PMID- 31934412
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220412
IS  - 1025-9848 (Print)
IS  - 2071-9736 (Electronic)
IS  - 1025-9848 (Linking)
VI  - 24
DP  - 2019
TI  - Changes in chronic neck pain following the introduction of a visco-elastic 
      polyurethane foam pillow and/or chiropractic treatment.
PG  - 1099
LID - 10.4102/hsag.v24i0.1099 [doi]
LID - 1099
AB  - BACKGROUND: Sleep ergonomics are increasingly prescribed as an adjunct treatment 
      to chronic neck pain. Postulated benefits to maintaining the ideal sleeping 
      posture are improved tissue repair in and around the facet joints, decrease in 
      tension of associated musculature and better quality sleep. AIM: The purpose of 
      this study was to determine if the inclusion of a visco-elastic polyurethane 
      (VEP) pillow could benefit the chiropractic treatment of chronic neck pain. 
      SETTING: The study took place at a chiropractic training clinic in Johannesburg. 
      METHOD: Participants were randomly assigned to either a chiropractic treatment 
      only group (CHI) (n = 15) or a chiropractic treatment with a VEP pillow group 
      (CHI+P) (n = 15). Both groups underwent six chiropractic treatments spaced at 
      3-4-day intervals and the CHI+P were provided with a VEP pillow. Baseline and 
      post-test measurements consisted of the initial Numerical Pain Rating Scale (NRS) 
      and the Vernon-Mior Neck Pain and Disability Index (NDI). RESULTS: Both the CHI 
      and CHI+P groups significantly (p </= 0.05) improved their NRS (p = 0.001 for both 
      groups) and NDI (p = 0.001 and p = 0.000, respectively) scores. Furthermore, post 
      hoc analysis indicated a significant difference at post-test between the two 
      groups for NRS (p = 0.015), but not for NDI (p = 0.195). The CHI+P demonstrated 
      an improved minimum clinically important difference (MCID) (43% vs. 73% for NRS 
      and 59% vs. 71% for the NDI). CONCLUSION: Findings of this study suggest that a 
      VEP pillow could be included as an adjunct management tool to chiropractic 
      treatment of chronic neck pain.
CI  - (c) 2019. The Authors.
FAU - Soal, Laura J
AU  - Soal LJ
AUID- ORCID: 0000-0002-0697-1751
AD  - Department of Chiropractic, University of Johannesburg, Johannesburg, South 
      Africa.
FAU - Bester, Charmaine M
AU  - Bester CM
AUID- ORCID: 0000-0002-2162-5099
AD  - Department of Chiropractic, University of Johannesburg, Johannesburg, South 
      Africa.
FAU - Shaw, Brandon S
AU  - Shaw BS
AUID- ORCID: 0000-0002-2285-8361
AD  - Department of Human Movement Science, University of Zululand, KwaZulu-Natal, 
      KwaDlangezwa, South Africa.
FAU - Yelverton, Chris
AU  - Yelverton C
AUID- ORCID: 0000-0001-5108-3641
AD  - Department of Chiropractic, University of Johannesburg, Johannesburg, South 
      Africa.
LA  - eng
PT  - Journal Article
DEP - 20191009
PL  - South Africa
TA  - Health SA
JT  - Health SA = SA Gesondheid
JID - 101213385
PMC - PMC6917418
OTO - NOTNLM
OT  - cervical pain
OT  - cervical pillow
OT  - manipulation
OT  - manual therapy
OT  - mobilisation
OT  - sleep
COIS- The authors have declared that no competing interest exists.
EDAT- 2020/01/15 06:00
MHDA- 2020/01/15 06:01
PMCR- 2019/10/09
CRDT- 2020/01/15 06:00
PHST- 2018/01/31 00:00 [received]
PHST- 2019/06/24 00:00 [accepted]
PHST- 2020/01/15 06:00 [entrez]
PHST- 2020/01/15 06:00 [pubmed]
PHST- 2020/01/15 06:01 [medline]
PHST- 2019/10/09 00:00 [pmc-release]
AID - HSAG-24-1099 [pii]
AID - 10.4102/hsag.v24i0.1099 [doi]
PST - epublish
SO  - Health SA. 2019 Oct 9;24:1099. doi: 10.4102/hsag.v24i0.1099. eCollection 2019.