Fazli Fatemeh, Farahmand Behshid, Azadinia Fatemeh, Amiri Ali
Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2018 Sep 5;32:81. doi: 10.14196/mjiri.32.81. eCollection 2018.
Cervical pillows are considered to be part of the therapeutic strategy in cervical spondylosis, but there is little or no convincing scientific evidence on the effectiveness of these pillows in relieving pain and disability in these patients. Hence, this study investigated the effects of ergonomic latex pillow in conjunction with routine physiotherapy versus routine physiotherapy alone on disability and pain intensity in patients with cervical spondylosis. 22 patients with cervical spondylosis in a single-blinded pilot study with a pre/post-test design were randomly assigned to experimental and control groups. Both groups received 12 sessions of physiotherapy for four weeks. In the experimental group, participants were given an ergonomic latex pillow to sleep it for four weeks. Participants in the control group slept on their own usual pillow. All the participants filled out the Neck Disability Index questionnaire, and scored their neck pain intensity on the Numerical Pain Rating Scale before and after the intervention. Changes of variables (pain and disability) within and between groups were compared by Paired T-test and the Independent Sample T-test, respectively via SPSS v.20 (p<0.05). Numerical Pain Rating Scale and Neck Disability Index scores were decreased statistically significant within groups. In the experimental group, neck disability scores were significantly lower than those in the control group (p=0.038). However, pain intensity scores were not significantly different between groups. Ergonomic latex pillows can significantly decrease disability related to neck pain in patients with cervical spondylosis after four weeks.
颈椎枕被认为是颈椎病治疗策略的一部分，但几乎没有令人信服的科学证据表明这些枕头在缓解此类患者的疼痛和功能障碍方面的有效性。因此，本研究调查了符合人体工程学的乳胶枕结合常规物理治疗与单纯常规物理治疗相比，对颈椎病患者功能障碍和疼痛强度的影响。在一项采用前后测试设计的单盲试点研究中，将22例颈椎病患者随机分为实验组和对照组。两组均接受为期四周的12次物理治疗。在实验组中，参与者被给予一个符合人体工程学的乳胶枕，使用四周。对照组的参与者使用他们自己常用的枕头。所有参与者在干预前后填写颈部功能障碍指数问卷，并在数字疼痛评分量表上对他们的颈部疼痛强度进行评分。分别通过SPSS v.20软件，使用配对t检验和独立样本t检验比较组内和组间变量（疼痛和功能障碍）的变化（p<0.05）。组内数字疼痛评分量表和颈部功能障碍指数评分在统计学上显著降低。在实验组中，颈部功能障碍评分显著低于对照组（p=0.038）。然而，两组之间的疼痛强度评分没有显著差异。符合人体工程学的乳胶枕在四周后可显著降低颈椎病患者与颈部疼痛相关的功能障碍。
