Innovative Development of Coconut Shell Pillow to Relieve Neck and Shoulder Muscle Pain at Prakhon Chai Hospital, Prakhon Chai District, Buriram Province

Abstract

This research and development study aimed to assess the situation and problems of neck and shoulder pain relief, develop coconut shell pillow innovative to relieve neck and shoulder pain, and compare the symptoms of neck and shoulder pain before and after using innovation, as well as assess satisfaction on the use of the innovation. The samples for situation and problem assessment were 4 Thai traditional medicine service providers and 8 Thai traditional medicine service clients. The innovation was trial among 64 individuals based on the sample size calculated by using power analysis principles. Data were collected by using questionnaires, focus group discussion, body assessment, pain assessment, and innovative quality assessment form. The data were analyzed by content analysis, descriptive statistics (frequency distribution, percentage, mean, standard deviation), and paired t-test. The research found that the methods for relieving neck and shoulder muscle pain were comprised of self-massage, massage by others, and the use of pain relieve equipment. There were some associated problems which included incorrect massage sites, inflammation and minimal reduction of pain. Thus, some forms of bolster pillows were needed. The researcher therefore developed the coconut shell pillow innovative. It was covered by 100% cotton fabric, and the internal pillow contents were grade A polyester fiber. The base of pillow was made of plank size 40x60x1.25 cm with 6 coconut shells positioned at the point of the base, neck base and scap center. Below the base was a 1.5 inch spring. An instruction manual was provided to users. After using the innovation by the samples, the pain of neck, shoulder and shoulder was significantly reduced (p<001); and overall satisfaction was at the highest level (mean=4.66, SD=0.31). During the use, the coconut shell pillow provides enough pressure on the muscles to help stimulating and causing blood vessels to dilate, and thus increased blood circulation and reduced muscle pain. Based on the finding, the coconut shell pillow is effective in reducing muscle pain, and should be used as an alternative tool for the treatment of neck and shoulder muscle pain. The innovation can also be commercially promoted to increase the value of natural products and the Thai wisdom.