Research Article
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Year 2022, Volume: 5 Issue: 3, 782 - 788, 30.05.2022
https://doi.org/10.32322/jhsm.1082519

Abstract

References

  • Filiz MB, Çakır T. Omuz ağrıları tedavisinde konservatif yaklaşım. Turkiye Klinikleri Physical Medicine Rehabilitation-Special Topics 2014; 7: 52-9.
  • Kelle B, Kozanoğlu E. Lokalize omuz ağrıları ve tedavi yaklaşımları. ADU Tıp Fakültesi Dergisi 2013; 14: 59-65.
  • Matsen FA III, Arntz CT. Subacromial impingement. In: Rockwood CD Jr, Matsen FA III, eds. The Shoulder. 2nd ed. Philadelphia: WB Saunders; 1990. p.623-45.
  • Bhattacharyya R, Edwards K, Wallace AW. Does arthroscopic sub-acromial decompression really work for sub-acromial impingement syndrome: a cohort study. BMC Musculoskelet Disord 2014; 15: 324.
  • Dalton SE. The shoulder. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt M, Weisman MH, eds: Rheumatology. 3rd ed. Mosby London; 2003. p. 615-23.
  • Consigliere P, Haddo O, Levy O, Sforza G. Subacromial impingement syndrome: management challenges. Orthop Res Rev 2018; 10: 83-91.
  • Zenian J. Sleep position and shoulder pain. Med Hypotheses 2010; 74: 639-43.
  • Belzer JP, Durkin RC. Common disorders of the shoulder. Prim Care 1996; 23: 365-88.
  • Wehby CT, Wehby JH. Sleep shoulder syndrome. Ohio State Med J 1980; 76: 691-2.
  • Holdaway LA, Hegmann KT, Thiese MS, Kapellusch J. Is sleep position associated with glenohumeral shoulder pain and rotator cuff tendinopathy: a cross-sectional study. BMC Musculoskelet Disord 2018; 19: 408.
  • Zenian J. Sleep position and shoulder pain. Med Hypotheses 2010; 74: 639-43.
  • Werner CML, Blumenthal S, Curt A, Gerber C. Subacromial pressures in vivo and effects of selective experimental suprascapular nerve block. J Shoulder Elbow Surg 2006; 15: 319-23.
  • Karabay İ, Yaşar E, Tezel K, Demir Y, Gürçay E. Does the sleeping position affect shoulder pain? a clinical and sonographic study. J PMR Sci 2020; 23: 174-82.
  • Seiler WO, Allen S, Stähelin BH. Influence of the 30 laterally inclined position and the ''super-soft" 3-piece mattress on skin oxygen tension on areas of maximum pressure implications for pressure sore prevention. Gerontology 1986; 32: 158-66.
  • Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972; 54: 41-50.
  • Neer CS, Kirby RM. Revision of humeral head and total shoulder arthroplasties. Clin Orthop Relat Res 1982; 170: 189-95.
  • Codmnan EA. On Stiff and Painful Shoulders. Bost Med Surg J 1906; 154: 613-20.
  • Singh B, Bakti N, Gulihar A. Current concepts in the diagnosis and treatment of shoulder impingement. Indian J Orthop 2017; 51: 516-23.
  • Codman EA. Rupture of the supraspinatus tendon. 1911. Clin Orthop Relat Res 1990; 224: 3-26.
  • Codman EA, Akerson IB. The pathology associated with rupture of the supraspinatus tendon. Ann Surg 1931; 93: 348- 59.
  • Mulligan EP, Brunette M, Shirley Z, Khazzam M. Sleep quality and nocturnal pain in patients with shoulder disorders. J Shoulder Elb Surg 2015; 24: 1452-7.
  • Cho C-H, Jung S-W, Park J-Y, Song K-S, Yu K-I. Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance? J Shoulder Elb Surg 2013; 22: 222-8.
  • Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G. The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci 2013; 17: 370-4.
  • Werner CML, Ossendorf C, Meyer DC, Blumenthal S, Gerber C. Subacromial pressures vary with simulated sleep positions. J Shoulder Elb Surg 2010; 19: 989-93.
  • Arendt-Nielsen L, Fernández-de-Las-Peñas C, Graven-Nielsen T. Basic aspects of musculoskeletal pain: from acute to chronic pain. J Man Manip Ther 2011; 19: 186-93.

