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Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow
Tennis elbow symptoms are reportedly most severe in the morning, which prompted a search for a pathological process while asleep. A “pathological sleep position” was hypothesized that repetitively aggravates an elbow lesion if the arm is overhead and pressure is on the lateral elbow. This hypothesis...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Wolters Kluwer
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754212/ https://www.ncbi.nlm.nih.gov/pubmed/31592507 http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00082 |
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author | Gorski, Jerrold M. |
author_facet | Gorski, Jerrold M. |
author_sort | Gorski, Jerrold M. |
collection | PubMed |
description | Tennis elbow symptoms are reportedly most severe in the morning, which prompted a search for a pathological process while asleep. A “pathological sleep position” was hypothesized that repetitively aggravates an elbow lesion if the arm is overhead and pressure is on the lateral elbow. This hypothesis was tested by using a restraint to keep the arm down while asleep. METHODS: This study was a retrospective review. All patients were advised to use a restraint to keep the arm down at night. The presence of the restraint in the morning was correlated with the subjective report. The control group consisted of the noncompliant patients. RESULTS: Compliance and subjective improvement was documented in 33 of 39 patients (85%). Subjective improvement was reported by 66% of the compliant patients after 1 month. Pain continued after the first 3 months only in 6 of 39 noncompliant patients (15%). DISCUSSION: In this pilot study, patients who kept the arm down at night improved, whereas patients who were noncompliant continued to be symptomatic. Sleep position should be considered as a possible aggravating factor that delays healing of an acute injury and results in chronic pain. If validated, keeping the arm down at night can be recommended for tennis elbow. |
format | Online Article Text |
id | pubmed-6754212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-67542122019-10-07 Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow Gorski, Jerrold M. J Am Acad Orthop Surg Glob Res Rev Research Article Tennis elbow symptoms are reportedly most severe in the morning, which prompted a search for a pathological process while asleep. A “pathological sleep position” was hypothesized that repetitively aggravates an elbow lesion if the arm is overhead and pressure is on the lateral elbow. This hypothesis was tested by using a restraint to keep the arm down while asleep. METHODS: This study was a retrospective review. All patients were advised to use a restraint to keep the arm down at night. The presence of the restraint in the morning was correlated with the subjective report. The control group consisted of the noncompliant patients. RESULTS: Compliance and subjective improvement was documented in 33 of 39 patients (85%). Subjective improvement was reported by 66% of the compliant patients after 1 month. Pain continued after the first 3 months only in 6 of 39 noncompliant patients (15%). DISCUSSION: In this pilot study, patients who kept the arm down at night improved, whereas patients who were noncompliant continued to be symptomatic. Sleep position should be considered as a possible aggravating factor that delays healing of an acute injury and results in chronic pain. If validated, keeping the arm down at night can be recommended for tennis elbow. Wolters Kluwer 2019-08-02 /pmc/articles/PMC6754212/ /pubmed/31592507 http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00082 Text en Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Research Article Gorski, Jerrold M. Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow |
title | Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow |
title_full | Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow |
title_fullStr | Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow |
title_full_unstemmed | Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow |
title_short | Evaluation of Sleep Position for Possible Nightly Aggravation and Delay of Healing in Tennis Elbow |
title_sort | evaluation of sleep position for possible nightly aggravation and delay of healing in tennis elbow |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754212/ https://www.ncbi.nlm.nih.gov/pubmed/31592507 http://dx.doi.org/10.5435/JAAOSGlobal-D-19-00082 |
work_keys_str_mv | AT gorskijerroldm evaluationofsleeppositionforpossiblenightlyaggravationanddelayofhealingintenniselbow |