Sleeping mattress determinants and evaluation: a biomechanical review and critique

Abstract

BackgroundSleeping mattress parameters significantly influence sleeping comfort and health, as reflected by the extensive investigations of sleeping support biomechanics to prevent sleep-related musculoskeletal problems.MethodologyHerein, we review the current trends, research methodologies, and determinants of mattress biomechanics research, summarizing evidence published since 2008. In particular, we scrutinize 18 articles dealing with the development of new designs, recommendation criteria, instruments/methods of spine alignment evaluation, and comparative evaluation of different designs.ResultsThe review demonstrated that mattress designs have strived for customization, regional features, and real-time active control to adapt to the biomechanical features of different body builds and postures. However, the suggested threshold or target values for desirable spine alignment and body pressure distribution during sleep cannot yet be justified in view of the lack of sufficient evidence.ConclusionsIt is necessary to formulate standard objectives and protocols for carrying out mattress evaluation.

Night-Time Monitoring System (eNightLog) for Elderly Wandering Behavior

“…This could reduce the problem of obstacles. Some studies attempted to integrate pressure sensors and depth sensors to identify a subject's posture and body build [34]. Among different sensors used to detect human presence, activities, and vital signs, UWB-IR can produce these measurements through walls and furniture [35].…”

A Blanket Accommodative Sleep Posture Classification System Using an Infrared Depth Camera: A Deep Learning Approach with Synthetic Augmentation of Blanket Conditions

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Pressure ulcer Cat. II‐IV incidence on the CuroCell S.A.M. PRO powered reactive air support surface in a high‐risk population: A multicentre cohort study in 12 Belgian nursing homes

“…Therefore, the specific mode of action of the pump might positively influence the comfort level of the user to an important extent. The prevalence of noise in a sleeping room is indeed an important environmental factor associated with insomnia and physical discomfort . Furthermore, insomnia is strongly associated with self‐perceived health in an elderly population .…”

“…No validated questionnaire was available and a new questionnaire was developed. Items were generated to measure (perceived) comfort, sleep quality, level of agitation, pain, safety, perceived effectiveness, softness, stability, in/out bed transfers, and noise of the pump . A Likert‐type scoring (range 0 to 10) was applied.…”