An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study
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. The aim of the present study was to use an objective...
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2023-06-01
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| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2022-01438.pdf |
| _version_ | 1797330486107832320 |
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| author | Ashley E. MacConnell William Davis Rebecca Burr Andrew Schneider Lara R Dugas Cara Joyce Dane H. Salazar Nickolas G. Garbis |
| author_facet | Ashley E. MacConnell William Davis Rebecca Burr Andrew Schneider Lara R Dugas Cara Joyce Dane H. Salazar Nickolas G. Garbis |
| author_sort | Ashley E. MacConnell |
| collection | DOAJ |
| description | 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. The aim of the present study was to use an objective measure of sleep quality and to compare these findings to the patients’ Patte stage. 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. Level of evidenceLevel II. |
| first_indexed | 2024-03-08T07:20:31Z |
| format | Article |
| id | doaj.art-90a3edbd529246dab172518d4fb2458e |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T07:20:31Z |
| publishDate | 2023-06-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-90a3edbd529246dab172518d4fb2458e2024-02-02T23:47:43ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212023-06-0126216917410.5397/cise.2022.01438915An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort studyAshley E. MacConnell0William Davis1Rebecca Burr2Andrew Schneider3Lara R Dugas4Cara Joyce5Dane H. Salazar6Nickolas G. Garbis7 Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, Maywood, IL, USA 55th Operational Medical Readiness Squadron, United States Air Force, Offutt Air Force Base, NE, USA Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, Maywood, IL, USA Department of Orthopaedic Surgery, University of Chicago, Chicago, IL, USA Public Health Sciences, Loyola University Chicago, Chicago, IL, USA Public Health Sciences, Loyola University Chicago, Chicago, IL, USA Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, Maywood, IL, USA Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, Maywood, IL, USABackground 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. The aim of the present study was to use an objective measure of sleep quality and to compare these findings to the patients’ Patte stage. 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. Level of evidenceLevel II.http://www.cisejournal.org/upload/pdf/cise-2022-01438.pdfrotator cuff tearsleep efficiencypatte stagingtendon retractionsleep quality |
| spellingShingle | Ashley E. MacConnell William Davis Rebecca Burr Andrew Schneider Lara R Dugas Cara Joyce Dane H. Salazar Nickolas G. Garbis An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study Clinics in Shoulder and Elbow rotator cuff tear sleep efficiency patte staging tendon retraction sleep quality |
| title | An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study |
| title_full | An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study |
| title_fullStr | An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study |
| title_full_unstemmed | An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study |
| title_short | An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study |
| title_sort | objective assessment of the impact of tendon retraction on sleep efficiency in patients with full thickness rotator cuff tears a prospective cohort study |
| topic | rotator cuff tear sleep efficiency patte staging tendon retraction sleep quality |
| url | http://www.cisejournal.org/upload/pdf/cise-2022-01438.pdf |
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