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The correlation between shoulder pathologies and sleep disorders.

Ali Hammad1,2, Erez Grinbaum1, Avi Chezar1

  • 1Orthopaedic Department, Emek Medical Centre, Afula, Israel.

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Patients with shoulder pathologies experience more sleep disturbances. Comorbidities and shorter pathology duration may worsen insomnia severity in these individuals.

Keywords:
Insomniainsomnia severity indexrotator cuffshouldersleepsleep disturbance

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Area of Science:

  • Orthopedics
  • Sleep Medicine
  • Clinical Research

Background:

  • Shoulder pathologies are common musculoskeletal conditions.
  • Sleep disturbances significantly impact patient quality of life and recovery.
  • The relationship between shoulder pain and sleep quality requires further investigation.

Purpose of the Study:

  • To investigate the association between shoulder pathologies and sleep disturbances.
  • To characterize the severity of insomnia in patients with shoulder conditions.

Main Methods:

  • A case-control study design was employed.
  • Participants were categorized into shoulder pathology (study) and no pathology (control) groups.
  • The Insomnia Severity Index (ISI) questionnaire assessed sleep disturbances.

Main Results:

  • Patients with shoulder pathology reported significantly higher Insomnia Severity Index scores compared to controls.
  • Shoulder pathology patients with comorbidities experienced greater sleep disturbances.
  • The risk of sleep disturbances was substantially higher in the shoulder pathology group (RR 4.86).

Conclusions:

  • Shoulder pathologies are strongly correlated with increased prevalence and severity of sleep disturbances.
  • Comorbidities and shorter duration of shoulder pathology may predict worse sleep outcomes.
  • These findings highlight the need for addressing sleep issues in shoulder pathology management.