Interaction Between Functional Capability and Sleep Quality at Midterm After Total Knee Arthroplasty: a Japanese Retrospective Cohort Study

Overview

Journal Sci Rep

Specialty Science

Date 2023 Oct 26

PMID 37884595

Authors

Satoshi Hamai

Satoru Harada

Hidetoshi Tsushima

Ryutaro Kozuma

Satoshi Yamate

Shinya Kawahara

Yukio Akasaki

Tetsunari Harada

Yasuhiko Kokubu

Toshiki Konishi

Yasuharu Nakashima

Affiliations

Soon will be listed here.

Abstract

No report has clarified the frequency and interacting factors affecting sleep disturbance among Asian patients at midterm after total knee arthroplasty (TKA). This study aimed to evaluate the frequency of sleep disturbance at midterm after TKA in a Japanese cohort and to identify intervening factors for sleep. We hypothesized that residual knee pain and decreased functional capability negatively interact with sleep quality after TKA. A total of 209 Japanese participants (average age: 77.1 ± 8.3 years; postoperative follow-up period: 4.5 ± 1.9 years) who underwent primary TKA for knee osteoarthritis were included in this study. Sleep quality, satisfaction, pain, functional capability, joint awareness, and mental condition were evaluated using the Pittsburgh Sleep Quality Index (PSQI), Knee Society Score (KSS) 2011, Forgotten Joint Score (FJS)-12, and 12-Item Short-Form Health Survey (SF-12) Mental Component Summary (MCS). Multivariable analysis was performed to determine the influencing factors on PSQI. The scores for the PSQI, satisfaction with pain level while lying in bed, pain during level walking, functional activity category in the KSS 2011, awareness of the artificial joint in bed at night in the FJS-12, and SF-12 MCS were 6.7 ± 3.0, 5.8 ± 1.8, 1.6 ± 2.3, 62 ± 22, 1.5 ± 1.4, and 56 ± 9.3 on average, respectively. Sleep disturbance (PSQI ≥ 5.5) occurred in 54% of the Japanese participants. Multivariable analysis revealed that high functional capability was a significant factor associated with sleep quality improvement (p < 0.05). Decreased functional capability, not residual knee pain, negatively interacted with sleep quality. The sleep disturbance rate was high during the middle postoperative period after TKA in the Japanese cohort.

Citing Articles

Genetically predicted effects of 10 sleep phenotypes on revision of knee arthroplasty: a mendelian randomization study.

Bi Z, Cai Y, Chen J, Shi X, Liao S, Jin L J Orthop Surg Res. 2024; 19(1):563.

PMID: 39267063 PMC: 11391806. DOI: 10.1186/s13018-024-05031-0.

References

Ware Jr J, Kosinski M, Keller S . A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996; 34(3):220-33. DOI: 10.1097/00005650-199603000-00003. View

Alexandre C, Latremoliere A, Ferreira A, Miracca G, Yamamoto M, Scammell T . Decreased alertness due to sleep loss increases pain sensitivity in mice. Nat Med. 2017; 23(6):768-774. PMC: 5798598. DOI: 10.1038/nm.4329. View

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

Makizako H, Nakai Y, Shiratsuchi D, Akanuma T, Yokoyama K, Matsuzaki-Kihara Y . Perceived declining physical and cognitive fitness during the COVID-19 state of emergency among community-dwelling Japanese old-old adults. Geriatr Gerontol Int. 2021; 21(4):364-369. PMC: 8013798. DOI: 10.1111/ggi.14140. View

Pilz L, Keller L, Lenssen D, Roenneberg T . Time to rethink sleep quality: PSQI scores reflect sleep quality on workdays. Sleep. 2018; 41(5). DOI: 10.1093/sleep/zsy029. View

von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007; 370(9596):1453-7. DOI: 10.1016/S0140-6736(07)61602-X. View

Frimpong E, van der Jagt D, Mokete L, Pietrzak J, Kaoje Y, Smith A . Improvements in Objectively Measured Activity Behaviors Do Not Correlate With Improvements in Patient-Reported Outcome Measures Following Total Knee Arthroplasty. J Arthroplasty. 2019; 35(3):712-719.e4. DOI: 10.1016/j.arth.2019.10.016. View

