Effects of Mattress Firmness on Pain in Patients With Chronic Low-Back Pain - Full Text View

Purpose

The primary study objective is to determine whether mattress firmness affects pain in patients with chronic low-back pain. We hypothesize that mattresses that differ in their firmness and support should have a varying effect on low-back pain patients' level of pain and pain-related disability. We also seek to test the hypothesis that the optimal mattress might vary from person to person.

In this regard, we will test:

Whether there is a single mattress that is superior to the others in terms of reducing low-back pain and pain related disability.
Whether the optimal mattress for reducing pain varies in the observed population.

Condition	Intervention
Low Back Pain Sleep Disruption	Other: Mattress Firmness


Study Type:	Interventional
Study Design:	Intervention Model: Crossover Assignment Masking: Single Blind (Subject) Primary Purpose: Supportive Care
Official Title:	A Latin-Square Crossover Study of the Effects of Mattress Firmness on Pain in Patients With Chronic Low-Back Pain

Resource links provided by NLM:

MedlinePlus related topics: Back Pain

U.S. FDA Resources

Further study details as provided by Sleep To Live Institute:

Primary Outcome Measures:

Reduction of Pain [ Time Frame: Daily and every 3 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Improved Sleep Quality [ Time Frame: Daily ] [ Designated as safety issue: No ]


Enrollment:	40
Study Start Date:	January 2010
Study Completion Date:	July 2012
Primary Completion Date:	July 2012 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Mattress Firmness	Other: Mattress Firmness Current mattress and 6 experimental firmnesses of mattress as defined by a Comfort Support Analysis device. Other Names: Kingsdown Sleep to Live

Detailed Description:

Few treatments are effective for chronic low-back pain, a disorder that causes marked social costs in developed countries. A "comfortable" mattress is commonly assumed to play an essential role, both on a preventive and on a therapeutic basis on chronic low-back pain. However, evidence supporting the beneficial effects of different levels of mattress support on pain is lacking.

The primary study objective is to determine whether mattress firmness affects pain in patients with chronic low-back pain. We hypothesize that mattresses that differ in their firmness and support should have a varying effects on LBP patients' level of pain and pain-related disability. We also seek to test the hypothesis that the optimal mattress might vary from person to person. In this regard, we will test:

whether there is a single mattress that is superior to the others in terms of reducing low-back pain and pain-related disability and
whether the optimal mattress for reducing pain varies in the observed population.

The secondary objectives are:

to determine whether there is a relationship between mattress firmness and sleep in this population;
to determine whether there is a relationship between pain and sleep in this population;
to determine whether key sleep variables (subjective or objective) are mediating or moderating factors of the relationship between mattress and level of low-back pain (LBP) and disability;
to determine if different sleep surfaces have differential effects on measures of daily function among patients with chronic LBP;
to evaluate if Kingsdown's proprietary algorithm for selecting optimal mattress "fits" with the subject's best mattress for reducing pain and improving sleep and measures of daytime functioning;
to conduct exploratory regression analyses using variables included in the proprietary algorithm and other demographics and measures of physical characteristics to predict the optimal "fit" mattress (i.e., the mattress associated with lowest morning pain ratings, best sleep measures and optimal levels of daytime function);
to determine if different sleep surfaces have differential effects on measures of partner sleep disturbance;
to determine if there is a relationship between partner pain level and partner sleep disturbances.

Please see "Eligibility Criteria" for inclusion and exclusion information.

Eligibility


Ages Eligible for Study:	21 Years to 64 Years (Adult)
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Low back pain location must be inferior to T12 and superior to the gluteal fold and chronic (greater than 3 months)
Patient Global Impression for Pain of at least 3 on a 1-5 scale (moderate severity)
Visual Analog Scale for Pain of at least 40 on a 100 point scale (0 = no pain; 100 = worst pain)
Presence of normal motor strength on exam
English speaking and reading man/woman between the ages of 21-64

Exclusion Criteria:

Neurologic or medical illness that is directly responsible for back pain
Psychiatric disease
Back related surgery
Substance abuse
Pregnancy (self or partner)
Sleep-affecting medications
Recent surgery
Recent physical trauma
Fibromyalgia
Spinal Stenosis
Sciatica
Spondylolisthesis
Spondyloarthropathy
Sciatica
Spinal Stenosis
Vertebral Fractures
Rheumatoid Arthritis
Inability to comply
Untreated sleep disorders
Night-shift worker
Frequent travel
Parent of child under 2
Pending litigation for pain issue
Corticosteroid use in the last 90 days

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01044121

Sponsors and Collaborators

Sleep To Live Institute

Duke University

Investigators


Principal Investigator:	Robert Oexman, DC	Sleep To Live Institute

More Information


Responsible Party:	Sleep To Live Institute
ClinicalTrials.gov Identifier:	NCT01044121 History of Changes
Other Study ID Numbers:	Duke-Pain-1113291
Study First Received:	January 5, 2010
Last Updated:	January 8, 2013
Health Authority:	United States: Institutional Review Board

Keywords provided by Sleep To Live Institute:


mattress pain sleep low back pain back neck arousal pillow kingsdown	sleep to live duke university sleep to live institute missouri springfield joplin body diagnostic dormo diagnostic morning pain

Additional relevant MeSH terms:


Back Pain Low Back Pain Pain	Neurologic Manifestations Nervous System Diseases Signs and Symptoms

ClinicalTrials.gov processed this record on September 23, 2016