Sleep Disturbance and Its Clinical Implication in Patients with Adult Spinal Deformity: Comparison with Lumbar Spinal Stenosis
Purpose. The purpose of this study was to investigate the prevalence of sleep disturbance and its clinical implication in patients with ASD. Methods. A total of 44 patients with ASD and 137 patients with lumbar spinal stenosis (LSS) were enrolled in the study. Forty four patients were selected from...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2020/6294151 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562870251945984 |
|---|---|
| author | Ho-Joong Kim Seok-Jun Hong Joon-Hee Park Hojoon Ki |
| author_facet | Ho-Joong Kim Seok-Jun Hong Joon-Hee Park Hojoon Ki |
| author_sort | Ho-Joong Kim |
| collection | DOAJ |
| description | Purpose. The purpose of this study was to investigate the prevalence of sleep disturbance and its clinical implication in patients with ASD. Methods. A total of 44 patients with ASD and 137 patients with lumbar spinal stenosis (LSS) were enrolled in the study. Forty four patients were selected from the LSS group after propensity score matching. Global Pittsburgh Sleep Quality Index (PSQI) score, demographic data, visual analog scale (VAS) score for back and leg pain, Oswestry Disability Index (ODI), and EuroQol 5-dimension questionnaire (EQ-5D) were compared between both groups. Multiple regression analysis was performed with VAS for back pain as the dependent variable and age, sex, PSQI, and VAS for leg pain as the independent variables in the ASD group. Results. 33 (75.0%) and 32 (72.7%) patients were classified as poor sleepers in the ASD group and the LSS group, respectively. In the ASD group, the VAS score for back pain was 7.7 ± 1.7 in the poor sleeper group and 5.6 ± 2.2 in the nonpoor sleeper group. In the LSS group, poor sleep quality was associated with the ODI score, ODI score without a sleep component, and EQ-5D. The regression model for predicting VAS for back pain in the ASD group suggested that poor sleep quality and increased leg pain were associated with increased back pain. Conclusions. Because sleep quality is a critical factor in augmenting back pain in patients with ASD, this study underlines the need to investigate sleep quality during the routine examination of patients with ASD. |
| format | Article |
| id | doaj-art-560529a0048b497f98c2ab43ade724c7 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-560529a0048b497f98c2ab43ade724c72025-02-03T01:21:33ZengWileyPain Research and Management1203-67651918-15232020-01-01202010.1155/2020/62941516294151Sleep Disturbance and Its Clinical Implication in Patients with Adult Spinal Deformity: Comparison with Lumbar Spinal StenosisHo-Joong Kim0Seok-Jun Hong1Joon-Hee Park2Hojoon Ki3Spine Center and Department of Orthopaedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Sungnam 13620, Republic of KoreaDepartment of Anesthesiology & Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul 134-701, Republic of KoreaDepartment of Anesthesiology & Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul 134-701, Republic of KoreaDepartment of Anesthesiology & Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul 134-701, Republic of KoreaPurpose. The purpose of this study was to investigate the prevalence of sleep disturbance and its clinical implication in patients with ASD. Methods. A total of 44 patients with ASD and 137 patients with lumbar spinal stenosis (LSS) were enrolled in the study. Forty four patients were selected from the LSS group after propensity score matching. Global Pittsburgh Sleep Quality Index (PSQI) score, demographic data, visual analog scale (VAS) score for back and leg pain, Oswestry Disability Index (ODI), and EuroQol 5-dimension questionnaire (EQ-5D) were compared between both groups. Multiple regression analysis was performed with VAS for back pain as the dependent variable and age, sex, PSQI, and VAS for leg pain as the independent variables in the ASD group. Results. 33 (75.0%) and 32 (72.7%) patients were classified as poor sleepers in the ASD group and the LSS group, respectively. In the ASD group, the VAS score for back pain was 7.7 ± 1.7 in the poor sleeper group and 5.6 ± 2.2 in the nonpoor sleeper group. In the LSS group, poor sleep quality was associated with the ODI score, ODI score without a sleep component, and EQ-5D. The regression model for predicting VAS for back pain in the ASD group suggested that poor sleep quality and increased leg pain were associated with increased back pain. Conclusions. Because sleep quality is a critical factor in augmenting back pain in patients with ASD, this study underlines the need to investigate sleep quality during the routine examination of patients with ASD.http://dx.doi.org/10.1155/2020/6294151 |
| spellingShingle | Ho-Joong Kim Seok-Jun Hong Joon-Hee Park Hojoon Ki Sleep Disturbance and Its Clinical Implication in Patients with Adult Spinal Deformity: Comparison with Lumbar Spinal Stenosis Pain Research and Management |
| title | Sleep Disturbance and Its Clinical Implication in Patients with Adult Spinal Deformity: Comparison with Lumbar Spinal Stenosis |
| title_full | Sleep Disturbance and Its Clinical Implication in Patients with Adult Spinal Deformity: Comparison with Lumbar Spinal Stenosis |
| title_fullStr | Sleep Disturbance and Its Clinical Implication in Patients with Adult Spinal Deformity: Comparison with Lumbar Spinal Stenosis |
| title_full_unstemmed | Sleep Disturbance and Its Clinical Implication in Patients with Adult Spinal Deformity: Comparison with Lumbar Spinal Stenosis |
| title_short | Sleep Disturbance and Its Clinical Implication in Patients with Adult Spinal Deformity: Comparison with Lumbar Spinal Stenosis |
| title_sort | sleep disturbance and its clinical implication in patients with adult spinal deformity comparison with lumbar spinal stenosis |
| url | http://dx.doi.org/10.1155/2020/6294151 |
| work_keys_str_mv | AT hojoongkim sleepdisturbanceanditsclinicalimplicationinpatientswithadultspinaldeformitycomparisonwithlumbarspinalstenosis AT seokjunhong sleepdisturbanceanditsclinicalimplicationinpatientswithadultspinaldeformitycomparisonwithlumbarspinalstenosis AT joonheepark sleepdisturbanceanditsclinicalimplicationinpatientswithadultspinaldeformitycomparisonwithlumbarspinalstenosis AT hojoonki sleepdisturbanceanditsclinicalimplicationinpatientswithadultspinaldeformitycomparisonwithlumbarspinalstenosis |