Sleeping mattress determinants and evaluation: A biomechanical review and critique

Duo Wai Chi Wong, Yan Wang, Jin Lin, Qitao Tan, Tony Lin Wei Chen, Ming Zhang

Research output: Journal article publicationReview articleAcademic researchpeer-review

28 Citations (Scopus)


Background: Sleeping mattress parameters significantly influence sleeping comfort and health, as reflected by the extensive investigations of sleeping support biomechanics to prevent sleep-related musculoskeletal problems. Methodology: Herein, 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. Results: The 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. Conclusions: It is necessary to formulate standard objectives and protocols for carrying out mattress evaluation.

Original languageEnglish
Article numbere6364
Issue number1
Publication statusPublished - 1 Jan 2019


  • Body pressure
  • Mattress
  • Pillow
  • Sleep support
  • Spine alignment

ASJC Scopus subject areas

  • General Neuroscience
  • General Biochemistry,Genetics and Molecular Biology
  • General Agricultural and Biological Sciences


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