2025 ISAKOS Biennial Congress Paper
Evaluation of Sleep Quality After Reverse Shoulder Arthroplasty
Ulaş Can Kolaç, MD, Ankara TURKEY
Gökhan Ayik, PhD, Ankara TURKEY
Mehmet Kaymakoglu, M.D, Izmir TURKEY
Serkan Ibik, MD TURKEY
Orhan Mete Karademir, MD, Ankara TURKEY
Erdi Ozdemir, MD, Hershey UNITED STATES
Gazi Huri, Prof. MD, Doha QATAR
Hacettepe University, Ankara, TURKEY
FDA Status Cleared
Summary
This study indicates that Reverse Shoulder Arthroplasty significantly improves sleep quality in addition to enhancing clinical outcomes for patients with shoulder pathologies.
Abstract
Aim
Patients with cuff tear arthropathy frequently report sleep disorders. Although literature demonstrates improvements in clinical scores following Reverse Shoulder Arthroplasty (RSA), there is a scarcity of studies evaluating RSA’s effect on sleep quality. This study aims to determine the effects of RSA on sleep, rate of sleep recovery, and clinical outcomes.
Method
Rotator cuff tear arthropathies treated with RSA between 2014-2021 were retrospectively evaluated, with a minimum follow-up of 24 months. Sleep quality and clinical scores were assessed using the Visual Analog Scale (VAS), Simple Shoulder Test (SST), American Shoulder and Elbow Surgeons (ASES) survey, Pittsburgh Sleep Quality Index (PSQI) and Jenkins Sleep Scale (JSS). The improvement and rate of recovery were assessed by comparing preoperative scores with the latest follow-up results.
Findings: Forty six patients (average age: 68 years) with a mean follow-up of 5.7 years were included. ASES scores showed improvement from a preoperative average of 40.20 to postoperative average of 62.24 (p<0.001), while VAS scores decreased from 6.00 to 2.00 at 6 months (p<0.001). PSQI scores indicated a reduction in sleep disturbances from a preoperative median of 6.00 to 5.00 at 3 months and to 5.00 at the latest follow-up, with disturbances decreasing from 45.7% to 26.1% by 3 months and 21.7% at the latest follow-up (p<0.001).
Conclusion
The study reveals that RSA significantly and rapidly improves patients’ sleep quality while also achieving better clinical scores.