An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study.

IF 1.8 Q2 ORTHOPEDICS Clinics in Shoulder and Elbow Pub Date : 2023-06-01 DOI:10.5397/cise.2022.01438
Ashley E MacConnell, William Davis, Rebecca Burr, Andrew Schneider, Lara R Dugas, Cara Joyce, Dane H Salazar, Nickolas G Garbis
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引用次数: 2

Abstract

Background: Sleep quality, quantity, and efficiency have all been demonstrated to be adversely affected by rotator cuff pathology. Previous measures of assessing the impact of rotator cuff pathology on sleep have been largely subjective in nature. This study was undertaken to objectively analyze this relationship through the use of activity monitors.

Methods: Patients with full-thickness rotator cuff tears at a single institution were prospectively enrolled between 2018 and 2020. Waistworn accelerometers were provided for the patients to use each night for 14 days. Sleep efficiency was calculated using the ratio of the time spent sleeping to the total amount of time that was spent in bed. Retraction of the rotator cuff tear was classified using the Patte staging system.

Results: This study included 36 patients: 18 with Patte stage 1 disease, 14 with Patte stage 2 disease, and 4 patients with Patte stage 3 disease. During the study, 25 participants wore the monitor on multiple nights, and ultimately their data was used for the analysis. No difference in the median sleep efficiency was appreciated amongst these groups (P>0.1), with each cohort of patients demonstrating a generally high sleep efficiency.

Conclusions: The severity of retraction of the rotator cuff tear did not appear to correlate with changes in sleep efficiency for patients (P>0.1). These findings can better inform providers on how to counsel their patients who present with complaints of poor sleep in the setting of full-thickness rotator cuff tears. Level of evidence: Level II.

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一项前瞻性队列研究,客观评估肌腱牵拉对全层肩袖撕裂患者睡眠效率的影响。
背景:睡眠质量、睡眠时间和睡眠效率都被证明会受到肩袖病变的不利影响。以前评估肩袖病变对睡眠影响的方法在很大程度上是主观的。本研究旨在通过使用活动监测仪客观地分析这种关系。方法:2018年至2020年期间,在单一机构前瞻性纳入全层肩袖撕裂患者。提供马甲加速度计供患者每晚使用,持续14天。睡眠效率是用睡眠时间与在床上的总时间之比来计算的。使用Patte分期系统对肩袖撕裂后缩回进行分类。结果:本研究共纳入36例患者,其中1期18例,2期14例,3期4例。在研究期间,25名参与者在多个晚上佩戴监测器,最终他们的数据被用于分析。在这些组中,睡眠效率的中位数没有差异(P>0.1),每组患者都表现出普遍较高的睡眠效率。结论:肩袖撕裂后缩回的严重程度似乎与患者睡眠效率的变化无关(P>0.1)。这些发现可以更好地告知医护人员如何在肩袖全层撕裂的情况下,对那些抱怨睡眠质量差的患者进行咨询。证据等级:二级。
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CiteScore
0.30
自引率
0.00%
发文量
55
审稿时长
15 weeks
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