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Conservative Rehabilitation Provides Superior Clinical Results Compared to Early Aggressive Rehabilitation for Rotator Cuff Repair: A Retrospective Comparative Study
Open AccessReview

Sleep Disturbance and Rotator Cuff Tears: A Systematic Review

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy
Research Unit of Nursing Science, Campus Bio-Medico University, 00128 Rome, Italy
Author to whom correspondence should be addressed.
Medicina 2019, 55(8), 453;
Received: 24 April 2019 / Revised: 1 August 2019 / Accepted: 5 August 2019 / Published: 8 August 2019
(This article belongs to the Special Issue Advances in the Management of Shoulder Pathologies)
PDF [588 KB, uploaded 16 August 2019]


Background and Objectives: Sleep disorders are one of the most common complaints of patients with rotator cuff (RC) tears. However, potential correlations between the treatment of RC tears and the causal factors of sleep disorders are still under discussion. The aim of this review is to evaluate quality of sleep in patients before and after surgery for RC tears and to identify which factors affected patients’ sleep. Materials and Methods: A systematic review was conducted. To provide high quality of the review, the included studies were evaluated with the standardized tool “Quality Assessment Tool for Quantitative Studies” developed by the Effective Public Health Practice Project. Results: The search strategy yielded 78 articles. After duplicate removal and titles, abstracts and full-texts review, four studies were included in the systematic review. Concerning shoulder function, the most frequently reported scale was the Simple Shoulder Test (SST). Regarding sleep quality, the most frequently reported score was the Pittsburgh Sleep Quality Index (PSQI). Conclusion: We found that the majority of patients with RC tears had a sleep disturbance, especially before surgery with a general improvement in sleep quality post-operatively. Moreover, sleep quality was correlated with pain and it also seems that factors as comorbidities, obligatory position during night time, preoperative and prolonged postoperative use of narcotics and psychiatric issues may play an important role in sleep quality. View Full-Text
Keywords: rotator cuff; rotator cuff tear; sleep quality; sleep disturbance; sleep factor; sleep wake disorders; sleep; shoulder; pain rotator cuff; rotator cuff tear; sleep quality; sleep disturbance; sleep factor; sleep wake disorders; sleep; shoulder; pain

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Longo, U.G.; Facchinetti, G.; Marchetti, A.; Candela, V.; Risi Ambrogioni, L.; Faldetta, A.; De Marinis, M.G.; Denaro, V. Sleep Disturbance and Rotator Cuff Tears: A Systematic Review. Medicina 2019, 55, 453.

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