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Spinal pain—good sleep matters: a secondary analysis of a randomized controlled trial

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Abstract

Purpose

The estimated prevalence of poor sleep in patients with non-specific chronic low back pain is estimated to 64 % in the adult population. The annual cost for musculoskeletal pain and reported poor sleep is estimated to be billions of dollars annually in the US. The aim of this cohort study with one-year follow-up was to explore the role of impaired sleep with daytime consequence on the prognosis of non-specific neck and/or back pain.

Methods

Secondary analysis of a randomized controlled trial, including 409 patients.

Results

Patients with good sleep at baseline were more likely to experience a minimal clinically important difference in pain [OR 2.03 (95 % CI 1.22–3.38)] and disability [OR 1.85 (95 % CI 1.04–3.30)] compared to patients with impaired sleep at one-year follow-up.

Conclusion

Patients with non-specific neck and/or back pain and self-reported good sleep are more likely to experience a minimal clinically important difference in pain and disability compared to patients with impaired sleep with daytime consequence.

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Acknowledgments

The financial support for the study was obtained from the Swedish Naprapathic Association. The data collection was financially supported by the Swedish Research Council.

Conflict of interest

The authors declared that they have no conflict of interest in connection with this paper.

Author information

Authors and Affiliations

  1. Institute of Environmental Medicine, Karolinska Institutet, Box 210, SE-17177, Stockholm, Sweden

    Kari Paanalahti, Torbjörn Åkerstedt, Lena W. Holm, Margareta Nordin & Eva Skillgate

  2. Department of Internal Medicine, Horten Center for Patient Oriented Research and Knowledge Transfer, University of Zurich, Pestalozzistrasse 24, 8032, Zurich, Switzerland

    Maria M. Wertli & Ulrike Held

  3. Occupational and Industrial Orthopaedic Center (OIOC), NYU Hospital for Joint Diseases, New York University Langone Medical Center, 63 Downing Street, New York, NY, 10014, USA

    Margareta Nordin

  4. Scandinavian College of Naprapathic Manual Medicine, Kräftriket 23A, SE-11419, Stockholm, Sweden

    Kari Paanalahti & Eva Skillgate

  5. Stressforskningsinstitutet, Stockholms universitet, SE-10691, Stockholm, Sweden

    Torbjörn Åkerstedt

Authors
  1. Kari Paanalahti
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  2. Maria M. Wertli
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  3. Ulrike Held
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  4. Torbjörn Åkerstedt
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  5. Lena W. Holm
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  6. Margareta Nordin
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  7. Eva Skillgate
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Corresponding author

Correspondence to Kari Paanalahti.

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Paanalahti, K., Wertli, M.M., Held, U. et al. Spinal pain—good sleep matters: a secondary analysis of a randomized controlled trial. Eur Spine J 25, 760–765 (2016). https://doi.org/10.1007/s00586-015-3987-x

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  • DOI: https://doi.org/10.1007/s00586-015-3987-x

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