老年普通人群上肢功能障碍与睡眠障碍之间的关联
Association between upper extremity dysfunction and sleep disturbance in an elderly general population.
作者信息
Tajika Tsuyoshi, Kuboi Takuro, Endo Fumitaka, Shinagawa Satoshi, Kobayashi Hiroki, Hashimoto Shogo, Sakane Hideo, Hamano Noritaka, Sasaki Tsuyoshi, Ichinose Tsuyoshi, Shitara Hitoshi, Chikuda Hirotaka
机构信息
Department of Orthopaedic Surgery, Graduate School of Medicine, Gunma University, Maebashi, Japan.
出版信息
SAGE Open Med. 2020 Jan 21;8:2050312120901584. doi: 10.1177/2050312120901584. eCollection 2020.
OBJECTIVE
Several upper extremity disorders are associated with sleep disturbance in patient populations. This study evaluated the relation between self-assessment of upper extremity function and sleep disturbance in an elderly general population.
METHODS
A total of 159 participants (56 men, 103 women, 38-88 years old, mean age of 66.4 years) completed a self-administered questionnaire including items for sex, weight, height, and dominant hand. Upper extremity dysfunction was investigated using Quick Disabilities of the Arm, Shoulder, and Hand of the Japanese Society for Surgery of the Hand. The sleep disturbance severity was evaluated using a Japanese version of the Athens Insomnia Scale. Quality of life was assessed using the EuroQol-5-dimension-3-level, Japanese version. We measured the bilateral hand grip as an indicator of hand muscle function. Statistical tests were applied to clarify the association between upper extremity dysfunction and screening results for sleep disturbance.
RESULTS
Of 159 participants, 45 (28.3%) had sleep disturbance as assessed using Japanese version of the Athens Insomnia Scale (11 men and 34 women; mean age of 68.1 years). Japanese version of the Athens Insomnia Scale scores correlated with the EuroQol index; EuroQol visual analog scale; and Quick Disabilities of the Arm, Shoulder, and Hand scores. The Quick Disabilities of the Arm, Shoulder, and Hand score and dominant grip strength of the participants with sleep disturbance were significantly higher than those of the no sleep disturbance group. The EuroQol index score and visual analog scale of those reporting a sleep disturbance were significantly lower than those of the no sleep disturbance group.
CONCLUSION
Self-administered upper extremity health condition as assessed using Quick Disabilities of the Arm, Shoulder, and Hand correlated with sleep disturbance. Our results suggest a link between upper extremity conditions and sleep disturbance.
目的
在患者群体中，几种上肢疾病与睡眠障碍有关。本研究评估了老年普通人群上肢功能自我评估与睡眠障碍之间的关系。
方法
共有159名参与者（56名男性，103名女性，年龄38 - 88岁，平均年龄66.4岁）完成了一份自我管理问卷，其中包括性别、体重、身高和优势手等项目。使用日本手部外科学会的手臂、肩部和手部快速残疾评定法来调查上肢功能障碍。使用雅典失眠量表日语版评估睡眠障碍的严重程度。使用欧洲五维健康量表日语版评估生活质量。我们测量了双侧握力作为手部肌肉功能的指标。应用统计检验来阐明上肢功能障碍与睡眠障碍筛查结果之间的关联。
结果
在159名参与者中，使用雅典失眠量表日语版评估发现45名（28.3%）存在睡眠障碍（男性11名，女性34名；平均年龄68.1岁）。雅典失眠量表日语版得分与欧洲五维健康量表指数、欧洲五维健康量表视觉模拟量表以及手臂、肩部和手部快速残疾评定法得分相关。有睡眠障碍的参与者的手臂、肩部和手部快速残疾评定法得分及优势手握力显著高于无睡眠障碍组。报告有睡眠障碍者的欧洲五维健康量表指数得分和视觉模拟量表得分显著低于无睡眠障碍组。
结论
使用手臂、肩部和手部快速残疾评定法评估的自我管理上肢健康状况与睡眠障碍相关。我们的结果表明上肢状况与睡眠障碍之间存在联系。
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