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Sleep Quality in Patients With Rotator Cuff Disease
Michael S Khazzam1, Edward P Mulligan, Meredith Brunette-Christiansen
1From the Department of Orthopaedic Surgery, Shoulder Service, University of Texas Southwestern Medical Center, Dallas, TX (Dr. Khazzam, Dr. Mulligan, and Dr. Shirley), and the Department of Physical Therapy, University of Delaware, Newark, DE (Dr. Brunette-Christiansen).
Rotator cuff disease significantly impacts sleep quality, with pain, depression, and comorbidities being key factors. However, the severity of rotator cuff pathology itself did not directly correlate with sleep disturbance.
Area of Science:
- Orthopedics
- Sleep Medicine
- Pain Management
Background:
- Rotator cuff pathology is common, but its effect on sleep quality remains poorly understood.
- Patient-reported factors influencing sleep disturbance in this population require further investigation.
Purpose of the Study:
- To identify patient-reported factors associated with sleep disturbance in individuals with rotator cuff disease.
- To explore the relationship between rotator cuff disease severity and sleep quality.
Main Methods:
- A cross-sectional cohort study involving 391 participants with rotator cuff disease (tendinitis or tears).
- Data collection included validated questionnaires (e.g., Pittsburgh Sleep Quality Index), pain scores, demographics, and comorbidities.
- Statistical analyses employed Pearson correlation and multiple regression.
Main Results:
- 91% of participants reported nocturnal pain.
- Poor sleep quality correlated with higher pain scores, depression, female sex, low back pain, diabetes mellitus, and increased body mass index.
- Rotator cuff disease severity did not correlate with shoulder pain symptoms or sleep quality.
Conclusions:
- Pain, depression, demographic factors, and comorbidities significantly impact sleep quality in patients with rotator cuff disease.
- Rotator cuff disease severity is not a primary determinant of sleep disturbance.
- Further research is needed to understand the interplay of these factors on nocturnal shoulder pain and sleep.
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