{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:24:51Z","timestamp":1792664691440,"version":"4.5.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Am Acad Orthop Surg","JAAOS"],"published-print":{"date-parts":[[2018,3,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Little is known about the influence of rotator cuff pathology on sleep. The purpose of this study was to determine which patient-reported factors correlate with sleep disturbance in patients with rotator cuff disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A nonrandomized, cross-sectional cohort study was performed to evaluate the effects of rotator cuff disease on sleep quality. Data collected at time zero (before any treatment) included the Single Assessment Numeric Evaluation rating, the American Shoulder and Elbow Surgeons score, the Pittsburgh Sleep Quality Index, patient demographics, and medical comorbidities. Statistical analysis included the Pearson correlation and multiple regression analysis to determine which patient-reported factors were associated with sleep disturbance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Nocturnal pain was reported by 91% of the 391 participants (274 with tendinitis and 117 with rotator cuff tears). Participants had a mean age of 57 years. Pearson correlation coefficients determined that poor sleep quality in one group or both the tendinitis and the rotator cuff tear groups was associated with higher pain visual analog scale scores (0.27 and 0.31;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001, respectively), depression (0.27 and 0.30;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), female sex (0.24 and 0.27;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), presence of low back pain (0.25 and 0.27;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), diabetes mellitus (0.24 in the rotator cuff tear group;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), and increased body mass index (0.22 and 0.27;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The status of the rotator cuff did not correlate with increasing symptoms of shoulder pain or with worse sleep quality as measured by the Pittsburgh Sleep Quality Index. These results support the theory that worsening symptoms of shoulder pain may not be clearly associated with rotator cuff disease severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Worse sleep quality scores in patients with rotator cuff disease are associated with pain, depression, female sex, low back pain, diabetes mellitus, and high body mass index. Overall, sleep quality did not differ among patients with varying rotator cuff disease severity. Only hypertension (in patients with rotator cuff tears) and concurrent cervical pathology (in patients with tendinitis) were uniquely related to the disease classification. Further investigation is needed to better define how these factors interact and influence nocturnal shoulder pain and sleep quality in patients with rotator cuff disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III prognostic cohort study<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5435\/jaaos-d-16-00547","type":"journal-article","created":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T05:21:42Z","timestamp":1520486502000},"page":"215-222","source":"Crossref","is-referenced-by-count":73,"title":["Sleep Quality in Patients With Rotator Cuff Disease"],"prefix":"10.5435","volume":"26","author":[{"given":"Michael S.","family":"Khazzam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward P.","family":"Mulligan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Brunette-Christiansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Shirley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"6","key":"R1-20230728","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1177\/0363546515572769","article-title":"Sleep disturbance associated with rotator cuff tear: Correction with arthroscopic rotator cuff repair","volume":"43","author":"Austin","year":"2015","journal-title":"Am J Sports Med"},{"issue":"5","key":"R2-20230728","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1097\/01.ajp.0000129757.31856.f7","article-title":"How pain and analgesics disturb sleep","volume":"21","author":"Onen","year":"2005","journal-title":"Clin J Pain"},{"issue":"suppl 8","key":"R3-20230728","first-page":"26","article-title":"Special considerations in insomnia diagnosis and management: Depressed, elderly, and chronic pain populations","volume":"65","author":"Benca","year":"2004","journal-title":"J Clin Psychiatry"},{"issue":"9","key":"R4-20230728","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1016\/j.jse.2013.02.006","article-title":"The impact of depression and anxiety on self-assessed pain, disability, and quality of life in patients scheduled for rotator cuff repair","volume":"22","author":"Cho","year":"2013","journal-title":"J Shoulder Elbow Surg"},{"issue":"13","key":"R5-20230728","doi-asserted-by":"crossref","first-page":"e108","DOI":"10.2106\/JBJS.M.01011","article-title":"Melatonin plays a role as a mediator of nocturnal pain in patients with shoulder disorders","volume":"96","author":"Ha","year":"2014","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"R6-20230728","doi-asserted-by":"crossref","first-page":"e005103","DOI":"10.1136\/bmjopen-2014-005103","article-title":"Are job strain and sleep disturbances prognostic factors for neck\/shoulder\/arm pain? 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