Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study

  • Ashley E. MacConnell (Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System) ;
  • William Davis (55th Operational Medical Readiness Squadron, United States Air Force) ;
  • Rebecca Burr (Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System) ;
  • Andrew Schneider (Department of Orthopaedic Surgery, University of Chicago) ;
  • Lara R Dugas (Public Health Sciences, Loyola University Chicago) ;
  • Cara Joyce (Public Health Sciences, Loyola University Chicago) ;
  • Dane H. Salazar (Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System) ;
  • Nickolas G. Garbis (Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System)
  • Received : 2022.12.19
  • Accepted : 2023.02.22
  • Published : 2023.06.01
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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. Waist-worn 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.

Keywords

Acknowledgement

These data were presented as a poster entitled "Objective sleep assessment in patients with rotator cuff disease: a prospective study." This presentation was given at the Mid-America Orthopedic Association on April 8, 2022. We thank Hassan Farooq (Department of Orthopedic Surgery and Rehabilitation, Loyola University Health System) for his contributions for the creation for tables and figures, the initial statistical analysis, and abstract preparation.

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