleep. The results of this study, suggest that a hybrid pillow with a good supportive core and appropriate fluffiness can maintain comfort and correct cervical spine alignment during sleep.
참고문헌 (33)
- Schmidt MH, "Role of the lateral preoptic area in sleep-related erectile mechanisms and sleep generation in the rat", J Neurosci, 20(17), pp.6640~6647 (2000)
- Son J, "A survey of Koreans on sleep habits and sleeping symptoms relating to pillow comfort and support", Int J Environ Res Public Health, 17(1), pp.302~ (2020)
- Mekhora K, "The effect of ergonomic intervention on discomfort in computer users with tension neck syndrome", Int J Ind Ergon, 26(3), pp.367~379 (2000)
- Park J, "The relation analysis of obesity and blood lipid on total physical activity level in short sleeping adults", J Sport Leis Stud, 57(2), pp.879~892 (2014)
- Gordon SJ, "Pillow use : the behaviour of cervical pain, sleep quality and pillow comfort in side sleepers", Man Ther, 14(6), pp.671~678 (2009)
- Fazli F, "A preliminary study : the effect of ergonomic latex pillow on pain and disability in patients with cervical spondylosis", Méd J Islam Repub Iran, 32, pp.81~ (2018)
- McAviney J, "Determining the relationship between cervical lordosis and neck complaints", J Manip Physiol Ther, 28(3), pp.187~193 (2005)
- Heo JG, "The effect ergonomic pillow in patient with chronic neck pain", J Ergon Soc Korea, 25(1), pp.17~25 (2006)
- Radwan A, "Effect of different pillow designs on promoting sleep comfort, quality, & spinal alignment : a systematic review", Eur J Integr Med, 42, pp.101269~ (2021)
- Kim HC, "The effect of different pillow heights on the parameters of cervicothoracic spine segments", Korean J Spine, 12(3), pp.135~138 (2015)
- Sacco IC, "The effect of pillow height on muscle activity of the neck and mid-upper back and patient perception of comfort", J Manip Physiol Ther, 38(6), pp.375~381 (2015)
- Ren S, "Effect of pillow height on the biomechanics of the head-neck complex : investigation of the cranio-cervical pressure and cervical spine alignment", PeerJ, 4, pp.e2397~ (2016)
- Gordon SJ, "Your pillow may not guarantee a good night's sleep or symptom-free waking", Physiother Can, 63(2), pp.183~190 (2011)
- Jeon MY, "Improving the quality of sleep with an optimal pillow : a randomized, comparative study", Tohoku J Exp Med, 233(3), pp.183~188 (2014)
- Chun-Yiu JP, "The effects of pillow designs on neck pain, waking symptoms, neck disability, sleep quality and spinal alignment in adults : a systematic review and meta-analysis", Clin Biomech(Bristol, Avon), 85, pp.105353~ (2021)
- Gordon SJ, "Pillow use : the behavior of cervical stiffness, headache and scapular", arm pain, 2010, pp.3, 137~145
- Kim JH, "Biomechanical effectiveness and anthropometric design aspects of 3-dimensional contoured pillow", J Ergon Soc Korea, 35(6), pp.503~517 (2016)
- Cai D, "Ergonomic approach for pillow concept design", Appl Ergon, 52, pp.142~150 (2016)
- Webster JM, "Development of a pressure sensor for swimming turns", Procedia Eng, 13, pp.126~132 (2011)
- Oyama H, "Effects of a chair for ophthalmic microsurgery on pressure distribution and pelvic tilt in surgeons", Work, 73(s1), pp.S45~S55 (2022)
- Ruivo RM, "Cervical and shoulder postural assessment of adolescents between 15 and 17 years old and association with upper quadrant pain", Braz J Phys Ther, 18(4), pp.364~371 (2014)
- Hida M, "Spinal postural alignment measurements using markerless digital photography", J Orthop Surg, 28(3), pp.2309499020960834~ (2020)
- Reynolds J, "Cervical range of movement in relation to neck dimension", Eur Spine J, 18(6), pp.863~868 (2009)
- Kim JH, "Immediate effects of high-frequency diathermy on muscle architecture and flexibility in subjects with gastrocnemius tightness", Phys Ther Korea, 27(2), pp.133~139 (2020)
- Kim YJ, "Effect of high-frequency diathermy on hamstring tightness", Phys Ther Korea, 28(1), pp.65~71 (2021)
- Cohen J, "Statistical power analysis for the behavioral sciences" (2013), Taylor and Francis
- Shen LM, "The influence of pillow material on body distribution and sleeping comfort in supine position", Appl Mech Mater, 201-202, pp.30~33 (2012)
- Abbasi AH, "Evaluation of the forward head posture, its association with neck pain & quality of life of female DPT students", JRCRS, 4(2), pp.59~64 (2016)
- Sheikhhoseini R, "Effectiveness of therapeutic exercise on forward head posture : a systematic review and meta-analysis", J Manip Physiol Ther, 41(6), pp.530~539 (2018)
- Chansirinukor W, "Effects of backpacks on students : measurement of cervical and shoulder posture", Aust J Physiother, 47(2), pp.110~116 (2001)
- Choi MH, "Effect of a cervical support pillow on sternocleidomastoid activity and satisfaction in asymptomatic participants", J Phys Ther Sci, 30(6), pp.840~842 (2018)
- Kiatkulanusorn S, "Analysis of neck and back muscle activity during the application of various pillow designs in patients with forward head posture", J Back Musculoskelet Rehabil, 34(3), pp.431~439 (2021)
- Vanti C, "Effectiveness of a"spring pillow"versus education in chronic nonspecific neck pain : a randomized controlled trial", Phys Ther, 99(9), pp.1177~1188 (2019)
