Sleep Quality and Its Association with Level of Irritability in Patients with Frozen Shoulder in Peshawar

Hafiz Yaseen Khan; Sudair Khan; Lakshmi; Irzam Haroon; Imran Ali; Shamshaid Ahmed; Irfan Saleem; Muhammad Zeeshan

doi:10.70749/ijbr.v3i6.1602

Authors

Hafiz Yaseen Khan Department of Health sciences, City University of Science and Information Technology (CUSIT), Peshawar, KP, Pakistan.
Sudair Khan Department of Physical Therapy, Mahboob Medical Institute, Hayatabad, Peshawar, KP, Pakistan.
Lakshmi Department of Health Sciences, College of Nursing, Mirpur Khas, Sindh, Pakistan.
Irzam Haroon Department of Physical Therapy, Khyber Teaching Hospital, Peshawar, KP, Pakistan.
Imran Ali Department of Health sciences, City University of Science and Information Technology (CUSIT), Peshawar, KP, Pakistan.
Shamshaid Ahmed Department of Physical Education and Sports Science, University of Gujrat, Punjab, Pakistan.
Irfan Saleem Medical Physician and Pain Specialist, Usman Saleem Hospital and Fouzia Maternity Home, Lahore, Punjab, Pakistan.
Muhammad Zeeshan Department of Physical Therapy, IBN-E-SINA University Mirpur Khas, Sindh, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i6.1602

Keywords:

Frozen Shoulder, Irritability, Sleep Disturbance, Association between Irritability and Quality of Sleep, Cause of Frozen Shoulder and Risk Factors

Abstract

Background: Frozen shoulder also known as Adhesive capsulitis (AC), is a condition associated with shoulder pain and stiffness. It is a common shoulder ailment that is marked by pain and a loss of range of motion, particularly in external rotation. Frozen shoulder is one of the most common MSK problems and it is one of the reasons for clinical visits. Irritability of frozen shoulder have strong relation with quality of sleep. Objective: To evaluate sleep quality and its association with level of irritability in patients with frozen shoulder in Peshawar. Methodology: It was analytical cross sectional study to explore association between quality of sleep association with level of irritability in frozen shoulder. 112 patients were examined for quality of sleep by using PSQI questionnaire. And level of irritability by using DASH questionnaire. Results: Most of the participants 79% had significant sleep disturbance. Patients were from age 22-65 years having mean age 39± 10.7, the mean score of Pittsburgh sleep quality index was 8±4.0, the chi square test showed strong association of level of irritability with disturbance of sleep as their P- values were 0.01<0.05, 0.023<0.5, 0.05>0.015 respectively. Conclusion: This study concluded that irritability of frozen shoulder have strong association with disturbance of sleep.

Downloads

Download data is not yet available.

References

Galasso, O., Mercurio, M., Luciano, F., Mancuso, C., Gasparini, G., De Benedetto, M., Orlando, N., & Castricini, R. (2023). Arthroscopic capsular release for frozen shoulder: when etiology matters. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA, 31(11), 5248–5254.

https://doi.org/10.1007/s00167-023-07561-2

Abudula, X., Maimaiti, P., Yasheng, A., Shu, J., Tuerxun, A., Abudujilili, H., & Yang, R. (2024). Factors associated with frozen shoulder in adults: a retrospective study. BMC Musculoskeletal Disorders, 25(1).

https://doi.org/10.1186/s12891-024-07614-8

Navarro-Ledesma, S., Hamed-Hamed, D., & Pruimboom, L. (2024). A new perspective of frozen shoulder pathology; the interplay between the brain and the immune system. Frontiers in Physiology, 15.

https://doi.org/10.3389/fphys.2024.1248612

Wong, P. L. K., & Tan, H. C. A. (2010). A review on frozen shoulder. Singapore medical journal, 51(9), 694.

http://www.smj.org.sg/sites/default/files/5109/5109ra2.pdf

Toprak, M., & Erden, M. (2019). Sleep quality, pain, anxiety, depression and quality of life in patients with frozen shoulder. Journal of Back and Musculoskeletal Rehabilitation, 32(2), 287–291.

https://doi.org/10.3233/bmr-171010

Laubscher, P. H., & Rösch, T. G. (2009). Frozen shoulder: A review. SA Orthopaedic Journal, 8(3), 24-29.

https://www.scielo.org.za/scielo.php?pid=S1681-150X2009000300004&script=sci_arttext

Nagy, M. T., MacFarlane, R. J., Khan, Y., & Waseem, M. (2013). The Frozen Shoulder: Myths and Realities. The Open Orthopaedics Journal, 7(1), 352–355.

https://doi.org/10.2174/1874325001307010352

Ahmad, Q., Yaseen, I., Sattar, R., Abbas, U., & Nawaz, U. (2020). Prevalence of frozen shoulder among patients with diabetes: a single center experience from Karachi, Pakistan. Rawal Medical Journal, 45(4), 838–841.

