The Negative Effect of Carpal Tunnel Syndrome on Sleep Quality

Objective. Sleep disturbances are common in patients with carpal tunnel syndrome (CTS). This study investigates the impact of CTS on sleep quality and clarifies the magnitude of this relationship.Methods. This is a prospective investigation of patients with CTS. Patients responded to the Levine-Katz Carpal Tunnel and the Pittsburgh Sleep Quality Index (PSQI) questionnaires to assess symptom severity and quality, respectively. Descriptive and bivariate analyses summarized the findings and assessed the correlations between CTS severity and sleep quality parameters.Results. 66 patients (53F, 13M) were enrolled. Patients reported a sleep latency of 30.0 (±22.5) minutes, with a total sleep time of 5.5 (±1.8) hours nightly. Global PSQI score was 9.0 (±3.8); 80% of patients demonstrated a significant reduction in sleep quality (global PSQI score>5). Increased CTS symptom and functional severity both resulted in a significant reduction in quality and time asleep. Both significantly correlated with subjective sleep latency, sleep disturbance, use of sleep promoting medications, daytime dysfunction, and overall global PSQI score.Conclusions. The findings confirm the correlation of sleep disturbances to CTS, that is, significant reduction of sleep duration and a correlation to sleep quality. Patients sleep 2.5 hours less than recommended and are at risk for comorbid conditions.

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Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome

Indian Journal of Neurosurgery ◽

10.1055/s-0041-1741406 ◽

2021 ◽

Author(s):

Nguyen Le Trung Hieu ◽

Nguyen Anh Sang ◽

Nguyen Lam Vuong

Keyword(s):

Carpal Tunnel Syndrome ◽

Sleep Quality ◽

Carpal Tunnel ◽

Carpal Tunnel Release ◽

Surgical Decompression ◽

Poor Sleep ◽

Tunnel Syndrome ◽

And Function ◽

Hand Symptoms ◽

The Impact

Abstract Background Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy which can cause severe sleep disturbance. Carpal tunnel release (CTR) is a choice for severe cases, which has shown to improve sleep quality, but the available evidence is limited. This study aimed to investigate the impact of CTR on sleep quality and hand symptoms and functions in patients with CTS. Methods This was a prospective study in 2019–2020 on patients with CTS and poor sleep quality undergoing CTR. Patients were evaluated before and at 1, 3, and 12 months after CTR by the Pittsburgh sleep quality index (PSQI) and Boston carpal tunnel syndrome questionnaires. Results There were 33 patients with 27 females (82%) and a median age of 51 years. The median time of CTS diagnosis and having sleep disorder before CTR were 12 and 6 months, respectively. The outcomes significantly improved after CTR, with the median PSQI and Boston symptom and function scores reduced from 12, 33, and 23 before CTR to 9, 14, and 11 at 1 month; 7, 13, and 9 at 3 months; and 1, 11, and 8 at 12 months postoperatively, respectively. The correlations between the PSQI and Boston symptom and function scores were > 0.6 at all time-points. Conclusions Surgical decompression significantly improves sleep quality and the hand symptoms and functions in patients with CTS. Long-term evaluations are lacking and thus are required in future studies.

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Electrophysiological and Clinical Improvement in Non-Invasive Treatment of Carpal Tunnel Syndrome

Endocrine Metabolic & Immune Disorders - Drug Targets ◽

10.2174/1871530320666200728152953 ◽

2020 ◽

Vol 20 ◽

Author(s):

Riccardo Marvulli ◽

Giancarlo Ianieri ◽

Grazia Devenuto ◽

Marta Falcicchio ◽

Giulia A. Gallo ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Sleep Quality ◽

