Arthroscopic Rotator Cuff Repair Improves Sleep Disturbance and Quality of Life: A Prospective Study

Umile Giuseppe Longo, Vincenzo Candela, Sergio De Salvatore, Ilaria Piergentili, Nicolò Panattoni, Erica Casciani, Aurora Faldetta, Anna Marchetti, Maria Grazia De Marinis and Vincenzo Denaro
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Umile Giuseppe Longo: Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy
Vincenzo Candela: Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy
Sergio De Salvatore: Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy
Ilaria Piergentili: Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy
Nicolò Panattoni: Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
Erica Casciani: Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy
Aurora Faldetta: Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy
Anna Marchetti: Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy
Maria Grazia De Marinis: Research Unit Nursing Science, Campus Bio-Medico di Roma University, 00128 Rome, Italy
Vincenzo Denaro: Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy

IJERPH, 2021, vol. 18, issue 7, 1-9

Abstract: Sleep disturbances are very common in patients with rotator cuff injury. Improvement of sleep quality in these patients can be considered a significant factor for healing in conjunction with surgery. The primary objective of this prospective study was to evaluate changes in sleep quality after surgery in patients with rotator cuff repair by analyzing the PSQI (Pittsburgh Sleep Quality Index) score. The secondary aim was to evaluate the improvement in quality of life in terms of functional limitations and shoulder pain after surgery. Fifty-eight patients with rotator cuff tears treated by arthroscopic surgery were included. All the patients completed the PSQI, the 36-Item Short Form Survey (SF-36), the Simple Shoulder Test (SST), the American Shoulder and Elbow Surgeons Shoulder Score (ASES), the Oxford Shoulder Score (OSS) and the Constant-Murley Score (Constant) before and at one, three and six months after surgery. Overall improvement in all the scores analyzed ( p < 0.001) was found. Preoperative and postoperative PSQI scores correlated with SF-36, SST, ASES and Constant scores at each follow-up. Preoperative and one-month postoperative OSS correlated with the PSQI score. Using the Friedman test, we found an overall improvement in all score analyses ( p < 0.001). The results prove that after rotator cuff repair, sleep disturbances improve three to six months after surgery improving the quality of life of these patients.

Keywords: Pittsburgh Sleep Quality Index (PSQI); sleep quality; sleep disturbance; rotator cuff tear; rotator cuff repair; arthroscopy; shoulder; surgery (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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