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Gerandomiseerd onderzoek naar het effect van the pillow op de nachtrust, pijn en voorkeur van patienten met klachten van de nek- en schouderregio [Dutch]
Jochems OB, Vortman BJ, Derde M-P
Nederlands Tijdschrift voor Fysiotherapie [Dutch Journal of Physical Therapy] 1997;107:159-163
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To compare the effect of using an orthopaedic pillow (the pillow) or a standard pillow in patients/volunteers with chronic complaints of the neck and shoulder region. SETTING: An investigational centre (MediServ) in Eindhoven. PATIENTS: Patients were recruited by means of an advertisement placed in a local newspaper. Inclusion criteria were pain in the neck and shoulder region, age 40 to 70 years, pain on walking, neck stiffness, normal sedimentation rate. Exclusion criteria were acute cervical syndrome, rheumatoid arthritis, sleeping on the stomach, allergy, whiplash injury, and physiotherapy or analgesic use in the previous month. METHODS: Twenty patients (11 women, 9 men; mean age 51.9 +/- 8.6 years) were included. The study had an open randomized two-phase cross-over design. Subjective findings (pain in the morning, measured with a visual analogue scale, hours slept, number of times woken from sleep, waking neck stiffness, pain in the evening) and measurements of neck mobility (active and passive rotation, flexion, extension, and lateroflexion) with the Cervical Range-of-Motion Instrument were recorded weekly. Complaints about the use orthopaedic head pillow were evaluated. The results were statistically analysed (MediServ/Dice, Brussels). RESULTS: Compared with the standard pillow, with The Pillow there was a statistically significant beneficial effects on waking pain, waking at night, pain in the morning and evening, and morning stiffness. Statistically significant improvement was noted in The Pillow users for active and passive rotation to the right, passive extension, active lateroflexion on both sides, and passive lateroflexion to the right. A few participants complained about transitory headache when using The Pillow. CONCLUSION: The use of The Pillow for 2 consecutive weeks resulted in a pronounced improvement in subjective findings and objective measurements at the end of the trial period. Further investigations with the inclusion of physiotherapy are warranted.

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