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Updated: May 30, 2025
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Reverse Total Shoulder Arthroplasty
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Sleep alterations following elective shoulder surgery: A systematic review
Amir H Karimi1, Joshua Langberg2,3, Michael Allen Stone3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Shoulder & Elbow
|January 27, 2025
Summary
Shoulder surgery significantly improves sleep quality for patients experiencing nocturnal pain from shoulder pathologies. While sleep quality improves post-surgery, it may not fully normalize, indicating other factors influence recovery.
Area of Science:
- Orthopedic Surgery
- Sleep Medicine
- Pain Management
Background:
- Nocturnal pain from shoulder pathologies frequently causes poor sleep quality.
- Sleep disturbance affects up to 89% of patients after rotator cuff tears, often leading to surgical referral.
Purpose of the Study:
- To systematically review the literature on the impact of shoulder surgery on patient sleep quality.
Main Methods:
- A systematic literature review following PRISMA guidelines was conducted.
- 12 primary research articles were included after screening 276 initial articles.
Main Results:
- A total of 1097 patients were analyzed across the 12 studies.
- The Pittsburgh Sleep Quality Index (PSQI) was the most common assessment tool.
- Average preoperative PSQI was 9.9 (indicating poor sleep), improving to 5.4 at 6 months post-surgery (indicating improved sleep).
Conclusions:
- Shoulder surgery leads to improved sleep quality in patients with shoulder pathologies.
- Postoperative sleep quality may not return to normal ranges, suggesting other contributing factors.
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