Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: A cross sectional study
Research with a focus on sleep posture has been conducted in association with sleep pathologies such as insomnia and positional obstructive sleep apnoea. Research examining the potential role sleep posture may have on waking spinal symptoms and quality of sleep is however limited. The aims of this r...
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| description | Research with a focus on sleep posture has been conducted in association with sleep pathologies such as insomnia and positional obstructive sleep apnoea. Research examining the potential role sleep posture may have on waking spinal symptoms and quality of sleep is however limited. The aims of this research were to compare sleep posture and sleep quality in participants with and without waking spinal symptoms.
Fifty-three participants (36 female) were, based on symptoms, allocated to one of three groups; Control (n = 20, 16 female), Cervical (n = 13, 10 female) and Lumbar (n = 20, 10 female). Participants completed an online survey to collect general information and patient reported outcomes and were videoed over two consecutive nights to determine sleep posture using a validated classification system including intermediate sleep postures.
Participants in the symptomatic groups also reported a lower sleep quality than the Control group. Compared to Control group participants, those in the Cervical group had more frequent posture changes (mean (SD); 18.3(6.5) versus 23.6(6.6)), spent more time in undesirable/provocative sleep postures (median IQR; 83.8(16.4,105.2) versus 185.1(118.0,251.8)) minutes and had more long periods of immobility in a provocative posture, (median IQR: 0.5(0.0,1.5) versus 2.0 (1.5,4.0)). There were no significant differences between the Control and Lumbar groups in the number of posture changes (18.3(6.5) versus 22.9(9.1)) or the time spent in provocative sleep postures (0.5(0.0,1.5) versus 1.5(1.5,3.4)) minutes.
This is the first study using a validated objective measure of sleep posture to compare symptomatic and Control group participants sleeping in their home environment. In general, participants with waking spinal symptoms spent more time in provocative sleep postures, and experienced poorer sleep quality. |
| doi_str_mv | 10.1371/journal.pone.0260582 |
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Fifty-three participants (36 female) were, based on symptoms, allocated to one of three groups; Control (n = 20, 16 female), Cervical (n = 13, 10 female) and Lumbar (n = 20, 10 female). Participants completed an online survey to collect general information and patient reported outcomes and were videoed over two consecutive nights to determine sleep posture using a validated classification system including intermediate sleep postures.
Participants in the symptomatic groups also reported a lower sleep quality than the Control group. Compared to Control group participants, those in the Cervical group had more frequent posture changes (mean (SD); 18.3(6.5) versus 23.6(6.6)), spent more time in undesirable/provocative sleep postures (median IQR; 83.8(16.4,105.2) versus 185.1(118.0,251.8)) minutes and had more long periods of immobility in a provocative posture, (median IQR: 0.5(0.0,1.5) versus 2.0 (1.5,4.0)). There were no significant differences between the Control and Lumbar groups in the number of posture changes (18.3(6.5) versus 22.9(9.1)) or the time spent in provocative sleep postures (0.5(0.0,1.5) versus 1.5(1.5,3.4)) minutes.
This is the first study using a validated objective measure of sleep posture to compare symptomatic and Control group participants sleeping in their home environment. In general, participants with waking spinal symptoms spent more time in provocative sleep postures, and experienced poorer sleep quality.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0260582</identifier><identifier>PMID: 34847195</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Anxiety ; Apnea ; Arthritis ; Biology and Life Sciences ; Consent ; Cross-Sectional Studies ; Female ; Home environment ; Humans ; Insomnia ; Male ; Medicine and Health Sciences ; Middle Aged ; Muscle pain ; Patients ; Physical Sciences ; Physical therapy ; Physiological aspects ; Posture ; Quality management ; Questionnaires ; Sleep ; Sleep and wakefulness ; Sleep Apnea, Obstructive - etiology ; Sleep Apnea, Obstructive - physiopathology ; Sleep disorders ; Sleep Initiation and Maintenance Disorders - etiology ; Sleep Initiation and Maintenance Disorders - physiopathology ; Sleep positions ; Sleep Quality ; Spinal Diseases - complications ; Spinal Diseases - physiopathology ; Spine - physiopathology</subject><ispartof>PloS one, 2021-11, Vol.16 (11), p.e0260582</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Cary et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Cary et al 2021 Cary et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-d6ba2ea1b6452e5bb68fc9f82761dade9b3bf0ede71a5ed9f2e2035e855d9323</citedby><cites>FETCH-LOGICAL-c692t-d6ba2ea1b6452e5bb68fc9f82761dade9b3bf0ede71a5ed9f2e2035e855d9323</cites><orcidid>0000-0002-0461-681X ; 0000-0001-5721-1827</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8631621/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8631621/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2919,23857,27915,27916,53782,53784,79361,79362</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34847195$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Noll, Matias</contributor><creatorcontrib>Cary, Doug</creatorcontrib><creatorcontrib>Jacques, Angela</creatorcontrib><creatorcontrib>Briffa, Kathy</creatorcontrib><title>Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: A cross sectional study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Research with a focus on sleep posture has been conducted in association with sleep pathologies such as insomnia and positional obstructive sleep apnoea. Research examining the potential role sleep posture may have on waking spinal symptoms and quality of sleep is however limited. The aims of this research were to compare sleep posture and sleep quality in participants with and without waking spinal symptoms.
