ABSTRACT
Objective:
Non-specific neck pain is pain in the lateral and posterior of the neck that is not caused by any specific reason. The preferred sleeping position in individuals with neck pain may affect pain severity, disability, upper extremity function, and sleep quality. In this study, we aimed to examine the effects of sleep positions on the parameters of young individuals with non-specific neck pain.
Materials and Methods:
The study was conducted with 91 (12 male, 79 female) university students aged 18-30 years with non-specific neck pain. Sleep positions were determined using sleep position images. Pain was assessed with the “Numerical Rating Scal”, neck disability with the “Bournemouth Neck Questionnaire”, upper extremity functionality with the “Upper Extremity Functional Index” and sleep quality with the “Pittsburgh Sleep Quality Index”.
Results:
60.4% of those who experienced neck pain also reported that they also experienced shoulder pain. With the sleeping position, there was no statistically significant relationship between neck pain severity, shoulder pain severity, neck disability, upper extremity function, and sleep quality (p<0.05).
Conclusion:
It was concluded that the sleep position preferred by young individuals with non-specific neck pain did not have a significant effect on pain severity, neck disability, upper extremity function, and sleep quality.
Keywords:
Non-specific neck pain, sleep position, neck disability, upper extremity function, sleep quality
References
1Evans R, Bronfort G, Nelson B, Goldsmith CH. Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine (Phila Pa 1976) 2002;27:2383-9.
2Jahre H, Grotle M, Smedbråten K, Dunn KM, Øiestad BE. Risk factors for non-specific neck pain in young adults. A systematic review. BMC Musculoskeletal Disorders 2020;21:1-12.
3Saeed A, Riaz H. Risk Factors of Non-Specific Neck Pain in Students : Case Control Study. JRCRS 2018;6:43-6.
4Jang HJ, Kim SY, Jeon JG, Shin EJ. The Association Between Neck Pain/Disability and Upper Limb Disability in Patients with Non-Specific Neck Pain. The Korea Academia-Industrial Cooperation Society 2013;14:2862-8.
5Alreni ASE, Abdo Aboalmaty HR, De Hertogh W, Meirte J, Harrop D, McLean SM. Measuring upper limb disability for patients with neck pain: Evaluation of the feasibility of the single arm military press (SAMP) test. Musculoskelet Sci Pract 2020;50:102254.
6Osborn W, Jull G. Patients with non-specific neck disorders commonly report upper limb disability. Man Ther 2013;18:492-7.
7Artner J, Cakir B, Spiekermann JA, Kurz S, Leucht F, Reichel H, Lattig F. Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients. J Pain Res 2013;6:1-6.
8Gordon S, Grimmer K, Trott P. Sleep position, age, gender, sleep quality and waking cervico-thoracic symptoms. The Internet Journal Allied Health Sciences and Practice 2007;5:1-8.
9Özsoy H. Investigation of the relationship between neck pain and disability severity and upper extremity performance in individuals with chronic neck pain (dissertation). Ankara: Ankara Yıldırım Beyazıt Üniv. 2019.
10Mulligan EP, Brunette M, Shirley Z, Khazzam M. Sleep quality and nocturnal pain in patients with shoulder disorders. J Shoulder Elbow Surg 2015;24:1452-7.
11Holdaway LA, Hegmann KT, Thiese MS, Kapellusch J. Is sleep position associated with glenohumeral shoulder pain and rotator cuff tendinopathy: a cross-sectional study. BMC Musculoskelet Disord 2018;19:1-8.
12Karabay İ, Yaşar E, Tezel K, Demir Y, Gürçay E. Does the Sleeping Position Affect Shoulder Pain? A Clinical and Sonographic Study. J PMR Sci 2020;23:174-82.
13Yılmaz O, Gafuroğlu Ü, Yüksel S. Translation, reliability, and validity of the Turkish version of the Neck Bournemouth Questionnaire. Turkish J Phys Med Rehabil 2019;65:59-66.
14Aytar A, Yuruk ZO, Tuzun EH, Baltaci G, Karatas M, Eker L. The Upper Extremity Functional Index (UEFI): cross-cultural adaptation, reliability, and validity of the Turkish version. J Back Musculoskelet Rehabil 2015;28:489-95.
15Stratford PW, Binkley JM, Stratford DM. Development and initial validation of the upper extremity functional index. Physiotherapy Canada 2001;53:259-67.
16Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193-213.
17Agargun MY, Kara H, Anlar Ö. The reliability and validity the Pittsburgh sleep quality index. Turkish J Psychiatry. 1996;7:107-11.
18Kempf B, Kongsted A. Association between the side of unilateral shoulder pain and preferred sleeping position: a cross-sectional study of 83 Danish patients. J Manipulative Physiol Ther 2012;35:407-12.
19Gracovetsky SA. The resting spine. A conceptual approach to the avoidance of spinal reinjury during rest. Phys Ther 1987;67:549-53.
20Desouzart G, Matos R, Melo F, Filgueiras E. Effects of sleeping position on back pain in physically active seniors: A controlled pilot study. Work 2016;53:235-40.
21Abuan B. Pros and Cons of Different Sleeping positions 2020. (cited 26 March, 2022). Available from: https://green.stage.koala-mattress.com/en-au/blog/pros-and-cons-of-different-sleeping-positions/
22Jackson R. Chapter 3: The Cervıcal Spine 1976. (cited 26 March, 2022). Available from: https://chiro.org/ACAPress/Cervical_Spine.html
23Maurice-Williams R. Intervertebral Disk Diseases: Causes, Diagnosis, Treatment and Prophylaxis Journal of Neurology, Neurosurgery & Psychiatry 1984;47:223.
24Alreni ASE, Aboalmaty HRA, De Hertogh W, McLean SM. Interrater and intrarater reliability of the single arm military press (SAMP) test for upper limb function in patients with non-specific neck pain. Musculoskelet Sci Pract 2021;55:102428.
25Zenian J. Sleep position and shoulder pain. Med Hypotheses 2010;74:639-43.
26Andreucci A, Madrid-Valero JJ, Ferreira PH, Ordoñana JR. Sleep quality and chronic neck pain: a cotwin study. J Clin Sleep Med 2020;16:679-87.
27De Koninck J, Gagnon P, Lallier S. Sleep positions in the young adult and their relationship with the subjective quality of sleep. Sleep 1983;6:52-9.
28Agargun MY, Boysan M, Hanoglu L. Sleeping position, dream emotions, and subjective sleep quality. Sleep and Hypnosis 2004;6:8-13.
29De Koninck J, Lorrain D, Gagnon P. Sleep positions and position shifts in five age groups: an ontogenetic picture. Sleep 1992;15:143-9.