The Journal of Arthroplasty
Volume 18, Issue 3 , Pages 371-376, April 2003

An assessment of sleep disturbance in patients before and after total hip arthroplasty☆☆

  • Jann M. Fielden, RCpN, MA

      Affiliations

    • Department of Surgery and Cancer Services
  • ,
  • P.H. Gander, PhD

      Affiliations

    • Sleep/Wake Research Centre, Department of Public Health
  • ,
  • J.G. Horne, MBChB, FRACS

      Affiliations

    • Department of Surgery and Cancer Services
  • ,
  • B.M.F. Lewer, MBChB, FANZCA

      Affiliations

    • Department of Surgery and Cancer Services
  • ,
  • R.M. Green, BSc

      Affiliations

    • Department of Public Health, Wellington School of Medicine and Health Sciences, Wellington South, New Zealand
  • ,
  • P.A. Devane, MBChB, MSc, FRACS

      Affiliations

    • Department of Surgery and Cancer Services

Received 19 October 2001; accepted 13 September 2002.

Abstract 

Patients with osteoarthritis commonly complain of sleep disturbance that may be due to pain. Osteoarthritic hip pain is commonly alleviated by total hip arthroplasty (THA). Forty-eight patients waiting for THA completed a sleep questionnaire and were monitored using actigraphy and sleep diaries for 4 to 5 nights, 1 month before and 3 months after surgery. For the group as a whole, significant improvements were seen in subjective and objective measures of sleep after THA. In this study, 75% of participants reported that their sleep was never or rarely disturbed by hip pain after surgery. Actigraphy indicated significant reductions in time in bed and activity during sleep, more efficient sleep and less fragmented (restless) sleep. Differences between patients aged < 65 and ≥ 65 years were observed. These findings support the hypothesis that relief from the pain of osteoarthritis as a result of THA improves sleep quality. Improvements in sleep contribute to the improved quality of life and day-to-day functioning seen after THA. © 2003 Elsevier Inc. All rights reserved.

Keywords:  total hip arthroplasty, osteoarthritis, sleep disturbance, actigraphy

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 Funds were received from The Wellington Surgical Research Trust, Wellington, New Zealand, in support of the research material described in this article.

☆☆ Reprint requests: Jann M. Fielden, RCpN, MA, Department of Surgery & Cancer Services, Wellington School of Medicine & Health Sciences, PO Box 7343, Wellington South, New Zealand.

 0883-5403/03/1803-0021$30.00/0

PII: S0883-5403(02)06257-5

doi:10.1054/arth.2003.50056

The Journal of Arthroplasty
Volume 18, Issue 3 , Pages 371-376, April 2003