Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome
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 im...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2023-03-01
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| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1741406 |
| _version_ | 1797847939184328704 |
|---|---|
| author | Nguyen Le Trung Hieu Nguyen Anh Sang Nguyen Lam Vuong |
| author_facet | Nguyen Le Trung Hieu Nguyen Anh Sang Nguyen Lam Vuong |
| author_sort | Nguyen Le Trung Hieu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T18:19:22Z |
| format | Article |
| id | doaj.art-e2a74a83c09d47cda5e317f25f6369d9 |
| institution | Directory Open Access Journal |
| issn | 2277-954X 2277-9167 |
| language | English |
| last_indexed | 2024-04-09T18:19:22Z |
| publishDate | 2023-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj.art-e2a74a83c09d47cda5e317f25f6369d92023-04-12T12:41:54ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672023-03-01120105906310.1055/s-0041-1741406Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel SyndromeNguyen Le Trung Hieu0Nguyen Anh Sang1Nguyen Lam Vuong2Department of Neurology, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh city, Ho Chi Minh city, VietnamDepartment of Upper Limb Surgery, Military Hospital 175, Ho Chi Minh city, VietnamDepartment of Medical Statistics and Informatics, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh city, Ho Chi Minh city, VietnamBackground 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1741406carpal tunnel syndromecarpal tunnel releasepittsburgh sleep quality indexboston carpal tunnel syndrome questionnaire |
| spellingShingle | Nguyen Le Trung Hieu Nguyen Anh Sang Nguyen Lam Vuong Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome Indian Journal of Neurosurgery carpal tunnel syndrome carpal tunnel release pittsburgh sleep quality index boston carpal tunnel syndrome questionnaire |
| title | Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome |
| title_full | Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome |
| title_fullStr | Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome |
| title_full_unstemmed | Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome |
| title_short | Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome |
| title_sort | improvement of sleep quality after surgical decompression in carpal tunnel syndrome |
| topic | carpal tunnel syndrome carpal tunnel release pittsburgh sleep quality index boston carpal tunnel syndrome questionnaire |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1741406 |
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