Does your sleeping position affect your shoulder pain?

Year 2022, Volume: 5 Issue: 3, 782 - 788, 30.05.2022
https://doi.org/10.32322/jhsm.1082519

Abstract

Aim: This study aimed to evaluate patients with shoulder pain according to their sleeping positions based on their clinical and magnetic resonance imaging (MRI) findings and to determine possible factors affecting shoulder pain.
Material and Method: A total of 115 patients were included in the study. The severity of shoulder pain was evaluated with the visual analog scale (VAS), shoulder function was evaluated with the simple shoulder test, and the ability to perform physical activities was evaluated with the QuickDASH questionnaire. The biceps tendon, rotator cuff (RC), subacromial-subdeltoid bursa, glenohumeral joint (GHJ), and acromioclavicular joint (ACJ) were evaluated using MRI.
Results: Of the patients with shoulder pain, 66.1% were female, 50.4% were primary school graduates, 53.9% were housewives, and 41.7% had a systemic disease. The mean age of the patients was 50.48±13.61 years while the median BMI and VAS values were 26.1 (18.2-41.4) and 8 (2-10), respectively. Considering the sleeping positions, it was found that 39.1% (most common) of the patients were sleeping in the fetus position, and considering the results of patients’ MRI examinations, the most common problem was related to the pathologies of the supraspinatus tendon (42.6%). It was found that sleep quality, which was poor in all patients, was worse in females (p=0.311), in those over 50 years of age (p=0.007), and those with a systemic disease (0.325). It was discovered that Pittsburgh's sleep quality index score was generally worse in those who slept in the soldier position and in the log position (p>0.05). The rates of pathologies of the supraspinatus tendon were found to be the highest in those that slept in the fetus position (p=0.931). It was also found that the rates of impingement, bicipital tendinitis, combined problems, and adhesive capsulitis did not differ significantly according to sleeping positions. Although occupational variables for supraspinatus degeneration remained significant in the model, having a desk job statistically significantly increased the probability of supraspinatus degeneration by 3.38 times when compared to being a housewife (95% CI=1.143-9.996; p=0.028) and it was identified that the probability of acromioclavicular degeneration increased by 1.16 times for every 1-unit increase in BMI.
Conclusion: Different sleeping positions may predispose to different shoulder pathologies and shoulder pain, and shoulder pathologies may lead to deterioration of sleep quality, especially in older patients. For this reason, suggesting correct and appropriate sleeping positions may be a useful treatment method in reducing pain and disability and increasing sleep quality.

