Omuz Ağrısının Uyku Kalitesine Etkisi

Öz

Giriş-Amaç: Sık görülen bir kas-iskelet sistemi sorunu olan omuz ağrısı, en sık 50-59 yaş arası hastalarda görülür. Uyku sorunlarına yol açarak uyku kalitesini düşürebilir. Literatürde bu sorunla ilgili bilgi çok azdır. Omuz ağrılı hastalarda uyku kalitesi ve uykunun ağrı ve dizabilite ile ilişkisini incelemeyi amaçladık. Gereç-Yöntem: Çalışmaya omuz ağrısı şikayetiyle fizik tedavi ve rehabilitasyon kliniğine başvuran 18-80 yaş arası 91 hasta dahil edildi. Yaş, cinsiyet, eğitim, semptom süresi, vücut kitle indeksi (VKİ), meslek ve ağrı şiddeti gibi faktörler kaydedildi. Ağrının şiddeti vizüel analog skala (VAS), ağrı ve disabilite Omuz Ağrısı ve Disabilite İndeksi (SPADI) ve uyku kalitesi Pittsburgh Uyku Kalitesi İndeksi (PUKİ) kullanılarak değerlendirildi. Bulgular: Ortalama yaş 54,9 idi. Hastaların %63'ü kadın, %28'i erkekti. Bunların %14'ü omuz hizasının üzerinde ağır işlerde çalışıyordu. PUKİ ile VAS ve SPADI arasında pozitif bir korelasyon tespit edildi (sırasıyla p değeri 0,004 ve 0,003). PUKİ ile VKİ ve semptom süresi arasında anlamlı bir ilişki bulunamadı (sırasıyla p değeri 0,464 ve 0,718). Omuz üstü ağır iş yapılan ve yapılmayan iki grup arasında SPADI değerlerinde anlamlı fark bulunurken, PUKİ değerlerinde anlamlı fark saptanmadı (sırasıyla p değeri 0,021 ve 0,36). Sonuç: Hastanın VAS ve SPADI değerleri ile uyku kalitesinin omuz ağrısı ile negatif ilişkili olduğunu bulduk. Gece ağrıya bağlı uyku bozukluğu gündüz sakatlığını da etkileyebilir. Ağrı ve uyku kalitesi bozuklukları bir kısır döngüye girebilmektedir.

Anahtar Kelimeler

• Omuz ağrısı
• uyku kalitesi
• kas-iskelet sistemi
• VAS
• SPADI
• PUKİ

The Effect of Shoulder Pain on Sleep Quality

Öz

Objective: Shoulder pain, a common musculoskeletal issue, is most prevalent in patients aged 50-59. It can cause sleep problems, reducing sleep quality. We aimed to explore the relationship between sleep quality, pain, and disability in patients with shoulder pain, despite limited literature on this issue. Material-Method: Study involved 91 patients aged 18-80 with persistent shoulder pain sought out at a physical medicine and rehabilitation outpatient clinic. Factors such as age, gender, education, symptom duration, body mass index (BMI), occupation, and pain severity were recorded. Severity of pain was assessed using the visual analogue scale (VAS), pain and disability using the Shoulder Pain and Disability Index (SPADI), and sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Results: Average age was 54.9. 63% of patients were female and 28% were male. 14% of them had heavy work above shoulder level. A positive correlation was detected between PSQI and VAS and SPADI (p value 0.004 and 0.003, respectively). No significant relationship was found between PSQI and BMI and symptom duration (p value 0.464 and 0.718, respectively). While there was a significant difference in SPADI values between two groups with and without heavy work above the shoulder level, no significant difference was detected in PSQI values (p value 0.021 and 0.36, respectively). Conclusion: We found that the patient's VAS and SPADI values and sleep quality were negatively related to shoulder pain. Sleep disturbance due to pain at night can also affect daytime disability. Pain and sleep quality disorders can enter a vicious circle.

Anahtar Kelimeler

• Shoulder pain
• sleep quality
• musculoskeletal system
• VAS
• SPADI
• PSQI

Kaynakça

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