Journal ArticleDOI
An assessment of sleep disturbance in patients before and after total hip arthroplasty.
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TLDR
The hypothesis that relief from the pain of osteoarthritis as a result of THA improves sleep quality is supported and improvements in sleep contribute to the improved quality of life and day-to-day functioning seen after THA.Abstract:
Patients with osteoarthritis commonly complain of sleep disturbance that may be due to pain. Osteoarthritic hip pain is commonly alleviated by total hip arthroplasty (THA). Forty-eight patients waiting for THA completed a sleep questionnaire and were monitored using actigraphy and sleep diaries for 4 to 5 nights, 1 month before and 3 months after surgery. For the group as a whole, significant improvements were seen in subjective and objective measures of sleep after THA. In this study, 75% of participants reported that their sleep was never or rarely disturbed by hip pain after surgery. Actigraphy indicated significant reductions in time in bed and activity during sleep, more efficient sleep and less fragmented (restless) sleep. Differences between patients agedread more
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Journal ArticleDOI
The association between chronic low back pain and sleep: a systematic review.
TL;DR: Consistent evidence found that CLBP was associated with greater sleep disturbance; reduced sleep duration and sleep quality; increased time taken to fall asleep; poor day-time function; and greater sleep dissatisfaction and distress.
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Sleep and rheumatologic disorders
TL;DR: The inter-relationship between sleep complaints, disease activity, depression, sleep deprivation, and cytokines is described and an algorithm for evaluation and treatment of sleep disorders associated with rheumatologic diseases is proposed.
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Depression in patients with rheumatoid arthritis: description, causes and mechanisms.
TL;DR: Two sets of contributory factors to depression among patients with rheumatoid arthritis are generally examined – the social context of the individual and the biologic disease state of that person’s RA.
Journal ArticleDOI
Pain as a mediator of sleep problems in arthritis and other chronic conditions.
TL;DR: In multivariate regression analyses, the addition of pain decreased the effect of arthritis by 53% (insomnia symptoms) and 64% (unrefreshing sleep), suggesting that pain is a partial mediator of these relationships.
Journal ArticleDOI
OAKHQOL: a new instrument to measure quality of life in knee and hip osteoarthritis.
Anne-Christine Rat,Joël Coste,Jacques Pouchot,Michèle Baumann,E. Spitz,Nathalie Retel-Rude,Janine-Sophie Giraudet Le Quintrec,Dominique Dumont-Fischer,Francis Guillemin +8 more
TL;DR: The OAKHQOL is the first specific knee and hip OA quality of life instrument that meets psychometric requirements for validity and reliability and followed an a priori structured strategy to ensure content validity.
References
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Book
Principles and Practice of Sleep Medicine
TL;DR: Part 1: Normal Sleep and Its Variations; Part 2: Abnormal Sleep.
Journal ArticleDOI
Statistical analysis of repeated measures data using SAS procedures.
TL;DR: This procedure implements random effects in the statistical model and permits modeling the covariance structure of the data, and can compute efficient estimates of fixed effects and valid standard errors of the estimates in the SAS System.
Journal ArticleDOI
Comparison of actigraphic, polysomnographic, and subjective assessment of sleep parameters in sleep-disordered patients
Clete A. Kushida,Arthur Chang,Chirag A. Gadkary,Christian Guilleminault,Oscar Carrillo,William C. Dement +5 more
TL;DR: The use of subjective data as an adjunct to actigraphic data in estimating total sleep time and sleep efficiency in sleep-disordered patients, especially those with disorders of excessive somnolence is recommended.
Journal ArticleDOI
Sleepiness in different situations measured by the Epworth Sleepiness Scale.
TL;DR: The results of nonparametric ANOVA, Spearman correlations, Wilcoxon's t tests, item and factor analysis suggest that individual measurements of SP involve three components of variation in addition to short-term changes over periods of hours or days.