References

  • Filiz MB, Çakır T. Omuz ağrıları tedavisinde konservatif yaklaşım. Turkiye Klinikleri Physical Medicine Rehabilitation-Special Topics 2014; 7: 52-9.
  • Kelle B, Kozanoğlu E. Lokalize omuz ağrıları ve tedavi yaklaşımları. ADU Tıp Fakültesi Dergisi 2013; 14: 59-65.
  • Matsen FA III, Arntz CT. Subacromial impingement. In: Rockwood CD Jr, Matsen FA III, eds. The Shoulder. 2nd ed. Philadelphia: WB Saunders; 1990. p.623-45.
  • Bhattacharyya R, Edwards K, Wallace AW. Does arthroscopic sub-acromial decompression really work for sub-acromial impingement syndrome: a cohort study. BMC Musculoskelet Disord 2014; 15: 324.
  • Dalton SE. The shoulder. In: Hochberg MC, Silman AJ, Smolen JS, Weinblatt M, Weisman MH, eds: Rheumatology. 3rd ed. Mosby London; 2003. p. 615-23.
  • Consigliere P, Haddo O, Levy O, Sforza G. Subacromial impingement syndrome: management challenges. Orthop Res Rev 2018; 10: 83-91.
  • Zenian J. Sleep position and shoulder pain. Med Hypotheses 2010; 74: 639-43.
  • Belzer JP, Durkin RC. Common disorders of the shoulder. Prim Care 1996; 23: 365-88.
  • Wehby CT, Wehby JH. Sleep shoulder syndrome. Ohio State Med J 1980; 76: 691-2.
  • Holdaway LA, Hegmann KT, Thiese MS, Kapellusch J. Is sleep position associated with glenohumeral shoulder pain and rotator cuff tendinopathy: a cross-sectional study. BMC Musculoskelet Disord 2018; 19: 408.
  • Zenian J. Sleep position and shoulder pain. Med Hypotheses 2010; 74: 639-43.
  • Werner CML, Blumenthal S, Curt A, Gerber C. Subacromial pressures in vivo and effects of selective experimental suprascapular nerve block. J Shoulder Elbow Surg 2006; 15: 319-23.
  • Karabay İ, Yaşar E, Tezel K, Demir Y, Gürçay E. Does the sleeping position affect shoulder pain? a clinical and sonographic study. J PMR Sci 2020; 23: 174-82.
  • Seiler WO, Allen S, Stähelin BH. Influence of the 30 laterally inclined position and the ''super-soft" 3-piece mattress on skin oxygen tension on areas of maximum pressure implications for pressure sore prevention. Gerontology 1986; 32: 158-66.
  • Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972; 54: 41-50.
  • Neer CS, Kirby RM. Revision of humeral head and total shoulder arthroplasties. Clin Orthop Relat Res 1982; 170: 189-95.
  • Codmnan EA. On Stiff and Painful Shoulders. Bost Med Surg J 1906; 154: 613-20.
  • Singh B, Bakti N, Gulihar A. Current concepts in the diagnosis and treatment of shoulder impingement. Indian J Orthop 2017; 51: 516-23.
  • Codman EA. Rupture of the supraspinatus tendon. 1911. Clin Orthop Relat Res 1990; 224: 3-26.
  • Codman EA, Akerson IB. The pathology associated with rupture of the supraspinatus tendon. Ann Surg 1931; 93: 348- 59.
  • Mulligan EP, Brunette M, Shirley Z, Khazzam M. Sleep quality and nocturnal pain in patients with shoulder disorders. J Shoulder Elb Surg 2015; 24: 1452-7.
  • Cho C-H, Jung S-W, Park J-Y, Song K-S, Yu K-I. Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance? J Shoulder Elb Surg 2013; 22: 222-8.
  • Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G. The relationship between shoulder impingement syndrome and sleep quality. Eur Rev Med Pharmacol Sci 2013; 17: 370-4.
  • Werner CML, Ossendorf C, Meyer DC, Blumenthal S, Gerber C. Subacromial pressures vary with simulated sleep positions. J Shoulder Elb Surg 2010; 19: 989-93.
  • Arendt-Nielsen L, Fernández-de-Las-Peñas C, Graven-Nielsen T. Basic aspects of musculoskeletal pain: from acute to chronic pain. J Man Manip Ther 2011; 19: 186-93.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Nilüfer Aygün Bilecik 0000-0002-5113-2287

Sıdıka Büyükvural Şen 0000-0003-1084-4226

Gülşah Yaşa Öztürk 0000-0002-9033-5095

Publication Date May 30, 2022
Published in Issue Year 2022 Volume: 5 Issue: 3

Cite

AMA Aygün Bilecik N, Büyükvural Şen S, Yaşa Öztürk G. Does your sleeping position affect your shoulder pain?. J Health Sci Med / JHSM. May 2022;5(3):782-788. doi:10.32322/jhsm.1082519

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