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The effect of sleep posture on spinal symptoms

An observational study comparing the sleep posture of three groups (healthy, neck pain, lumbar pain) to determine the relationship between spinal symptoms and sleep posture measured using infrared imaging and questionnaires.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12614000708651
Enrollment
53
Registered
2014-07-04
Start date
2014-10-09
Completion date
2017-05-17
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Some sleep postures place rotation and extension loads on spinal tissues. If maintained for prolonged periods of time, they could potentially cause pain and stiffness. The hypothesis of this study is that prone and 3/4 prone postures will increase spine symptoms and that people sleeping in these positions will have more frequent symptoms and a poorer quality of sleep.

Interventions

In this observational study participants will be asked to complete the self-report questionnaires outlined below. They will be provided with an email link to access Survey Monkey questionnaires for online completion. If unable to access online, printed copies will be provided for manual completion. Self Report Questionnaire; 1. Self-report percentage allocation sleep postures 2. General Questions; Age, Gender, Sleeping Arrangement: Partner/Solo, Height and Weight (BMI), Highest Education Level

In this observational study participants will be asked to complete the self-report questionnaires outlined below. They will be provided with an email link to access Survey Monkey questionnaires for online completion. If unable to access online, printed copies will be provided for manual completion. Self Report Questionnaire; 1. Self-report percentage allocation sleep postures 2. General Questions; Age, Gender, Sleeping Arrangement: Partner/Solo, Height and Weight (BMI), Highest Education Level (High school, Registered Trade, Undergraduate, Post Graduate), Medications and Comorbidities. 3. 11 point numerical rating scales for bothersomeness, pain, stiffness and quality of sleep. Medical Outcomes Study 36-Item Short-Form Health Survey Spine Functional Index (SFI-10) Neck Disability Index Rowland Morris Disability Questionnaire Hospital Anxiety and Depression Scale Insomnia Severity Index Pittsburgh Sleep Quality Index Infrared cameras will be temporarily installed on stands, in the participant's bedroom and activated automatically to record from 8PM to 8AM. Recording will occur for 3 consecutive nights. The cameras will record posture and later during analysis, time spent in each primary (prone, supine) and intermediate (supported sidelying and 3/4 prone) posture will be calculated. In addition, the number of posture shifts per night and the number of long periods of immobility (no posture shift for 30 minutes) will be calculated.

Sponsors

Curtin University
Lead SponsorUniversity

Eligibility

Sex/Gender
All
Age
18 Years to 45 Years
Healthy volunteers
No

Inclusion criteria

Three groups will be recruited for this study. All persons will be required to be fluent and literate in English. One group will be healthy volunteers with no spinal symptoms. The second group will include volunteers who experience predominantly cervical pain or stiffness or bothersomeness, greater than or equal to 3/10 on a numerical rating scale (NRS), that is greatest lying in bed or on rising (within 30 minutes) and occurs 4 or more times per month. The third group will include volunteers who experience predominantly lumbar pain or stiffness or bothersomeness, greater than or equal to 3/10 on a numerical rating scale (NRS), that is greatest lying in bed or on rising (within 30 minutes) and occurs 4 or more times per month.

Exclusion criteria

Less than 18 years and greater than 45 years of age, medical conditions or devices that prevent person from sleeping in all postures e.g. severe OA, esophageal reflux, breathing apparatus, late stage pregnancy, coexisting medically diagnosed inflammatory conditions or unremitting pain e.g. RA, AS, radicular pain, taking medically prescribed hypnotic or relaxant medications and previously treated by main researcher for spinal pain.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026