Conduction Velocity ◽

Carpal Tunnel ◽

Nerve Conduction ◽

Nerve Conduction Velocity ◽

Pantothenic Acid ◽

Sensory Nerve ◽

Sensory Nerve Conduction Velocity ◽

Tunnel Syndrome

Background and Objective: Carpal tunnel syndrome (CTS) is the most common form of nerve entrapment. Clinically, various signs and symptoms compare due to overexposure to mechanical vibrations transmitted to the wrist bones and cartilage, resulting in compression of the sensory and motor nerve fibers of median nerve. Early symptoms include nocturnal paresthesia and electromyography reveals reduced sensory nerve conduction velocity. Aim of this study was to evaluate the efficacy of a dietary integrator composed of acetyl-L-carnitine, α-lipoic acid,quercetin, bromelain, pantothenic acid, C and B1 and B2 and B6 and B12 vitamins in patients with early (minimal) carpal tunnel syndrome. Methods: 36 patients (28 female and 8 male) with early CTS characterized by sensory nerve demyelination and inflammation of the transverse carpal ligament. Patients were divided into two groups, group A (18 patients received physical therapy) and group B (18 patients, received physical therapy and an oral integrator). Clinical (sleep quality questionnaire to measure severity of paresthesia) and neurophysiological assessment (Sensory Nerve Conduction Velocity) performed at baseline, and then at 30 and 60 days after treatment. Results: Sleep quality and Sensory Nerve Conduction Velocity data analysis show improvement in both groups at 30 and 60 days, with statistically difference between them in both time of analysis. Conclusions: In the early CTS, with sensory fibers damage, use of dietary integrator, such as Micronil Dol®, composed composed of acetyl-L-carnitine, α-lipoic acid,quercetin, bromelain, pantothenic acid, C and B1 and B2 and B6 and B12 vitamins can be effective in quick recovery of median nerve sensory.

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The impact of gender on personal, health and workplace psychosocial risk factors for carpal tunnel syndrome

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1541931213571504 ◽

2013 ◽

Vol 57 (1) ◽

pp. 2167-2170

Author(s):

Carisa Harris-Adamson ◽

Ellen A Eisen ◽

Ann Marie Dale ◽

Bradley Evanoff ◽

Kurt T. Hegmann ◽

...

Keyword(s):

Risk Factors ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Personal Health ◽

Tunnel Syndrome ◽

The Impact

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The Impact of Sensory, Motor and Pain Impairments on Patient- Reported and Performance Based Function in Carpal Tunnel Syndrome

The Open Orthopaedics Journal ◽

10.2174/1874325001711011258 ◽

2017 ◽

Vol 11 (1) ◽

pp. 1258-1267 ◽

Cited By ~ 6

Author(s):

Goris Nazari ◽

Niyati Shah ◽

Joy C MacDermid ◽

Linda Woodhouse

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Hand Function ◽

Pinch Strength ◽

Sensory Motor ◽

Tunnel Syndrome ◽

And Performance ◽

Quick Dash ◽

The Impact ◽

Vibration Threshold

Background: Research has suggested that persistent sensory and motor impairments predominate the symptoms experienced by patients with carpal tunnel syndrome (CTS); with intermittent pain symptoms, being less predominant. Objective: The study aims to determine the relative contribution of sensory, motor and pain impairments as contributors to patient-report or performance-based hand function. Methods: Fifty participants with a diagnosis of CTS confirmed by a hand surgeon and electrodiagnosis were evaluated on a single occasion. Impairments were measured for sensibility, pain and motor performance. A staged regression analysis was performed. In the first step, variables with each of the 3 impairment categories were regressed on the Symptom Severity Scale (SSS) to identify the key variables from this domain. Models were created for both self report (Quick Disabilities of arm, shoulder and hand- Quick DASH) and performance based (Dexterity) functional outcomes. Backward regression modelling was performed for SSS and then, to allow comparability of the importance of different impairments across models, the 7 significant variables from the SSS model were forced into the models. Results: Variables: age, touch threshold and vibration threshold of the little finger of unaffected hand, median-ulnar vibration threshold ratio of affected hand, mean pain tolerance of unaffected hand, grip strength and pinch strength of affected hand, explained 31%, 36% and 63% of the variance in SSS, Quick DASH and dexterity scores, respectively. Conclusion: Hand function in patients with CTS is described by variables that reflect sensory status of the median and ulnar nerves, the persons pain threshold, grip and pinch strength impairments and age.

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