Fifty-three participants (36 female) were, based on symptoms, allocated to one of three groups; Control (n = 20, 16 female), Cervical (n = 13, 10 female) and Lumbar (n = 20, 10 female). Participants completed an online survey to collect general information and patient reported outcomes and were videoed over two consecutive nights to determine sleep posture using a validated classification system including intermediate sleep postures.
Participants in the symptomatic groups also reported a lower sleep quality than the Control group. Compared to Control group participants, those in the Cervical group had more frequent posture changes (mean (SD); 18.3(6.5) versus 23.6(6.6)), spent more time in undesirable/provocative sleep postures (median IQR; 83.8(16.4,105.2) versus 185.1(118.0,251.8)) minutes and had more long periods of immobility in a provocative posture, (median IQR: 0.5(0.0,1.5) versus 2.0 (1.5,4.0)). There were no significant differences between the Control and Lumbar groups in the number of posture changes (18.3(6.5) versus 22.9(9.1)) or the time spent in provocative sleep postures (0.5(0.0,1.5) versus 1.5(1.5,3.4)) minutes.
This is the first study using a validated objective measure of sleep posture to compare symptomatic and Control group participants sleeping in their home environment. In general, participants with waking spinal symptoms spent more time in provocative sleep postures, and experienced poorer sleep quality.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Apnea</subject><subject>Arthritis</subject><subject>Biology and Life Sciences</subject><subject>Consent</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Home environment</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Muscle pain</subject><subject>Patients</subject><subject>Physical Sciences</subject><subject>Physical therapy</subject><subject>Physiological aspects</subject><subject>Posture</subject><subject>Quality management</subject><subject>Questionnaires</subject><subject>Sleep</subject><subject>Sleep and wakefulness</subject><subject>Sleep Apnea, Obstructive - etiology</subject><subject>Sleep Apnea, Obstructive - physiopathology</subject><subject>Sleep disorders</subject><subject>Sleep Initiation and Maintenance Disorders - etiology</subject><subject>Sleep Initiation and Maintenance Disorders - physiopathology</subject><subject>Sleep positions</subject><subject>Sleep Quality</subject><subject>Spinal Diseases - complications</subject><subject>Spinal Diseases - physiopathology</subject><subject>Spine - physiopathology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk19r1EAUxYMotla_gehAQRTcdf4kk4kPwlKqFgoFLb4Ok8zN7qyTTJqZ2O63d7Kbll3pg-QhYfI75-ae3JskrwmeE5aTT2s39K2y8861MMeU40zQJ8kxKRidcYrZ073no-SF92uMMyY4f54csVSkOSmy48Sf36nGtKZdoh6sCsa1fmU6j0oItwAt8hagQ53zYejhI7pVv0fWdybWRn7TdME1HqlWo5tBWRM2yNU70We0QFXvvEceqtF4FIRBb14mz2plPbya7ifJ9dfz67Pvs8urbxdni8tZxQsaZpqXioIiJU8zCllZclFXRS1ozolWGoqSlTUGDTlRGeiiphBbzUBkmY6Ns5Pk7c62s87LKS4vY1KpoIzleSQudoR2ai273jSq30injNweuH4pVR9MZUFCKXBdQ5pzrFOhdJlrASVVeSoyzFMWvb5M1YayAV1BG3plD0wP37RmJZfujxScEU5JNHg_GfTuZgAfZGN8BdaqFtyw_e6M0ozhNKKn_6CPdzdRSxUbMG3tYt1qNJULLlJakJyMKc0foeKloTFVnK3axPMDwYcDQWQC3IWlGryXFz9__D979euQfbfHrkDZsPLODtuRPATTHbgdrh7qh5AJluNq3Kchx9WQ02pE2Zv9H_Qgut8F9henAgu-</recordid><startdate>20211130</startdate><enddate>20211130</enddate><creator>Cary, Doug</creator><creator>Jacques, Angela</creator><creator>Briffa, Kathy</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0461-681X</orcidid><orcidid>https://orcid.org/0000-0001-5721-1827</orcidid></search><sort><creationdate>20211130</creationdate><title>Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: A cross sectional study</title><author>Cary, Doug ; Jacques, Angela ; Briffa, Kathy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-d6ba2ea1b6452e5bb68fc9f82761dade9b3bf0ede71a5ed9f2e2035e855d9323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Apnea</topic><topic>Arthritis</topic><topic>Biology