Yoshiuchi K, Nakahara R, Kumano H, Kuboki T, Togo F, Watanabe E . Yearlong physical activity and depressive symptoms in older Japanese adults: cross-sectional data from the Nakanojo study. Am J Geriatr Psychiatry. 2006; 14(7):621-4. DOI: 10.1097/01.JGP.0000200602.70504.9c. View

Chen A, Orozco F, Austin L, Post Z, Deirmengian C, Ong A . Prospective Evaluation of Sleep Disturbances After Total Knee Arthroplasty. J Arthroplasty. 2015; 31(1):330-2. DOI: 10.1016/j.arth.2015.07.044. View

10.

Long G, Suqin S, Hu Z, Yan Z, Huixin Y, Tianwang L . Analysis of patients' sleep disorder after total knee arthroplasty-A retrospective study. J Orthop Sci. 2018; 24(1):116-120. DOI: 10.1016/j.jos.2018.07.019. View

11.

Fujita T, Hamai S, Shiomoto K, Okazawa K, Nasu Y, Hara D . Analysis of factors influencing patient satisfaction after total hip arthroplasty in a Japanese cohort: the significant effect of postoperative physical activity. J Phys Ther Sci. 2022; 34(2):76-84. PMC: 8860695. DOI: 10.1589/jpts.34.76. View

12.

Mukartihal R, Angadi D, Mangukiya H, Singh N, Varad S, Ramesh P . Temporal changes in sleep quality and knee function following primary total knee arthroplasty: a prospective study. Int Orthop. 2021; 46(2):223-230. DOI: 10.1007/s00264-021-05192-1. View

13.

Park I, Diaz J, Matsumoto S, Iwayama K, Nabekura Y, Ogata H . Exercise improves the quality of slow-wave sleep by increasing slow-wave stability. Sci Rep. 2021; 11(1):4410. PMC: 7904822. DOI: 10.1038/s41598-021-83817-6. View

14.

Hamai S, Miura H, Okazaki K, Shimoto T, Higaki H, Iwamoto Y . No influence of coronal laxity and alignment on lift-off after well-balanced and aligned total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2013; 22(8):1799-804. DOI: 10.1007/s00167-013-2500-5. View

15.

Knapp P, Keller R, Mabee K, Pillai R, Frisch N . Quantifying Patient Engagement in Total Joint Arthroplasty Using Digital Application-Based Technology. J Arthroplasty. 2021; 36(9):3108-3117. DOI: 10.1016/j.arth.2021.04.022. View

16.

Taniguchi N, Matsuda S, Kawaguchi T, Tabara Y, Ikezoe T, Tsuboyama T . The KSS 2011 reflects symptoms, physical activities, and radiographic grades in a Japanese population. Clin Orthop Relat Res. 2014; 473(1):70-5. PMC: 4390913. DOI: 10.1007/s11999-014-3650-6. View

17.

Serhan Er M, Altinel E, Altinel L, Erten R, Eroglu M . An assessment of sleep quality in patients undergoing total knee arthroplasty before and after surgery. Acta Orthop Traumatol Turc. 2014; 48(1):50-4. DOI: 10.3944/AOTT.2014.3163. View

18.

Ohtsuki M, Wakasugi Y, Narukawa T, Uehara S, Ohkubo T . Are lifestyle factors significantly associated with self-rated health among Japanese female healthcare students?. BMC Public Health. 2021; 21(1):505. PMC: 7962256. DOI: 10.1186/s12889-021-10435-2. View

19.

Fontaine K, Heo M, Bathon J . Are US adults with arthritis meeting public health recommendations for physical activity?. Arthritis Rheum. 2004; 50(2):624-8. DOI: 10.1002/art.20057. View

20.

Itani O, Kaneita Y, Munezawa T, Mishima K, Jike M, Nakagome S . Nationwide epidemiological study of insomnia in Japan. Sleep Med. 2016; 25:130-138. DOI: 10.1016/j.sleep.2016.05.013. View