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Sleep Ergonomics

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Sleep Medicine and Physical Therapy

Abstract

When positioning for sleep, the spine must be in optimal alignment. For that, during sleep, the use of a proper sleeping system constituted by a head pillow, a mattress and its surface is a must. Therefore, the sleeping system should have different elastic properties, the so-called custom-made arrangement, as we differ individually from biotypes, anthropometry, bodyweight distribution, height and weight, and sleeping habits. Individuals with different sleeping characteristics require different zonal stiffnesses in the mattress in order that the mattress maintains their spine in natural alignment during the recumbent posture we adopt to sleep. Physiotherapists should encourage patients/clients to have an individually adapted sleep system according to their physical needs and conditions.

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References

  1. Haex B. Back and bed. Ergonomic aspect of sleeping. 2nd ed. New York: CRC Press; 2004.

    Google Scholar 

  2. Huysmans T, et al. A 3D active shape model for the evaluation of the alignment of the spine during sleeping. Gait Posture. 2006;24(1):54–61.

    CAS  PubMed  Google Scholar 

  3. Sakata RK, Issy AM, Vlainich R. Cervicobraquialgias. Rev Faces Dor. 2002;2:5–6.

    Google Scholar 

  4. Grandjean E, Manual de ergonomia: adaptando o trabalho ao homem. Stein, João Pedro 4a ed. 1998, Porto Alegre: Artes Médicas.

    Google Scholar 

  5. Gardiner MD. Manual de terapia por exercícios. São Paulo: Santos; 1995.

    Google Scholar 

  6. Kendall FP, McCreary EK, Provance PG. Músculos: provas e funções. 4th ed. Manole: São Paulo; 1995.

    Google Scholar 

  7. Smith LK, Weiss EL, Lehmkuhl LD. Cinesiologia clínica de Brunnstrom. 5th ed. São Paulo: Manole; 1997.

    Google Scholar 

  8. Iida I. Ergonomia: projeto e produção. São Paulo: Edgar Blucher; 1990.

    Google Scholar 

  9. Nachemson AL. The lumbar spine: an orthopedic challenge. Spine. 1976;1(1):59–71.

    Google Scholar 

  10. Almeida GCD. Efeitos de uma intervenção postural durante o sono na percepção da dor na coluna vertebral, na qualidade de vida e na qualidade do sono. In: Faculdade de Motricidade Humana. Lisboa: Universidade de Lisboa, FMH/FL; 2015. p. 244.

    Google Scholar 

  11. Kisner C, Colby LA. Exercícios terapêuticos: fundamentos e técnicas. 3rd ed. São Paulo: Manole; 1995.

    Google Scholar 

  12. Oliver J, Middleditch A. Anatomia funcional da coluna vertebral. Rio de Janeiro: Revinter; 1998.

    Google Scholar 

  13. Chaffin DB, Anderson GB, Martin BJ. Biomecânica ocupacional. Belo Horizonte: Ergo; 2001.

    Google Scholar 

  14. Grandjean E, Hunting W. Ergonomics of posture--review of various problems of standing and sitting posture. Appl Ergon. 1977;8(3):135–40.

    CAS  PubMed  Google Scholar 

  15. Haex B. Back and bed: ergonomic aspects of sleeping. Reino Unido: CRC Press; 2005.

    Google Scholar 

  16. Yim JE. Optimal pillow conditions for high-quality sleep: a theoretical review. Indian J Sci Technol. 2015;8(5):135–9.

    Google Scholar 

  17. Bork BE, et al. Work-related musculoskeletal disorders among physical therapists. Phys Ther. 1996;76(8):827–35.

    CAS  PubMed  Google Scholar 

  18. Cromie JE, Robertson VJ, Best MO. Work-related musculoskeletal disorders in physical therapists: prevalence, severity, risks, and responses. Phys Ther. 2000;80(4):336–51.

    CAS  PubMed  Google Scholar 

  19. Mierzejewski M, Kumar S. Prevalence of low back pain among physical therapists in Edmonton. Canada Disabil Rehabil. 1997;19(8):309–17.

    CAS  PubMed  Google Scholar 

  20. Leilnahari K, et al. Spine alignment in men during lateral sleep position: experimental study and modeling. Biomed Eng Online. 2011;10:103.

    PubMed  PubMed Central  Google Scholar 

  21. Bienfait M. Os desequilíbrios estáticos: fisiologia, patologia e tratamento fisioterápico. 2nd ed. São Paulo: Summus; 1995.

    Google Scholar 

  22. De Koninck J, Lorrain D, Gagnon P. Sleep positions and position shifts in five age groups: an ontogenetic picture. Sleep. 1992;15(2):143–9.

    PubMed  Google Scholar 

  23. Gordon SJ, Grimmer-Somers KA, Trott PH. A randomized, comparative trial: does pillow type alter cervico-thoracic spinal posture when side lying? J Multidiscip Healthc. 2011;4:321–7.