Luime, J., Koes, B., Hendriksen, I., Burdorf, A., Verhagen, A., Miedema, H., & Verhaar, J. (2004). Prevalence and incidence of shoulder pain in the general population; a systematic review. Scandinavian Journal of Rheumatology, 33(2), 73–81.

https://doi.org/10.1080/03009740310004667

Lucas, J., Van Doorn, P., Hegedus, E., Lewis, J., & Van Der Windt, D. (2022). A systematic review of the global prevalence and incidence of shoulder pain. BMC musculoskeletal disorders, 23(1), 1073.

https://doi.org/10.1186/s12891-022-05973-8

Sarasua, S. M., Floyd, S., Bridges, W. C., & Pill, S. G. (2021). The epidemiology and etiology of adhesive capsulitis in the U.S. Medicare population. BMC Musculoskeletal Disorders, 22(1).

https://doi.org/10.1186/s12891-021-04704-9

Jacob, L., Gyasi, R. M., Koyanagi, A., Haro, J. M., Smith, L., & Kostev, K. (2023). Prevalence of and Risk Factors for Adhesive Capsulitis of the Shoulder in Older Adults from Germany. Journal of Clinical Medicine, 12(2), 669.

https://doi.org/10.3390/jcm12020669

Turki Ahmed Alqahtani, M. D., AlGhris, N. A., Alzahrani, A. A., Ghanim, L., fayez Alsaadi, M., Alqahtani, T. S., ... & Mushtaque, N. (2022). The prevalence of shoulder pain and awareness of frozen shoulder among the general population in Assir Region. Bahrain Medical Bulletin, 44(4).

https://www.bahrainmedicalbulletin.com/DECEMBER_2022/BMB-22-337.pdf

Date, A., & Rahman, L. (2020). Frozen shoulder: overview of clinical presentation and review of the current evidence base for management strategies. Future Science OA, 6(10), FSO647.

https://doi.org/10.2144/fsoa-2020-0145

Hwang, Y., & Oh, J. (2022). The relationship between shoulder pain and shoulder disability in women: the mediating role of sleep quality and psychological disorders. Medicine, 101(41), e31118.

https://doi.org/10.1097/MD.0000000000031118

Kelley, M. J., Mcclure, P. W., & Leggin, B. G. (2009). Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation. Journal of Orthopaedic & Sports Physical Therapy, 39(2), 135–148.

https://doi.org/10.2519/jospt.2009.2916

Bhagade, R. R., & Sreeraj, S. R. (2018). Correlation between Pain, Functional Disability and Quality of Life with Sleep Disturbance in Patients with Adhesive Capsulitis. International Journal of Health Sciences & Research, 8(6), 116-123.

Mulligan, E. P., Brunette, M., Shirley, Z., & Khazzam, M. (2015). Sleep quality and nocturnal pain in patients with shoulder disorders. Journal of Shoulder and Elbow Surgery, 24(9), 1452–1457.

https://doi.org/10.1016/j.jse.2015.02.013

Barandiaran, A. F., Houck, D. A., Schumacher, A. N., Seidl, A. J., Frank, R. M., Vidal, A. F., Wolcott, M. L., McCarty, E. C., & Bravman, J. T. (2022). Shoulder Surgery as an Effective Treatment for Shoulder-Related Sleep Disturbance: A Systematic Review. Arthroscopy, 38(3), 989-1000.e1.

https://doi.org/10.1016/j.arthro.2021.08.021

Hamed Hamed, D., Struyf, F., Pruimboom, L., & Navarro-Ledesma, S. (2023). Efficacy of combined strategies of physical activity, diet and sleep disorders as treatment in patients with chronic shoulder pain. A systematic review. Frontiers in Physiology, 14, 1221807.

https://doi.org/10.3389/fphys.2023.1221807

Cho, C. H., Kim, D. H., Baek, E. H., & Kim, D. H. (2021). Serum levels of TNF-α are increased in patients with rotator cuff tear and sleep disturbance. Diagnostics, 11(12), 2215.

https://doi.org/10.3390/diagnostics11122215

Pawłuś, N., Granek, Z., Kanak, M., & Domżalski, M. (2023). What types of shoulder pain most commonly affect sleep quality? A scoping systematic review. Chirurgia Narządów Ruchu I Ortopedia Polska, 88(3), 127–136.

https://doi.org/10.31139/chnriop.2023.88.3.6

Dawson, J., Shepperd, S., & Carr, A. (2010). An Overview of Factors Relevant to Undertaking Research and Reviews on the Effectiveness of Treatment for Frozen Shoulder. Shoulder & Elbow, 2(4), 232–237.

https://doi.org/10.1111/j.1758-5740.2010.00067.x

Khan, H. Y., Adnan, M., Basit, S. A., Khan, S., Gul, S., Haroon, I., Gull, N., & Khan, N. (2025). Evaluation of Cervical Proprioception and its Association with Disability in Neck Pain: A Cross Sectional Study. Indus Journal of Bioscience Research., 3(5), 660–664.

https://doi.org/10.70749/ijbr.v3i5.1424

Khan, Y., Khan, A., Iqbal, M., Shah, D., & Ahmad, F. (2024). Prevalence of Plantar fasciitis in academic physical therapists of KMU affiliated Institutes and clinical physical therapists in tertiary care hospitals: A cross sectional study. National Journal of Life and Health Sciences, 2(1), 27–30.

https://doi.org/10.62746/njlhs.v2n1.15