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Ergonomic latex pillows as a part of a multimodal intervention or as an adjunct to rehabilitation programs in cervical spondylosis

Is it useful? A randomized controlled trial

Fazli, Fatemeh, MSc1; Farahmand, Behshid, PhD candidate2; Azadinia, Fatemeh, PhD3; Amiri, Ali, PhD4

American Journal of Physical Medicine & Rehabilitation: February 7, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001157
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Objective This study evaluated the effectiveness of ergonomic latex pillows in terms of clinical and biomechanical (cervical range of motion) outcome measures in patients with cervical spondylosis.

Design This parallel-group randomized controlled trial randomly assigned 42 patients with cervical spondylosis to the experimental and control groups. Both groups received 12 sessions of routine physical therapy for four weeks. While the experimental group received an ergonomic latex pillow, the control group slept on their own usual pillow during the mentioned four-week period. Pain intensity, functional disability, medication use, and cervical range of motion were measured before and after four weeks of intervention.

Results After four weeks of intervention, the experimental group showed pain relief, decreased disability, and significantly increased range of motion in all directions. The simultaneous use of an ergonomic latex pillow and physical therapy could more successfully decrease pain intensity compared to routine physical therapy alone. In addition, extension and right lateral flexion variables significantly increased in the experimental group compared to the control group.

Conclusion The adminsitration of an ergonomic latex pillow can ameliorate treatment outcome in patients with cervical spondylosis.

1Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

2Instructor at Department of Orthotics and Prosthetics, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Madadkaran St, Shahnazari St, Madar Sq, Mirdamad Blv, Tehran, Iran.

3Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

4Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Corresponding author: Behshid Farahmand PhD candidate, Instructor at Department of Orthotics and Prosthetics, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Madadkaran St, Shahnazari St, Madar Sq, Mirdamad Blv, Tehran, Iran. Farahmandb1@yahoo.com, +982122228051

Conflicts of Interest Disclosure: The authors have no conflicts of interest to declare with respect to the research, authorship, and/or publication of this article.

Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Previous presentation: The authors disclose that the results of this study have not been presented elsewhere.

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