Is Sleep Position Associated with Glenohumeral Shoulder Pain and Rotator Cuff Tendinopathy: A Cross-Sectional Study

Details

• Personal Author:
  Hegmann KT ; Holdaway LA ; Kapellusch J ; Thiese MS
• Description:
  BACKGROUND: Glenohumeral pain and rotator cuff tendinopathy (RCT) are common musculoskeletal complaints with high prevalence among working populations. The primary proposed pathophysiologic mechanisms are sub-acromial RC tendon impingement and reduced tendon blood flow. Some sleep postures may increase subacromial pressure, potentially contributing to these postulated mechanisms. This study uses a large population of workers to investigate whether there is an association between preferred sleeping position and prevalence of: (1) shoulder pain, and (2) rotator cuff tendinopathy. METHODS: A cross-sectional analysis was performed on baseline data from a multicenter prospective cohort study. Participants were 761 workers who were evaluated by questionnaire using a body diagram to determine the presence of glenohumeral pain within 30 days prior to enrollment. The questionnaire also assessed primary and secondary preferred sleep position(s) using 6 labeled diagrams. All workers underwent a structured physical examination to determine whether RCT was present. For this study, the case definition of RCT was glenohumeral pain plus at least one of a positive supraspinatus test, painful arc and/or Neer's test. Prevalence of glenohumeral pain and RCT were individually calculated for the primary and secondary sleep postures and odds ratios were calculated. RESULTS: Age, sex, Framingham cardiovascular risk score and BMI had significant associations with glenohumeral pain. For rotator cuff tendinopathy, increasing age, Framingham risk score and Hand Activity Level (HAL) showed significant associations. The sleep position anticipated to have the highest risk of glenohumeral pain and RCT was paradoxically associated with a decreased prevalence of glenohumeral pain and also trended toward being protective for RCT. Multivariable logistic regression showed no further significant associations. CONCLUSION: This cross-sectional study unexpectedly found a reduced association between one sleep posture and glenohumeral pain. This cross-sectional study may be potentially confounded, by participants who are prone to glenohumeral pain and RCT may have learned to avoid sleeping in the predisposing position. Longitudinal studies are needed to further evaluate a possible association between glenohumeral pain or RCT and sleep posture as a potential risk factor. [Description provided by NIOSH]
• Subjects:
  Age Factors Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety Sleep Surveys And Questionnaires
• Keywords:
  Age Factors Author Keywords: Glenohumeral Pain BMI Body Mass Index Cardiovascular System MSD Musculoskeletal System Disorders Posture Questionnaires Risk Factors Rotator Cuff Tendinopathy Sleep Position Threshold Limit Values TLV

  More +
• ISSN:
  1471-2474
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 5 ; OSHA Region 8 ; Utah ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  19
• NIOSHTIC Number:
  nn:20053763
• Citation:
  BMC Musculoskelet Disord 2018 Nov; 19:408
• Contact Point Address:
  Lincoln A. Holdaway, Rocky Mountain Center for Occupational and Environmental Health, University of Utah, 391 Chipeta Way, Suite C, Salt Lake City, UT 84108
• Email:
  lincoln.holdaway@hsc.utah.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  University of Wisconsin
• Peer Reviewed:
  True
• Start Date:
  20020930
• Source Full Name:
  BMC Musculoskeletal Disorders
• End Date:
  20100929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:77d0e226064fe3443bdedffe37012b1b81e4903256f4b605be1478104f2485316cbae1622e6af29f927d30a2285825c49324c28a67583afae21cab88a6aaa564
• Download URL:
  https://stacks.cdc.gov/view/cdc/216470/cdc_216470_DS1.pdf
• File Type:
  [PDF - 914.11 KB ]