Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2017

01-07-2017 | Shoulder

Preoperative and post-operative sleep quality evaluation in rotator cuff tear patients

Authors: Sancar Serbest, Uğur Tiftikçi, Aydogan Askın, Ferda Yaman, Murat Alpua

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2017

Login to get access

Abstract

Purpose

The aim of this study was to examine the potential relationship between subjective sleep quality and degree of pain in patients with rotator cuff repair.

Methods

Thirty-one patients who underwent rotator cuff repair prospectively completed the Pittsburgh Sleep Quality Index, the Western Ontario Rotator Cuff Index, and the Constant and Murley shoulder scores before surgery and at 6 months after surgery. Preoperative demographic, clinical, and radiologic parameters were also evaluated.

Results

The study analysed 31 patients with a median age of 61 years. There was a significant difference preoperatively versus post-operatively in terms of all PSQI global scores and subdivisions (p < 0.001). A statistically significant improvement was determined by the Western Ontario Rotator Cuff Scale and the Constant and Murley shoulder scores (p ˂ 0.001).

Conclusion

Sleep disorders are commonly seen in patients with rotator cuff tear, and after repair, there is an increase in the quality of sleep with a parallel improvement in shoulder functions. However, no statistically significant correlation was determined between arthroscopic procedures and the size of the tear and sleep quality. It is suggested that rotator cuff tear repair improves the quality of sleep and the quality of life.

