NCT05707715

Brief Summary

With the change in lifestyle, most physical tasks are now performed by machines. As a result, sitting has become the most common learning posture and office posture, and cervical and lumbar spondylosis are becoming increasingly prevalent in younger people. One-third of life is devoted to sleep, and bad sleeping posture can place incorrect strain on the cervical and lumbar spine, resulting in irreversible and detrimental repercussions if not treated seriously. Sleep disorders have become an important public health concern because they can have detrimental effects on both mental and physical health. A pillow can give adequate support for the head and neck and assist sleepers in maintaining proper neck and thoracic curvature. Studies have demonstrated that a comfortable sleeping pillow helps relax the neck muscles, hence facilitating sleep, and efficiently alleviate pain in the neck, shoulders, back, and head. There is consensus among researchers that supporting the natural lordotic curve of the cervical spine is necessary to achieve longer periods of deep sleep. In addition, a pillow can improve sleep quality by cooling the head, lowering body temperature, reducing sweating or slowing the heart rate during sleep. However, the level of evidence to support these claims is so far limited. It has been claimed by pillow manufacturers that many design-related pillow parameters are effective in improving sleep quality and reducing neck pain. However, most of these recommendations are based on personal experience. This study recommends the most suitable pillow for people in forward head postures based on the body pressure distribution of the head, neck and upper body. The proposed pillows were evaluated in two parameters: comfort and support.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Jan 2023

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 22, 2023

Completed
Same day until next milestone

Study Start

First participant enrolled

January 22, 2023

Completed
10 days until next milestone

First Posted

Study publicly available on registry

February 1, 2023

Completed
9 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 10, 2023

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

March 14, 2023

Completed
Last Updated

February 7, 2024

Status Verified

February 1, 2024

Enrollment Period

19 days

First QC Date

January 22, 2023

Last Update Submit

February 6, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Comfort and support assessment

    A pressure mapping system (X3 SENSOR PX 100:64.160.02, X-Sensor®, Calgary, Canada) was used to record the pressure distribution in mmHg of the head and shoulder section \[18,19\]. The pressure mapping system used has a sensing area of 81.3 × 203.2 cm (32'' x 80''), provides high resolution sensing (1.27 cm or 0.5'') using 10,240 sensing points with an accuracy of ±2 mmHg. For the purpose of our study, the pressure mapping system was positioned on the pillow and the patients were asked to lie on the mapping system once in supine, side lying and prone positions. The purpose of these measurements was to describe the pressure distribution created by the participants in the pillow and the supported areas, as well as to find out the differences that may occur between the pillows. Lower pressure values measured by the device were defined as "high comfort", while more contact of the head area with the pillow was accepted as "high support".

    15 minutes

Study Arms (2)

Slight Forward Head Posture

This descriptive cross-sectional study which was approved by Çankırı Karatekin University Ethics Committee (Approval number:). There is FHP if the imaginary line between the tragus of the ear and the middle of the shoulder is not on the same line when viewed from the side. And the horizontal length between that two vertical lines indicates the severity of FHP. The level of FHP is classified as slight/severe/highly FHP according to that horizontal length. The slight FHP is accepted as between 0-2.5cm, and severe FHP above 2.5cm (27).

Device: XSensor

Severe Forward Head Posture

This descriptive cross-sectional study which was approved by Çankırı Karatekin University Ethics Committee (Approval number:). There is FHP if the imaginary line between the tragus of the ear and the middle of the shoulder is not on the same line when viewed from the side. And the horizontal length between that two vertical lines indicates the severity of FHP. The level of FHP is classified as slight/severe/highly FHP according to that horizontal length. The slight FHP is accepted as between 0-2.5cm, and severe FHP above 2.5cm (27).

Device: XSensor

Interventions

XSensorDEVICE

A pressure mapping system (X3 SENSOR PX 100:64.160.02, X-Sensor®, Calgary, Canada) was used to record the pressure distribution in mmHg of the head and shoulder section \[18,19\]. Pressure distribution was recorded for 1 minute for each lying position. The purpose of these measurements was to describe the pressure distribution created by the participants in the pillow and the supported areas, as well as to find out the differences that may occur between the pillows. Lower pressure values measured by the device were defined as "high comfort", while more contact of the head area with the pillow was accepted as "high support".

Severe Forward Head PostureSlight Forward Head Posture

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Healthy individuals

You may qualify if:

  • Forward head posture
  • Good cognitive status (Mini Mental Test \>23/30

You may not qualify if:

  • Orthopeadical or Neurological chronic disorders
  • Spinal disraphism
  • Spinal rheumotological disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

ODTU Teknopark ASO

Ankara, Turkey (Türkiye)

Location

Related Publications (7)

  • Andreoni G, Santambrogio GC, Rabuffetti M, Pedotti A. Method for the analysis of posture and interface pressure of car drivers. Appl Ergon. 2002 Nov;33(6):511-22. doi: 10.1016/s0003-6870(02)00069-8.

  • Le P, Rose J, Knapik G, Marras WS. Objective classification of vehicle seat discomfort. Ergonomics. 2014;57(4):536-44. doi: 10.1080/00140139.2014.887787. Epub 2014 Mar 7.

  • de Looze MP, Kuijt-Evers LF, van Dieen J. Sitting comfort and discomfort and the relationships with objective measures. Ergonomics. 2003 Aug 15;46(10):985-97. doi: 10.1080/0014013031000121977.

  • Miyatsuji A, Matsumoto T, Mitarai S, Kotabe T, Takeshima T, Watanuki S. Effects of clothing pressure caused by different types of brassieres on autonomic nervous system activity evaluated by heart rate variability power spectral analysis. J Physiol Anthropol Appl Human Sci. 2002 Jan;21(1):67-74. doi: 10.2114/jpa.21.67.

  • Zhong S, Shen L, Zhou L, Guan Z. Predict human body indentation lying on a spring mattress using a neural network approach. Proc Inst Mech Eng H. 2014 Aug;228(8):787-99. doi: 10.1177/0954411914547552. Epub 2014 Aug 22.

  • Leilnahari K, Fatouraee N, Khodalotfi M, Sadeghein MA, Kashani YA. Spine alignment in men during lateral sleep position: experimental study and modeling. Biomed Eng Online. 2011 Nov 30;10:103. doi: 10.1186/1475-925X-10-103.

  • Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clin Rehabil. 2012 Apr;26(4):351-61. doi: 10.1177/0269215511419536. Epub 2011 Sep 21.

MeSH Terms

Conditions

Somatosensory DisordersMusculoskeletal Diseases

Condition Hierarchy (Ancestors)

Sensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Asst. Prof.

Study Record Dates

First Submitted

January 22, 2023

First Posted

February 1, 2023

Study Start

January 22, 2023

Primary Completion

February 10, 2023

Study Completion

March 14, 2023

Last Updated

February 7, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

Locations