OBJECTIVE: To determine the effectiveness of 3 types of neck
support for patients with fibromyalgia (FMS) and their
preference for the type of support.
patients with FMS chose the order of application and used each
type of neck support for a 2-week period, followed by a 2-week
washout. The same schedule was repeated a second time. The
neck supports included a Shape of Sleep pillow, two neck ruffs
with one standard pillow, and a single standard pillow. All
subjects received a physiotherapy treatment and educational
program in the home. Outcome measures included visual analog
scales (VAS) for neck pain and quality of sleep, the
Fibromyalgia Impact Questionnaire (FIQ), and a neck and
shoulder pain distribution diagram.
RESULTS: Analysis using
Friedman's 2-way analysis of variance revealed no significant
differences in any outcome measure, although there was a trend
towards improvement in the FIQ and VAS neck pain and quality
of sleep scores for some patients. Most participants (62.9%)
preferred the Shape of Sleep pillow, 20.0% preferred cervical
ruffs with one standard pillow, and 17.1% preferred a single
CONCLUSIONS: The results of this study are
inconclusive due to the small sample size. However, from a
patient's perspective, neck support is an important part of a
comprehensive physiotherapy program. Most participants
preferred the more rigid support of a Shape of Sleep pillow.
Further research into the efficacy of the use of neck support
in people with FMS is warranted.
Ambrogio N, Cuttiford J, Lineker S, Li L