Yamada Shuori, Hoshi Tohru, Toda Michio, Tsuge Takahiro, Matsudaira Ko, Oka Hiroyuki
16 Gou Orthopaedic Clinic: 1-3-7 Takane, Chuo-ku, Sagamihara-shi, Kanagawa 252-0221, Japan.
School of Computer Science, Tokyo University of Technology, Japan.
J Phys Ther Sci. 2023 Feb;35(2):106-113. doi: 10.1589/jpts.35.106. Epub 2023 Feb 1.
[Purpose] The purpose of this study was to determine whether strict adjustment of the pillow height using the Set-up for Spinal Sleep method improves clinical outcomes like neck pain and somatic symptoms. [Participants and Methods] A total of 84 participants with chief complaints of stiff shoulders and neck pain were evaluated using the numerical rating scale and the Somatic Symptom Scale-8. Questionnaires were used to collect data at the baseline, after two weeks, and after three months of adjusting the pillow height. [Results] Forty-two participants (50%) achieved the minimal clinically important difference for neck pain with a decrease of three points or higher in the numerical rating scale. The baseline neck pain scores were significantly higher in the group that achieved the minimal clinically important difference. The three-month change in neck pain and the Somatic Symptom Scale-8 was significantly greater in participants who were satisfied with treatment. There was a significant positive association between improvement in the numerical rating scale score and improvement in the Somatic Symptom Scale-8 at three months. [Conclusion] Strict adjustment of the pillow height using the Set-up for the Spinal Sleep method significantly improved both physical neck pain and somatic symptoms related to psychological and social problems.
[目的]本研究旨在确定采用脊柱睡眠设置法严格调整枕头高度是否能改善颈部疼痛和躯体症状等临床结局。[参与者与方法]共有84名以肩部僵硬和颈部疼痛为主诉的参与者使用数字评分量表和躯体症状量表-8进行评估。通过问卷调查在调整枕头高度的基线、两周后和三个月后收集数据。[结果]42名参与者（50%）在数字评分量表上颈部疼痛减轻3分或更多，达到了最小临床重要差异。在达到最小临床重要差异的组中，基线颈部疼痛评分显著更高。对治疗满意的参与者在三个月时颈部疼痛和躯体症状量表-8的变化显著更大。三个月时数字评分量表得分的改善与躯体症状量表-8的改善之间存在显著正相关。[结论]采用脊柱睡眠设置法严格调整枕头高度可显著改善颈部的身体疼痛以及与心理和社会问题相关的躯体症状。