    PubMed  PubMed Central  Google Scholar 

  24. Santiago R. Para uma noite bem dormida. Cited 2018 December 4th, 2018. http://ruisantiago.com/Docs/dormir.pdf.

  25. Locks RT, Merino GSAD, Merino EAD. Levantamento e identificação dos aspectos básicos para a correta escolha do travesseiro de fibra. Blucher Design Proc. 2014;1(4):2331–43.

    Google Scholar 

  26. Gordon SJ, Grimmer-Somers KA, Trott PH. Pillow use: the behavior of cervical stiffness, headache and scapular/arm pain. J Pain Res. 2010;3:137–45.

    PubMed  PubMed Central  Google Scholar 

  27. Ambrogio N, et al. A comparison of three types of neck support in fibromyalgia patients. Arthritis Care Res. 1998;11(5):405–10.

    CAS  PubMed  Google Scholar 

  28. Lavin RA, Pappagallo M, Kuhlemeier KV. Cervical pain: a comparison of three pillows. Arch Phys Med Rehabil. 1997;78(2):193–8.

    CAS  PubMed  Google Scholar 

  29. Mc DJ. Sleep posture; its implications. Br J Phys Med. 1946;9:46–52.

    Google Scholar 

  30. Chen HL, Cai D. Body dimension measurements for pillow design for Taiwanese. Work. 2012;41 Suppl 1:1288–95.

    PubMed  Google Scholar 

  31. Mercúrio R. Dor nas costas nunca mais. São Paulo: Manole; 1997.

    Google Scholar 

  32. Mork PJ, Westgaard RH. The association between nocturnal trapezius muscle activity and shoulder and neck pain. Eur J Appl Physiol. 2004;92(1–2):18–25.

    PubMed  Google Scholar 

  33. Hannon JC. Pillow talk: the use of props to encourage repose. J Bodyw Mov Ther. 1999;3(1):55–64.

    Google Scholar 

  34. Liu SF, Lee YL, Liang JC. Shape design of an optimal comfortable pillow based on the analytic hierarchy process method. J Chiropr Med. 2011;10(4):229–39.

    PubMed  PubMed Central  Google Scholar 

  35. Kawabata A, Tokura H. Effects of two kinds of pillow on thermoregulatory responses during night sleep. Appl Human Sci. 1996;15(4):155–9.

    CAS  PubMed  Google Scholar 

  36. Okamoto-Mizuno K, Tsuzuki K, Mizuno K. Effects of head cooling on human sleep stages and body temperature. Int J Biometeorol. 2003;48(2):98–102.

    PubMed  Google Scholar 

  37. Jeon MY, et al. Improving the quality of sleep with an optimal pillow: a randomized, comparative study. Tohoku J Exp Med. 2014;233(3):183–8.

    PubMed  Google Scholar 

  38. Persson L, Moritz U. Neck support pillows: a comparative study. J Manipulative Physiol Ther. 1998;21(4):237–40.

    CAS  PubMed  Google Scholar 

  39. Her JG, et al. Development and comparative evaluation of new shapes of pillows. J Phys Ther Sci. 2014;26(3):377–80.

    PubMed  PubMed Central  Google Scholar 

  40. Verhaert V. Ergonomic analysis of integrated bed measurements: towards smart sleep systems. Lovaina: Universidade Católica de Leuven; 2011. p. 210.

    Google Scholar 

  41. Hage M. Dor nas costas: deixe de reclamar e resolve de uma vez. São Paulo: Gente Editora; 1997.

    Google Scholar 

  42. Sacco IC, et al. The effect of pillow height on muscle activity of the neck and mid-upper back and patient perception of comfort. J Manipulative Physiol Ther. 2015;38(6):375–81.

    PubMed  Google Scholar 

  43. Newell J, Mairesse O, Neu D. Can positional therapy be simple, effective and well tolerated all together? A prospective study on treatment response and compliance in positional sleep apnea with a positioning pillow. Sleep Breath. 2018;22(4):1143–51.

    PubMed  Google Scholar 

  44. Zuberi NA, Rekab K, Nguyen HV. Sleep apnea avoidance pillow effects on obstructive sleep apnea syndrome and snoring. Sleep Breath. 2004;8(4):201–7.

    PubMed  Google Scholar 

  45. Svatikova A, et al. Positional therapy in ischemic stroke patients with obstructive sleep apnea. Sleep Med. 2011;12(3):262–6.

    PubMed  Google Scholar 

  46. Chen WC, et al. Treatment of snoring with positional therapy in patients with positional obstructive sleep apnea syndrome. Sci Rep. 2015;5:18188.

    CAS  PubMed  PubMed Central  Google Scholar 

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Bueno, S., Frange, C. (2022). Sleep Ergonomics. In: Frange, C., Coelho, F.M.S. (eds) Sleep Medicine and Physical Therapy. Springer, Cham. https://doi.org/10.1007/978-3-030-85074-6_32

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  • DOI: https://doi.org/10.1007/978-3-030-85074-6_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-85073-9

  • Online ISBN: 978-3-030-85074-6

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