Level of evidence

IV.
Literature
1.
go back to reference Austin L, Pepe M, Tucker B, Ong A, Nugent R, Eck B, Tjoumakaris F (2015) Sleep disturbance associated with rotator cuff tear correction with arthroscopic rotator cuff repair. Am J Sports Med 43:1455–1459CrossRefPubMed Austin L, Pepe M, Tucker B, Ong A, Nugent R, Eck B, Tjoumakaris F (2015) Sleep disturbance associated with rotator cuff tear correction with arthroscopic rotator cuff repair. Am J Sports Med 43:1455–1459CrossRefPubMed
2.
go back to reference Baysal D, Balyk R, Otto D, Luciak-Corea C, Beaupre L (2005) Functional outcome and health-related quality of life after surgical repair of full-thickness rotator cuff tear using a mini-open technique. Am J Sports Med 33:1346–1355CrossRefPubMed Baysal D, Balyk R, Otto D, Luciak-Corea C, Beaupre L (2005) Functional outcome and health-related quality of life after surgical repair of full-thickness rotator cuff tear using a mini-open technique. Am J Sports Med 33:1346–1355CrossRefPubMed
3.
go back to reference Bixler EO, Kales A, Soldatos CR, Kales JD, Healey S (1979) Prevalence of sleep disorders in the Los Angeles metropolitan area. Am J Psychiatry 136(10):1257–1262CrossRefPubMed Bixler EO, Kales A, Soldatos CR, Kales JD, Healey S (1979) Prevalence of sleep disorders in the Los Angeles metropolitan area. Am J Psychiatry 136(10):1257–1262CrossRefPubMed
4.
go back to reference Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213CrossRefPubMed Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213CrossRefPubMed
5.
go back to reference Cho CH, Song KS, Hwang I, Warner JJ (2015) Does rotator cuff repair improve psychologic status and quality of life in patients with rotator cuff tear? Clin Orthop Relat Res 473(11):3494–3500CrossRefPubMedPubMedCentral Cho CH, Song KS, Hwang I, Warner JJ (2015) Does rotator cuff repair improve psychologic status and quality of life in patients with rotator cuff tear? Clin Orthop Relat Res 473(11):3494–3500CrossRefPubMedPubMedCentral
6.
go back to reference Chung SW, Park JS, Kim SH, Shin SH, Oh JH (2012) Quality of life after arthroscopic rotator cuff repair: evaluation using SF-36 and an analysis of affecting clinical factors. Am J Sports Med 40:631–639CrossRefPubMed Chung SW, Park JS, Kim SH, Shin SH, Oh JH (2012) Quality of life after arthroscopic rotator cuff repair: evaluation using SF-36 and an analysis of affecting clinical factors. Am J Sports Med 40:631–639CrossRefPubMed
7.
go back to reference Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164 Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164
8.
go back to reference Cronin AJ, Keifer JC, Davies MF, King TS, Bixler EO (2001) Postoperative sleep disturbance: influences of opioids and pain in humans. Sleep 24(1):39–44CrossRefPubMed Cronin AJ, Keifer JC, Davies MF, King TS, Bixler EO (2001) Postoperative sleep disturbance: influences of opioids and pain in humans. Sleep 24(1):39–44CrossRefPubMed
9.
go back to reference Franceschi F, Papalia R, Vasta S, Leonardi F, Maffulli N, Denaro V (2015) Surgical management of irreparable rotator cuff tears. Knee Surg Sports Traumatol Arthrosc 23(2):494–501CrossRefPubMed Franceschi F, Papalia R, Vasta S, Leonardi F, Maffulli N, Denaro V (2015) Surgical management of irreparable rotator cuff tears. Knee Surg Sports Traumatol Arthrosc 23(2):494–501CrossRefPubMed
10.
go back to reference Ha E, Lho YM, Seo HJ, Cho CH (2014) Melatonin plays a role as a mediator of nocturnal pain in patients with shoulder disorders. J Bone Joint Surg Am 96:e108–e131CrossRefPubMed Ha E, Lho YM, Seo HJ, Cho CH (2014) Melatonin plays a role as a mediator of nocturnal pain in patients with shoulder disorders. J Bone Joint Surg Am 96:e108–e131CrossRefPubMed
11.
go back to reference Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, Davies GJ (2013) Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the International Classification of Functioning, disability, and health from the orthopaedic section of the american physical therapy association. J Orthop Sports Phys Ther 43(5):A1–A31CrossRefPubMed Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, Davies GJ (2013) Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the International Classification of Functioning, disability, and health from the orthopaedic section of the american physical therapy association. J Orthop Sports Phys Ther 43(5):A1–A31CrossRefPubMed
12.
go back to reference Kirkley A, Griffin S, Alvarez C (2003) The development and evaluation of disease-specific quality of life measurement tool for rotator cuff disease: the Western Ontario Rotator Cuff Index. Clin J Sport Med 13(2):84–92CrossRefPubMed Kirkley A, Griffin S, Alvarez C (2003) The development and evaluation of disease-specific quality of life measurement tool for rotator cuff disease: the Western Ontario Rotator Cuff Index. Clin J Sport Med 13(2):84–92CrossRefPubMed
13.
go back to reference Mahfoud Y, Talih F, Streem D, Budur K (2009) Sleep disorders in substance abusers: how common are they? Psychiatry Edgmont 6(9):38–42PubMedPubMedCentral Mahfoud Y, Talih F, Streem D, Budur K (2009) Sleep disorders in substance abusers: how common are they? Psychiatry Edgmont 6(9):38–42PubMedPubMedCentral
14.
go back to reference Mellinger GD, Balter MB, Uhlenhuth EH (1985) Insomnia and its treatment: prevalence and correlates. Arch Gen Psychiatry 42(3):225–232CrossRefPubMed Mellinger GD, Balter MB, Uhlenhuth EH (1985) Insomnia and its treatment: prevalence and correlates. Arch Gen Psychiatry 42(3):225–232CrossRefPubMed
15.
go back to reference Mohtadi NG, Hollinshead RM, Sasyniuk TM, Fletcher JA, Chan DS, Li FX (2008) A randomized clinical trial comparing open to arthroscopic acromioplasty with mini-open rotator cuff repair for full-thickness rotator cuff tears: disease-specific quality of life outcome at an average 2-year follow-up. Am J Sports Med 36:1043–1051CrossRefPubMed Mohtadi NG, Hollinshead RM, Sasyniuk TM, Fletcher JA, Chan DS, Li FX (2008) A randomized clinical trial comparing open to arthroscopic acromioplasty with mini-open rotator cuff repair for full-thickness rotator cuff tears: disease-specific quality of life outcome at an average 2-year follow-up. Am J Sports Med 36:1043–1051CrossRefPubMed
16.
go back to reference Mulligan EP, Brunette M, Shirley Z, Khazzam M (2015) Sleep quality and nocturnal pain in patients with shoulder disorders. J Shoulder Elb Surg 24:1452–1457CrossRef Mulligan EP, Brunette M, Shirley Z, Khazzam M (2015) Sleep quality and nocturnal pain in patients with shoulder disorders. J Shoulder Elb Surg 24:1452–1457CrossRef
17.
go back to reference Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G (2013) The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci 17:370–374PubMed Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G (2013) The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci 17:370–374PubMed
18.
go back to reference Tudisco C, Bisicchia S, Stefanini M, Antonicoli M, Masala S, Simonetti G (2015) Tendon quality in small unilateral supraspinatus tendon tears. Knee Surg Sports Traumatol Arthrosc 23(2):393–398CrossRefPubMed Tudisco C, Bisicchia S, Stefanini M, Antonicoli M, Masala S, Simonetti G (2015) Tendon quality in small unilateral supraspinatus tendon tears. Knee Surg Sports Traumatol Arthrosc 23(2):393–398CrossRefPubMed
19.
go back to reference Veldhuis JD, Iranmanesh A (1996) Physiological regulation of the human growth hormone (GH)-insulin-like growth factor type I (IGF-I) axis: predominant impact of age, obesity, gonadal function, and sleep. Sleep 19(10 Suppl):221–224CrossRef Veldhuis JD, Iranmanesh A (1996) Physiological regulation of the human growth hormone (GH)-insulin-like growth factor type I (IGF-I) axis: predominant impact of age, obesity, gonadal function, and sleep. Sleep 19(10 Suppl):221–224CrossRef
20.
go back to reference Williams GN, Gangel TJ, Arciero RA, Uhorchak JM, Taylor DC (1999) Comparison of the single assessment numeric evaluation method and two shoulder rating scales. Outcomes measures after shoulder surgery. Am J Sports Med 27:214–221PubMed Williams GN, Gangel TJ, Arciero RA, Uhorchak JM, Taylor DC (1999) Comparison of the single assessment numeric evaluation method and two shoulder rating scales. Outcomes measures after shoulder surgery. Am J Sports Med 27:214–221PubMed
Metadata
Title
Preoperative and post-operative sleep quality evaluation in rotator cuff tear patients
Authors
Sancar Serbest
Uğur Tiftikçi
Aydogan Askın
Ferda Yaman
Murat Alpua
Publication date
01-07-2017
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4228-5

Other articles of this Issue 7/2017

Knee Surgery, Sports Traumatology, Arthroscopy 7/2017 Go to the issue