Brief research reportsSustained effects of comprehensive inpatient rehabilitative treatment and sleeping neck support in patients with chronic cervicobrachialgia: a prospective and randomized clinical trialBernateck, Michael; Karst, Matthias; Merkesdal, Sonja; Fischer, Michael J.; Gutenbrunner, Christoph Author Information aDepartment of Anesthesiology, Pain Clinic Departments of bRheumatology cPhysical Medicine and Rehabilitation, Hannover Medical School, Hannover, Germany Correspondence to Michael Bernateck, MD, Department of Anesthesiology, Pain Clinic, Hannover Medical School, Carl-Neuberg-Str.1, 30625 Hannover, Germany Tel: +49 511 532 3108; fax: +49 511 532 8109; e-mail: [email protected] Received 17 September 2007 Accepted 6 December 2007 International Journal of Rehabilitation Research: December 2008 - Volume 31 - Issue 4 - p 342-346 doi: 10.1097/MRR.0b013e3282fb7d74 Buy Metrics Abstract The objective of this study was to investigate the long-term efficacy of inpatient rehabilitation using sleeping neck support in patients suffering from chronic cervicobrachialgia. A prospective, randomized clinical trial with a 12-month follow-up was done. A total of 149 patients suffering from chronic cervicobrachialgia received a 4-week inpatient rehabilitation programme. The patients were randomly divided into two groups. The patients in one group were given a special neck pillow to use during and after the rehabilitative treatment (n=76); the patients in the other group were not given the pillow (n=73). Two weeks before, during, and after (3, 6, 9, and 12 months) the 4-week treatment period, the patients completed a questionnaire dealing with the intensity of their cervicobrachial complaints (pain intensity, muscular tension, paraesthesia, and sleep disorders caused by pain or paraesthesia). During the inpatient treatment period, no significant differences were detected between the groups; however, 1–12 months after discharge, the group with sleeping neck support showed a significantly (P<0.05) smaller increase in the intensity of cervical spine pain. Sleep disturbances caused by pain were also reduced significantly (P<0.001 after 3 months, respectively, P<0.05 after 12 months). Inpatient rehabilitative treatment has sustained effects in patients suffering from chronic cervicobrachialgia, particularly when a sleeping neck support is added. Copyright © 2008 Wolters Kluwer Health, Inc. All rights reserved.