For a study, it was determined that rotator cuff tears manifested in various ways, with some producing pain and limiting function and others remaining completely asymptomatic. Individuals with rotator cuff tears often seek medical help because of sleep difficulties. One of the main goals of rotator cuff restoration (RCR) surgery was to restore standard sleep patterns in the patients. This study evaluated the percentage of patients who experience preoperative sleep difficulties after rotator cuff surgery. Second, this study determined when patients stopped experiencing sleep difficulties after surgery and how these percentages change over time. Preoperative and immediate postoperative sleep disruption affected the majority of patients following arthroscopic RCR, with 75% of patients reporting remission of sleep disturbance one year after surgery. The study included 326 individuals who underwent primary arthroscopic rotator cuff surgery. The visual analog pain scale (VAS), American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation (SANE) score, Simple Shoulder Test (SST) score, and physical and mental components of the Veterans RAND 12-Item Health Survey (VR-12) were gathered pre-and postoperatively.
According to the SST Question 2, 291 patients (89%) experienced preoperative sleep problems. About 66% of the participants who reported sleep disturbance resolution at three months reported resolution at six months, another 31% at six months, another 14% at twelve months, and the final 8% at 24 months postoperatively. Compared to those under 65 years old, age >65 was substantially associated with increased resolution reporting. Following surgery, all PROMs, including VAS, ASES, SANE, SST, and VR-12 (Physical), showed statistically significant improvements. Preoperative sleep problems were noted by 89% of patients. About 77% of patients reported resolution of sleep disturbance six months after surgery, and 81% of patients reported resolution of sleep disruption two years after surgery.
Reference:www.jshoulderelbow.org/article/S1058-2746(22)00217-8/fulltext
