Associations Between Sleep Quality and Shoulder Pain And Function
Öz
ABSTRACT
Objectives: The most common cause of shoulder pain is rotator cuff disease (RCD). Nocturnal pain is common in patients and is one of the main reasons for visiting a doctor. The aim of this study is to evaluate the effect of shoulder function and nocturnal pain on sleep quality in patients with RCD.
Material and Methods: Ninety-three patients who presented to the outpatient clinic with RCD-related shoulder pain between October 2024 and December 2024 were included in the study. Shoulder function was assessed by the Penn Shoulder Score (PSS) and sleep quality by the Pittsburgh Sleep Quality Index (PSQI). Patients' magnetic resonance imaging (MRI) findings were recorded.
Results: The mean PSQI score was 6.7±2.7. In the group with better sleep quality, the PSS was higher and the Penn Pain subscore was lower (p<0.001). While the presence of nocturnal pain was associated with a 0.25-fold decrease in sleep quality, a one-unit increase in PSS was associated with a 1.06-fold improvement in sleep quality (p values are 0.019 and 0.001, respectively). The function subscale of the PSS was found to be a risk factor for nocturnal pain, and a one-unit increase in the function subscore was associated with a 0.25-fold decrease in nocturnal pain (p<0.001).
Conclusion: Impaired shoulder function and the presence of nocturnal pain are risk factors for poor sleep quality. Assessment of sleep quality and nocturnal pain is important for management and follow-up of these patients.
Anahtar Kelimeler
rotator cuff injuries, shoulder pain, sleep disorders, sleep quality
Kaynakça
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