Sleep deprivation and pain perception

Lautenbacher, Stefan; Kundermann, Bernd; Krieg, J.‐C.

doi:10.1016/j.smrv.2005.08.001

Cited by 519 publications

(432 citation statements)

References 38 publications

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“…This finding suggests that sleep problems may independently provoke low-back pain. A causal association is biologically plausible in that sleep deprivation has been shown to produce hyperalgesia (ie, increased sensitivity to pain) in many experimental human and animal studies (44,45). Inflammation may play a role in this process (46).…”

Section: Discussionmentioning

confidence: 99%

Occupational loading, health behavior and sleep disturbance as predictors of low-back pain

Miranda¹,

Viikari‐Juntura²,

Punnett³

et al. 2008

Scand J Work Environ Health

118

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Miranda H, Viikari-Juntura E, Punnett L, Riihimäki H. Occupational loading, health behavior and sleep disturbance as predictors of low-back pain. Scand J Work Environ Health 2008;34(6):411-419.Objectives Risk factors for low-back pain are known to co-occur, but their joint effect has not often been studied.Little is also known about the variation of the risk factors or their effects with age.Methods This prospective study assessed the 1-year incidence of low-back pain by age group in a Finnish industrial population. The effects of the baseline variables on the risk of low-back pain in the follow-up were estimated with a log-binomial regression.Results Among 2256 blue-and white-collar workers free of low-back pain 12 months preceding the baseline, 21% reported low-back pain after 1-year of follow-up. Physical work load (sum of heavy lifting, awkward postures, and whole-body vibration) predicted low-back pain among those younger than 50 years [highest relative risk (RR) 2.4, 95% confidence interval (95% CI) 1.4-4.2], whereas health behavior (sum of smoking, overweight, and lack of physical exercise) increased the risk only among those 50 years or older (RR up to 2.8, 95% CI 1.4-5.4). Mental stress, dissatisfaction with life, and sleep problems were significant predictors in the group of 40-to 49-year-old workers. Work-related psychosocial factors were not associated with the outcome. ConclusionsIn this study, workers of different ages were affected by slightly different risk factors. The results support the provision of health promotion and stress management as part of programs to prevent work-related low-back pain. In particular, aging workers may benefit from such an integrated approach. More prospective studies on the joint effects of age-specific risk factors of low-back pain are warranted.

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Section: Discussionmentioning

confidence: 99%

Occupational loading, health behavior and sleep disturbance as predictors of low-back pain

Miranda¹,

Viikari‐Juntura²,

Punnett³

et al. 2008

Scand J Work Environ Health

118

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“…Hyperesthesia or limb numbness may occur, as well as an increased sensitivity to pain, whereas the sense of temperature remains unchanged. During the recovery period after sleep deprivation, the perception of pain is temporarily reduced [64,65].…”

Section: Dermal Effectsmentioning

confidence: 99%

Consequences of sleep deprivation

Orzeł-Gryglewska¹

2010

International Journal of Occupational Medicine and Environmental Health

215

133

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This paper presents the history of research and the results of recent studies on the effects of sleep deprivation in animals and humans. Humans can bear several days of continuous sleeplessness, experiencing deterioration in wellbeing and effectiveness; however, also a shorter reduction in the sleep time may lead to deteriorated functioning. Sleeplessness accounts for impaired perception, difficulties in keeping concentration, vision disturbances, slower reactions, as well as the appearance of microepisodes of sleep during wakefulness which lead to lower capabilities and efficiency of task performance and to increased number of errors. Sleep deprivation results in poor memorizing, schematic thinking, which yields wrong decisions, and emotional disturbances such as deteriorated interpersonal responses and increased aggressiveness. The symptoms are accompanied by brain tissue hypometabolism, particularly in the thalamus, prefrontal, frontal and occipital cortex and motor speech centres. Sleep deficiency intensifies muscle tonus and coexisting tremor, speech performance becomes monotonous and unclear, and sensitivity to pain is higher. Sleeplessness also relates to the changes in the immune response and the pattern of hormonal secretion, of the growth hormone in particular. The risk of obesity, diabetes and cardiovascular disease increases. The impairment of performance which is caused by 20-25 hours of sleeplessness is comparable to that after ethanol intoxication at the level of 0.10% blood alcohol concentration. The consequences of chronic sleep reduction or a shallow sleep repeated for several days tend to accumulate and resemble the effects of acute sleep deprivation lasting several dozen hours. At work, such effects hinder proper performance of many essential tasks and in extreme situations (machine operation or vehicle driving), sleep loss may be hazardous to the worker and his/her environment.

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“…Smith (15) suggests that the poor sleep quality found in this population is associated with the persistent and long-lasting pain, wich ends up interfering with sleep, due to the same location in the neural control systems. Thus, pain interferes with sleep and, in turn, sleep disturbances increase pain, thus creating a cycle in which one factor causes or worsens the other (11). Nevertheless, it is believed that other biological (age and gender) and psychosocial (ability of coping with the disease, anxiety, depressive symptoms) factors may also affect It is important that health care providers from different disciplines participate in the treatment of CLBP and associated conditions, because they can highly affect patients' quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…In the long term, these changes can also contribute to the emergence of other diseases (9,10). Sleep disorders in people with chronic pain, as in the case of CLBP, cover a wide range of factors and are characterized by complaints of reduced sleep efficiency and sleep duration, increased sleep latency (time to fall asleep), fragmentation of sleep stages, and daytime sleepiness (not feelingrested during the day) (11,12). These disorders have a negative effect on mood, severity of perceived pain, willingness to perform daytime activities, and other quality-of-life aspects (13,14).…”

Section: Introductionmentioning

confidence: 99%

Sleep quality in patients with chronic low back pain

2015

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Introduction: Sleep performs a restorative function for the body. Medical conditions such as Chronic Low Back Pain (CLBP) may cause sleep changes and impair sleep quality. Objectives: To identify the prevalence of sleep disorders among individuals with CLBP, and investigate whether there is an association between these disorders and perceived functional disability. Materials and methods: This observational, descriptive study was conducted with 51 patients seen at the Clinic of the School of Physical Therapy of Santa Catarina State University. Data were collected through interviews addressing socio-demographic and clinical data, and administration of the Roland-Morris Disability Questionnaire (RMDQ) and Pittsburgh Sleep Quality Index (PSQI). Results: Participants had high levels of functional disability (mean, 16.71 ± 4.16 score points). 82.35% of patients had poor sleep quality (mean, 10.22 ± 4.84 score points). The PSQI components with the highest mean scores were: sleep latency and sleep disturbances. There was also a weak association between functional disability and sleep quality (Spearman = 0.31; p = 0.025), i.e., the higher the disability, the worse the quality of sleep. Conclusion: We found a high prevalence of sleep disorders among patients with CLBP, and a weak association with the level of perceived disability. It is important to conduct further studies on

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Sleep deprivation and pain perception

Cited by 519 publications

References 38 publications

Occupational loading, health behavior and sleep disturbance as predictors of low-back pain

Occupational loading, health behavior and sleep disturbance as predictors of low-back pain

Consequences of sleep deprivation

Sleep quality in patients with chronic low back pain

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