and Life Sciences</topic><topic>Consent</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Home environment</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Male</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Muscle pain</topic><topic>Patients</topic><topic>Physical Sciences</topic><topic>Physical therapy</topic><topic>Physiological aspects</topic><topic>Posture</topic><topic>Quality management</topic><topic>Questionnaires</topic><topic>Sleep</topic><topic>Sleep and wakefulness</topic><topic>Sleep Apnea, Obstructive - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cary, Doug</au><au>Jacques, Angela</au><au>Briffa, Kathy</au><au>Noll, Matias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: A cross sectional study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-11-30</date><risdate>2021</risdate><volume>16</volume><issue>11</issue><spage>e0260582</spage><pages>e0260582-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Research with a focus on sleep posture has been conducted in association with sleep pathologies such as insomnia and positional obstructive sleep apnoea. Research examining the potential role sleep posture may have on waking spinal symptoms and quality of sleep is however limited. The aims of this research were to compare sleep posture and sleep quality in participants with and without waking spinal symptoms.
Fifty-three participants (36 female) were, based on symptoms, allocated to one of three groups; Control (n = 20, 16 female), Cervical (n = 13, 10 female) and Lumbar (n = 20, 10 female). Participants completed an online survey to collect general information and patient reported outcomes and were videoed over two consecutive nights to determine sleep posture using a validated classification system including intermediate sleep postures.
Participants in the symptomatic groups also reported a lower sleep quality than the Control group. Compared to Control group participants, those in the Cervical group had more frequent posture changes (mean (SD); 18.3(6.5) versus 23.6(6.6)), spent more time in undesirable/provocative sleep postures (median IQR; 83.8(16.4,105.2) versus 185.1(118.0,251.8)) minutes and had more long periods of immobility in a provocative posture, (median IQR: 0.5(0.0,1.5) versus 2.0 (1.5,4.0)). There were no significant differences between the Control and Lumbar groups in the number of posture changes (18.3(6.5) versus 22.9(9.1)) or the time spent in provocative sleep postures (0.5(0.0,1.5) versus 1.5(1.5,3.4)) minutes.
This is the first study using a validated objective measure of sleep posture to compare symptomatic and Control group participants sleeping in their home environment. In general, participants with waking spinal symptoms spent more time in provocative sleep postures, and experienced poorer sleep quality.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34847195</pmid><doi>10.1371/journal.pone.0260582</doi><tpages>e0260582</tpages><orcidid>https://orcid.org/0000-0002-0461-681X</orcidid><orcidid>https://orcid.org/0000-0001-5721-1827</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Anxiety Apnea Arthritis Biology and Life Sciences Consent Cross-Sectional Studies Female Home environment Humans Insomnia Male Medicine and Health Sciences Middle Aged Muscle pain Patients Physical Sciences Physical therapy Physiological aspects Posture Quality management Questionnaires Sleep Sleep and wakefulness Sleep Apnea, Obstructive - etiology Sleep Apnea, Obstructive - physiopathology Sleep disorders Sleep Initiation and Maintenance Disorders - etiology Sleep Initiation and Maintenance Disorders - physiopathology Sleep positions Sleep Quality Spinal Diseases - complications Spinal Diseases - physiopathology Spine - physiopathology |
| title | Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: A cross sectional study |
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