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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Improvement in sleep quality after total shoulder arthroplasty
Maxwell Weinberg1, Brent Mollon2, Daniel Kaplan3
1Resident, Department of Orthopedic Surgery, University of Massachusetts Memorial Medical Center, Worcester, MA, USA.
The Physician and Sportsmedicine
|September 24, 2019
Summary
Total shoulder arthroplasty significantly improves sleep quality and shoulder function in patients with glenohumeral arthritis. Most patients experience normalized sleep within one year after the procedure, linked to better functional outcomes.
Area of Science:
- Orthopedic Surgery
- Sleep Medicine
- Rheumatology
Background:
- Nocturnal pain in advanced glenohumeral arthritis frequently disrupts sleep quality.
- Total shoulder arthroplasty (TSA) is a common surgical intervention for severe shoulder arthritis.
Purpose of the Study:
- To assess sleep quality, shoulder pain, and function before and after TSA.
- To identify preoperative factors influencing delayed sleep quality improvement post-TSA.
Main Methods:
- Prospective enrollment of patients undergoing TSA for glenohumeral arthritis.
- Utilized the Pittsburgh Sleep Quality Index (PSQI) and American Shoulder and Elbow Surgeons (ASES) surveys preoperatively and postoperatively at multiple time points (6 weeks, 3, 6, and 12 months).
Main Results:
- Eighty-four percent of patients reported preoperative sleep disturbance (mean PSQI score 10.1).
- Significant improvements in PSQI scores were observed by 6 weeks and normalized by 1 year (mean PSQI 4.3).
- Shoulder function (ASES scores) improved significantly, with a strong negative correlation between ASES and PSQI scores throughout follow-up. Higher BMI and female gender were linked to slower sleep recovery.
Conclusions:
- TSA effectively alleviates shoulder-related sleep disturbances, with significant improvements noted as early as 6 weeks post-surgery.
- Normalized sleep quality is achieved for the majority of patients within one year following TSA.
- Improved shoulder function post-TSA is directly associated with enhanced sleep quality.
