Long-term Correction in Sleep Disturbance Is Sustained After Arthroscopic Rotator Cuff Repair

Horneff, John G.; Tjoumakaris, Fotios P.; Wowkanech, Charles; Pepe, Matthew D.; Tucker, Bradford S.; Austin, Luke

doi:10.1177/0363546517692551

Cited by 43 publications

(106 citation statements)

References 9 publications

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“…The search strategy yielded 78 articles. After duplicate removal and titles, abstracts and full-texts review, four studies [1,2,14,19] were included in this systematic review.…”

Section: Resultsmentioning

confidence: 99%

“…Sleep disturbance is one of the most common complains of patients with RC disease [1,3], with only 11% of patients with symptomatic RC tears claiming to have a normal sleep [1,14]. Patients with RC tears seems to have more sleep disturbances compared with patients with other shoulder disorders like RC tendinopathies [3], or subacromial impingement [4].…”

Section: Introductionmentioning

confidence: 99%

“…In fact, two years after arthroscopic RC repair, 41% of patients report having sleep disorders [14]. Furthermore, it has been observed that some patients who have sleep disorders after RC surgery can benefit from conservative treatment such as physiotherapy or medication [3,6].…”

Section: Introductionmentioning

confidence: 99%

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Sleep Disturbance and Rotator Cuff Tears: A Systematic Review

et al. 2019

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Background and Objectives: Sleep disorders are one of the most common complaints of patients with rotator cuff (RC) tears. However, potential correlations between the treatment of RC tears and the causal factors of sleep disorders are still under discussion. The aim of this review is to evaluate quality of sleep in patients before and after surgery for RC tears and to identify which factors affected patients’ sleep. Materials and Methods: A systematic review was conducted. To provide high quality of the review, the included studies were evaluated with the standardized tool “Quality Assessment Tool for Quantitative Studies” developed by the Effective Public Health Practice Project. Results: The search strategy yielded 78 articles. After duplicate removal and titles, abstracts and full-texts review, four studies were included in the systematic review. Concerning shoulder function, the most frequently reported scale was the Simple Shoulder Test (SST). Regarding sleep quality, the most frequently reported score was the Pittsburgh Sleep Quality Index (PSQI). Conclusion: We found that the majority of patients with RC tears had a sleep disturbance, especially before surgery with a general improvement in sleep quality post-operatively. Moreover, sleep quality was correlated with pain and it also seems that factors as comorbidities, obligatory position during night time, preoperative and prolonged postoperative use of narcotics and psychiatric issues may play an important role in sleep quality.

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“…The search strategy yielded 78 articles. After duplicate removal and titles, abstracts and full-texts review, four studies [1,2,14,19] were included in this systematic review.…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sleep Disturbance and Rotator Cuff Tears: A Systematic Review

et al. 2019

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“…This result was surprising, as narcotic use has been associated with disruption of the sleep cycle. 6,13 Additionally, after evaluating sleep quality for a minimum of 2 years in 37 patients who underwent rotator cuff repair, Horneff et al 8 found that continued postoperative narcotic use was associated with decreased sleep quality. Given this information, we had hypothesized that narcotic use would have a negative impact on the change in sleep quality following rotator cuff repair.…”

Section: Discussionmentioning

confidence: 99%

Narcotic Use and Resiliency Scores Do Not Predict Changes in Sleep Quality 6 Months After Arthroscopic Rotator Cuff Repair

Glogovac

Schumaier

Kennedy

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background: Patients with rotator cuff disease commonly complain of difficulty sleeping. Arthroscopic repair has been associated with improved sleep quality in many patients with rotator cuff tears; however, some individuals continue to suffer from sleep disturbance postoperatively. Purpose: To determine whether changes in sleep quality following rotator cuff repair are predicted by a patient’s narcotic use or ability to cope with stress (resilience). Study Design: Case series; Level of evidence, 4. Methods: A total of 48 patients undergoing arthroscopic rotator cuff repair were prospectively enrolled and completed the Connor-Davidson Resilience Scale (CD-RISC) preoperatively. The Pittsburgh Sleep Quality Index (PSQI) was administered preoperatively and at multiple intervals postoperatively for 6 months. Narcotic utilization was determined via a legal prescriber database. Pre- and postoperative sleep scores were compared using paired t tests and the McNemar test. Linear regression was used to determine whether narcotic use or CD-RISC score predicted changes in sleep quality. Results: An increased number of patients experienced good sleep at 6 months postoperatively ( P < .01). Mean ± SD nocturnal pain frequency improved from 2.5 ± 1.0 at baseline to 0.9 ± 1.1 at 6 months. CD-RISC score had a positive predictive value on changes in PSQI score ( R 2 = 0.09, P = .028) and nocturnal pain frequency ( R 2 = 0.08, P = .041) at 2 weeks. Narcotic use did not significantly predict changes in PSQI score or nocturnal pain frequency ( P > .05). Conclusion: Most patients with rotator cuff disease will experience improvement in sleep quality following arthroscopic repair. Patients demonstrated notable improvements in nocturnal pain frequency as soon as 6 weeks following surgery. CD-RISC resiliency scores had a significant positive predictive value on changes in sleep quality and nocturnal pain frequency at 2 weeks. Narcotic use was not associated with change in sleep quality.

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“…Ağrı skoru arttıkça uyku kalitesinin bozulduğu bildirilmiştir. SSS'li hastalarda, gece agȓısı düzeyinin yüksek oldugȗ ve dizabilitede etkili oldugȗ gösterilmiştir [25][26][27][28]. Çalışmamızda, tüm hastaların uyku kalitesi kötüydü, gece ağrısı olan hastaların ileri düzeyde omuz dizabilitelerinin olduğu bulundu.…”

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Does the Sleeping Position Affect Shoulder Pain? A Clinical and Sonographic Study

Karabay¹,

Yaşar²,

Tezel³

et al. 2020

J PMR Sci

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Omuz, stabilitesi diğer eklemlere göre daha az olan, hareketli bir eklem olması nedeni ile patolojilerine sıklıkla rastlanmaktadır. En sık ağrı nedenleri, tendon ve bursa kaynaklı olan rotator kaf (RK) patolojileridir. Rotator kaf içindeki yapıların glenohumeral eklem (GHE) hareketleri ile (ozellikle fleksiyon ve rotasyon sırasında) akromiyon, korakoakromiyal ligaman, korakoid cikıntı ve akromiyoklavikular eklem (AKE) arasında sıkışması sonucu subakromiyal sı

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Long-term Correction in Sleep Disturbance Is Sustained After Arthroscopic Rotator Cuff Repair

Abstract: At greater than 24 months, 41% of patients still demonstrated sleep disturbance, with both SST and VAS scores showing improvement. The prolonged use of narcotic medication negatively affects sleep, with a greater effect seen over time.

Cited by 43 publications

References 9 publications

Sleep Disturbance and Rotator Cuff Tears: A Systematic Review

Sleep Disturbance and Rotator Cuff Tears: A Systematic Review

Narcotic Use and Resiliency Scores Do Not Predict Changes in Sleep Quality 6 Months After Arthroscopic Rotator Cuff Repair

Does the Sleeping Position Affect Shoulder Pain? A Clinical and Sonographic Study

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