Does sleep disturbance and quality of life improve after arthroscopic rotator cuff repair?

Aim: The primary aim of this study was to investigate sleep disturbance preoperatively and postoperatively in patients with rotator cuff tear (RCT).Material and Methods: A total of 69 patients who were treated with full arthroscopic intervention for RCT were included in this study. Sleep disturbance and shoulder functions were analyzed. The outcome measurements were Pittsburgh Sleep Quality Index (PSQI), American Shoulder and Elbow Surgeons (ASES) scale, and Constant and Murley Shoulder Score (CSS). These measurements were performed preoperatively and after a minimum 2 years of follow-up.Results: This study included a total of 69 patients comprising 32 men and 37 women with a median age of 54 (35–77) years. The mean follow-up period was 29.8 (range, 24–41) months. Preoperative sleep disturbance was reported in 92.7% of patients (n, 64/69), with a mean (±standard deviation [SD]) PSQI score of 10 (±3.5), while 37.7% of patients (n, 26/69), with a mean (±SD) PSQI score of 5.4 (±2.8), had postoperative sleep disturbance. Sleep disturbance significantly improved in the postoperative period (p

PDF

___

1. Gomoll AH, Katz JN, Warner JJ, et al. Rotator cuff disorders: recognition and management among patients with shoulder pain. Arthritis Rheum 2004;50:3751-61.
2. Deprés-Tremblay G, Chevrier A, Snow M, et al. Rotator cuff repair: a review of surgical techniques, animal models, and new technologies under development. J Shoulder Elbow Surg 2016;25:2078-85.
3. Chung SW, Park JS, Kim SH, Set al. Quality of life after arthroscopic rotator cuff repair: evaluation using SF-36 and an analysis of affecting clinical factors. Am J Sports Med 2012;40:631-9.
4. Tekeoglu I, Ediz L, Hiz O, et al. The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci 2013;17:370-4.
5. Zenian J. Sleep position and shoulder pain. Med Hypotheses 2010;74:639-43.
6. Mulligan EP, Brunette M, Shirley Z, et al. Sleep quality and nocturnal pain in patients with shoulder disorders. J Shoulder Elbow Surg 2015;24:1452-7.
7. Austin L, Pepe M, Tucker B, et al. Sleep disturbance associated with rotator cuff tear: correction with arthroscopic rotator cuff repair. Am J Sports Med 2015;43:1455-9.
8. Malavolta EA, Gracitelli MEC, Assunção JH, et al. Clinical and structural evaluations of rotator cuff repair with and without added platelet-rich plasma at 5-year follow-up: a prospective randomized study. Am J Sports Med 2018;46:3134-41.
9. Heuberer PR, Smolen D, Pauzenberger L, et al. Longitudinal long-term magnetic resonance imaging and clinical follow-up after single-row arthroscopic rotator cuff repair: clinical superiority of structural tendon integrity. Am J Sports Med 2017;45:1283-8.
10. Ji X, Bi C, Wang F, et al. Arthroscopic versus mini-open rotator cuff repair: an up-to-date meta-analysis of randomized controlled trials. Arthroscopy 2015;31:118-24.
11. Gumina S, Candela V, Passaretti D, et al. Sleep quality and disturbances in patients with different-sized rotator cuff tear. Musculoskelet Surg 2016;100:33-8.
12. Serbest S, Tiftikçi U, Askın A, et al. Preoperative and post-operative sleep quality evaluation in rotator cuff tear patients. Knee Surg Sports Traumatol Arthrosc 2017;25:2109-13.
13. Horneff JG 3rd, Tjoumakaris F, Wowkanech C, et al. Long-term correction in sleep disturbance is sustained after arthroscopic rotator cuff repair. Am J Sports Med 2017;45:1670-5.
14. Cho CH, Song KS, Hwang I, et al. Does rotator cuff repair improve psychologic status and quality of life in patients with rotator cuff tear? Clin Orthop Relat Res 2015;473:3494-500.
15. Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiat Res 1989;28:193-213.
16. Michener LA, McClure PW, Sennett BJ. American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section: reliability, validity, and responsiveness. J Shoulder Elbow Surg 2002;11:587-94.
17. Potter MQ, Wylie JD, Granger EK, et al. One-year patient-reported outcomes after arthroscopic rotator cuff repair do not correlate with mild to moderate psychological distress. Clin Orthop Relat Res 2015;473:3501-10.
18. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 1987;160-4.
19. Cho CH, Jung SW, Park JY, et al. Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance? J Shoulder Elbow Surg 2013;22:222-8.
20. Khazzam MS, Mulligan EP, Brunette-Christiansen M, et al. Sleep quality in patients with rotator cuff disease. J Am Acad Orthop Surg 2018;26:215-22.
21. Collin P, Colmar M, Thomazeau H, et al. Clinical and MRI outcomes 10 years after repair of massive posterosuperior rotator cuff tears. J Bone Joint Surg Am 2018;100:1854-63.
22. Sevimli R, Aslantürk O, Ergen E, et al. Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow. Cureus 2018;10:e2630.
23. Sevimli R, Karakaplan M, Korkmaz MF, et al. Arthroplasty in shoulder joint tuberculo- sis: a case presentation. Gavin Publishers Gavin J Case Reports 2016;3.