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Mattresses for Chronic Back or Neck Pain: A Review of the Clinical Effectiveness and Guidelines [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2014 May 14.

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Mattresses for Chronic Back or Neck Pain: A Review of the Clinical Effectiveness and Guidelines [Internet].

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APPENDIX 7Summary of Recommendations by Source (for grading schemes see APPENDIX 3)

Agency for Healthcare Research and Quality (AHRQ), 20117
Acute LBP
    Mattresses – No Recommendation [Evidence I]
    Specific beds – Not Recommended [Evidence I]
    Use of optimal sleeping surfaces (e.g. bedding, water beds, and hammocks) – No Recommendation [Evidence I]
Subacute LBP
    Mattresses – No Recommendation [Evidence I]
    Specific beds – Not Recommended [Evidence I]
    Use of optimal sleeping surfaces (e.g. bedding, water beds, and hammocks) – No Recommendation [Evidence I]
Chronic LBP
    Mattresses – No Recommendation [Evidence I]
    Specific beds – Not Recommended [Evidence I]
    Use of optimal sleeping surfaces (e.g. bedding, water beds, and hammocks) – No Recommendation [Evidence I]
Towards Optimized Practice, Low Back Pain 2nd Edition, 20118
LBP
    Any specific type of mattress – Do Not Know [RCT]
American Pain Society, 20099
Chronic LBP
    One higher-quality trial found a firm mattress slightly inferior to a medium-firm mattress for pain-related disability and pain while in bed. There were no differences in other pain outcomes. - [fair]
Acute LBP
    There was insufficient evidence to judge the relative effectiveness of other mattress types or in patients with acute LBP. – [poor]
European evidence-based guidelines, 200610
LBP
    There is no robust evidence for or against recommending any specific chair or mattress for prevention in LBP [Level C], though persisting symptoms may be reduced with a medium-firm rather than a hard mattress [Level C].

LBP= lower back pain; RCT= randomized controlled trial

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Bookshelf ID: NBK263378
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