Journal List > J Korean Orthop Assoc > v.47(3) > 1013150

Cho, Jung, Son, and Hwang: Sleep Status and Quality of Life in Patients with Frozen Shoulder

Abstract

Purpose

The aims of this study were to assess sleep status and quality of life (QOL) in patients with frozen shoulder and to evaluate correlations between pain, disability, sleep disturbance and QOL.

Materials and Methods

Thirty patients with idiopathic frozen shoulder and 60 healthy controls were enrolled into this study. Participants were evaluated using the following: visual analogue scale (VAS), American Shoulder and Elbow Surgeon's Score (ASES), Korean Shoulder Score (KSS), Pittsburg Sleep Quality Index (PSQI), and World Health Organization Quality of Life Scale Abbreviated Version (WHOQOL-BREF).

Results

The mean VAS, ASES, and KSS scores in patient groups were 6.5, 40.3, and 45.1, respectively. The mean PSQI score was 8.6 in the patient group and 4.1 in the control group. Patient groups had significantly higher scores than the control group for the PSQI score (p<0.05). The incidence of sleep disturbance was 86.7%. The mean WHOQOL-BLEF score was 77.6 in the patient group and 93.6 in the control group. The patient group was significantly lower than the control group in the WHOQOL-BLEF score (p<0.05). There were no statistically significant correlations with PSQI and WHOQOL-BLEF scores regarding duration of symptoms, VAS, ASES, and KSS scores (p>0.05). The ASES score had a positive correlation with physical health domain and KSS score had a positive correlation with overall QOL and physical health domain of the WHOQOL-BLEF (p<0.05).

Conclusion

Patients with frozen shoulder had noticeable pain and functional disability. Furthermore, they had significant incidence of sleep disturbance and had a significantly lower QOL.

Figures and Tables

Table 1
Demographic Characteristics
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Values are presented as mean±standard deviation or n (%). *The difference was statistically significant (p<0.05); Missing data excluded. VAS, visual analogue scale; ASES, American Shoulder and Elbow Surgeon's Score; KSS, Korean Shoulder Score.

Table 2
Comparison of Sleep Status and QOL between Patient Group and Control Group
jkoa-47-205-i002

Values are presented as mean±standard deviation. *The difference was statistically significant (p<0.05). QOL, quality of life; PQSI, Pittsburg Sleep Quality Index; WHOQOL-BLEF, World Health Organization Quality of Life Scale Abbreviated Version.

Table 3
Comparison of Sleep Disturbance between Patient Group and Control Group
jkoa-47-205-i003

Values are presented as n (%).

Table 4
Correlations of Various Parameters with PSQI, and WHOQOL-BLEF
jkoa-47-205-i004

PSQI, Pittsburg Sleep Quality Index; WHOQOL-BLEF, World Health Organization Quality of Life Scale Abbreviated Version; VAS, visual analogue scale; ASES, American Shoulder and Elbow Surgeon's Score; KSS, Korean Shoulder Score.

Table 5
Correlations of Various Parameters with WHOQOL-BLEF Domains
jkoa-47-205-i005

*The difference was statistically significant (p<0.05). WHOQOL-BLEF, World Health Organization Quality of Life Scale Abbreviated Version; QOL, quality of life; VAS, visual analogue scale; ASES, American Shoulder and Elbow Surgeon's Score; KSS, Korean Shoulder Score.

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