The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients
Abstract Background The current study aimed to determine the changes in pre-and post-operative Pittsburg sleep quality index (PSQI) and Tampa scale of kinesiophobia (TSK) values according to the Hamada classification in patients who underwent reverse shoulder arthroplasty (RSA) for rotator cuff te...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-024-07338-9 |
| _version_ | 1797247526088212480 |
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| author | Gokhan Ilyas Ercument Egeli Fikri Burak Ipci Oguzhan Gokalp |
| author_facet | Gokhan Ilyas Ercument Egeli Fikri Burak Ipci Oguzhan Gokalp |
| author_sort | Gokhan Ilyas |
| collection | DOAJ |
| description | Abstract Background The current study aimed to determine the changes in pre-and post-operative Pittsburg sleep quality index (PSQI) and Tampa scale of kinesiophobia (TSK) values according to the Hamada classification in patients who underwent reverse shoulder arthroplasty (RSA) for rotator cuff tear arthropathy (RCTA). Methods One hundred and eight patients who underwent RSA for RCTA were reviewed retrospectively. The patients were divided into two groups with low grade (stages 1-2-3) (n = 49) and high grade (stages 4a-4b-5) (n = 59) according to the Hamada classification, which is the radiographic evaluation of RCTA. PSQI and TSK values were calculated preoperatively, and post-operatively at the 6th week, 6th month, and 1st year. The change in PSQI and TSK values between the evaluations and the effect of staging according to the Hamada classification on this change was examined. Results When compared in preoperative evaluations, PSQI and TSK scores were found to be lower in low-grade group 1 (7.39 ± 1.56, 51.88 ± 4.62, respectively) than in high-grade group 2 (10.47 ± 2.39, 57.05 ± 3.25, respectively) according to Hamada classification (both p < 0.001). In the postoperative evaluations, PSQI and TSK results decreased gradually compared to the preoperative evaluations, and there was a severe decrease in both parameters between the 6th-week and 6th-month evaluations (both p < 0.001). Preoperatively, 102 (95%) patients had sleep disturbance (PSQI ≥ 6), and 108 (100%) patients had high kinesiophobia (TSK > 37). In the 1st year follow-ups, sleep disturbance was observed in 5 (5%) patients and kinesiophobia in 1 (1%) patient. When the Hamada stages were compared, it was seen that there was a significant difference before the operation (both p < 0.001), but the statistically significant difference disappeared in the PSQI value in the 1st year (p = 0.092) and in the TSK value in the 6th month (p = 0.164) post-operatively. It was observed that Hamada staging caused significant differences in PSQI and TSK values in the preoperative period but did not affect the clinical results after treatment. Conclusions RSA performed based on RCTA improves sleep quality and reduces kinesiophobia. RCTA stage negatively affects PSQI and TSK before the operation but does not show any effect after the treatment. |
| first_indexed | 2024-04-24T20:00:05Z |
| format | Article |
| id | doaj.art-34a9e79b74b44a66a915613568e0d2b6 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-24T20:00:05Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-34a9e79b74b44a66a915613568e0d2b62024-03-24T12:08:14ZengBMCBMC Musculoskeletal Disorders1471-24742024-03-012511910.1186/s12891-024-07338-9The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patientsGokhan Ilyas0Ercument Egeli1Fikri Burak Ipci2Oguzhan Gokalp3Faculty of Medicine, Department of Orthopaedics and Traumatology, Usak UniversityOrthopaedics and Traumatology Clinic, Esme State HospitalFaculty of Medicine, Department of Orthopaedics and Traumatology, Usak UniversityFaculty of Medicine, Department of Orthopaedics and Traumatology, Usak UniversityAbstract Background The current study aimed to determine the changes in pre-and post-operative Pittsburg sleep quality index (PSQI) and Tampa scale of kinesiophobia (TSK) values according to the Hamada classification in patients who underwent reverse shoulder arthroplasty (RSA) for rotator cuff tear arthropathy (RCTA). Methods One hundred and eight patients who underwent RSA for RCTA were reviewed retrospectively. The patients were divided into two groups with low grade (stages 1-2-3) (n = 49) and high grade (stages 4a-4b-5) (n = 59) according to the Hamada classification, which is the radiographic evaluation of RCTA. PSQI and TSK values were calculated preoperatively, and post-operatively at the 6th week, 6th month, and 1st year. The change in PSQI and TSK values between the evaluations and the effect of staging according to the Hamada classification on this change was examined. Results When compared in preoperative evaluations, PSQI and TSK scores were found to be lower in low-grade group 1 (7.39 ± 1.56, 51.88 ± 4.62, respectively) than in high-grade group 2 (10.47 ± 2.39, 57.05 ± 3.25, respectively) according to Hamada classification (both p < 0.001). In the postoperative evaluations, PSQI and TSK results decreased gradually compared to the preoperative evaluations, and there was a severe decrease in both parameters between the 6th-week and 6th-month evaluations (both p < 0.001). Preoperatively, 102 (95%) patients had sleep disturbance (PSQI ≥ 6), and 108 (100%) patients had high kinesiophobia (TSK > 37). In the 1st year follow-ups, sleep disturbance was observed in 5 (5%) patients and kinesiophobia in 1 (1%) patient. When the Hamada stages were compared, it was seen that there was a significant difference before the operation (both p < 0.001), but the statistically significant difference disappeared in the PSQI value in the 1st year (p = 0.092) and in the TSK value in the 6th month (p = 0.164) post-operatively. It was observed that Hamada staging caused significant differences in PSQI and TSK values in the preoperative period but did not affect the clinical results after treatment. Conclusions RSA performed based on RCTA improves sleep quality and reduces kinesiophobia. RCTA stage negatively affects PSQI and TSK before the operation but does not show any effect after the treatment.https://doi.org/10.1186/s12891-024-07338-9Rotator cuff tear arthropathyShoulder prosthesesShoulder replacement arthroplastiesSleep qualityKinesiophobiaReverse shoulder arthroplasty |
| spellingShingle | Gokhan Ilyas Ercument Egeli Fikri Burak Ipci Oguzhan Gokalp The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients BMC Musculoskeletal Disorders Rotator cuff tear arthropathy Shoulder prostheses Shoulder replacement arthroplasties Sleep quality Kinesiophobia Reverse shoulder arthroplasty |
| title | The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients |
| title_full | The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients |
| title_fullStr | The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients |
| title_full_unstemmed | The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients |
| title_short | The effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients |
| title_sort | effect of cuff arthropathy stage on sleep disturbance and kinesiophobia in reverse shoulder arthroplasty patients |
| topic | Rotator cuff tear arthropathy Shoulder prostheses Shoulder replacement arthroplasties Sleep quality Kinesiophobia Reverse shoulder arthroplasty |
| url | https://doi.org/10.1186/s12891-024-07338-9 |
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