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

Knee Surg Sports Traumatol Arthrosc. 2017 Jul;25(7):2109-2113. doi: 10.1007/s00167-016-4228-5. Epub 2016 Jul 11.

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.

Keywords: Arthroscopy; Rotator cuff; Rotator cuff repair; Shoulder; Sleep quality.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Ontario
  • Pain, Postoperative / etiology*
  • Postoperative Complications / etiology
  • Prospective Studies
  • Quality of Life*
  • Rotator Cuff Injuries / psychology*
  • Rotator Cuff Injuries / surgery
  • Sleep Wake Disorders / etiology*
  • Surveys and Questionnaires
  • Treatment Outcome