The Negative Effect of Carpal Tunnel Syndrome on Sleep Quality

Patel, Ashish; Culbertson, Maya Deza; Patel, Archit; Hashem, Jenifer; Jacob, Jinny; Edelstein, David M.; Choueka, Jack

doi:10.1155/2014/962746

Cited by 49 publications

(50 citation statements)

References 29 publications

(24 reference statements)

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“…Only one study has investigated the relationship of CTS severity with sleep quality. In that study, Patel et al 6 determined a negative correlation between CTS severity and sleep quality. As the CTS severity was evaluated in that study with VAS-pain and the Boston Carpal Tunnel Questionnaire, a correlation was not made with CTS severity in an electrophysiological evaluation.…”

Section: Discussionmentioning

confidence: 97%

“…A relationship has been found between poor sleep quality and the development of diabetes 3 , pain 4 and depression 5 . Although there have been studies showing the sleep quality of CTS patients and diabetes 3,6 , there have been no studies evaluating the sleep quality of CTS patients both with and without diabetes. This study aimed to investigate the relationship between sleep quality, depression and chronic pain in chronic carpal tunnel syndrome patients with diabetes and without diabetes.…”

Section: Introductionmentioning

confidence: 99%

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Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle

Tanık

Sarp²,

Uçar

et al. 2016

Arq. Neuro-Psiquiatr.

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Carpal tunnel syndrome (CTS) is a condition involving nerve entrapment that often leads to chronic neuropathic pain. We aimed to evaluate sleep quality and related parameters in diabetic and non-diabetic CTS patients. Method This study included a total of 366 patients with chronic CTS. These patients’ sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI) and depression using the Beck Depression Inventory (BDI). The severity of neuropathic pain was evaluated using the Douleur Neuropathique-4 (DN4) questionnaire and a visual analogue scale (VAS). Results In the non-diabetic patient group, the total PSQI score was found to affect BDI and VAS, while in the diabetic patient group, the duration of symptoms affected VAS, BDI and fasting glucose levels. Conclusion For diabetic patients, hyperglycemia depression and chronification of neuropathic pain may lead to deterioration of sleep quality. Therefore, consideration of these parameters in the treatment may break a vicious cycle.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle

Tanık

Sarp²,

Uçar

et al. 2016

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

show abstract

“…Similarly, actigraphic analyses were used to compare the subjective tests on the medical treatment and outcomes of fibromyalgia, osteoporosis, rheumatoid arthritis, chronic lower back pain, shoulder pain and neck pain (7,17,21,22,24,25). In addition, actigraphic analyses have been used to evaluate surgical cases.…”

Section: █ Resultsmentioning

confidence: 99%

“…The patients were explained about the meanings of the figures from 0 to 10 placed on a 10 cm scale. They were asked to show on the scale the numeric value that best described their pain (21,27,28,30).…”

Section: █ Materials and Methodsmentioning

confidence: 99%

A study made by using actigraphy regarding the effects on sleep of cervical disk herniation surgery

Samancioglu

Akıncı²,

Osun³

et al. 2015

Turkish Neurosurgery

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consulting a physician in these patients. Sleep disorders are in the second place after brachialgia with a ratio of 64% (5,12,24,27).Sleep disorders are frequently seen in patients with chronic low back pain (17). In another study, pain was shown to be the most important factor impairing quality of sleep (23). Other studies demonstrated a significant relationship between the severity of pain and the impairment in sleep quality. It has been also shown that quality of sleep improves after the treatments focusing on the cause of pain (5,6).In addition to chronic pain syndromes, there are a lot of studies on sleep disorders in patients who underwent open heart surgery, major abdominal surgery and thoracic surgery which were targeted to the disease underlying the pain (29). In the █ INTRODUCTION C ervical disc herniation (CDH) is characterized by compression of the motor and sensory tracts of cervical nerve roots (radiculopathy) and/or compression of the motor and sensory tracts of the long pathways in the spinal cord (myelopathy) as a result of degenerative events in the cervical vertebrae. An intractable and severe pain radiating from the neck down to the arm (brachialgia) and progressive neurological deficits associated with radiculopathy and/or myelopathy findings in cervical magnetic resonance imaging (MRI) are the major surgical indications in patients with CDH. The surgical procedure in CDH is at the same time a surgical procedure for pain relief. Brachialgia associated with radiculopathy and myelopathy is the main reason for AIm: To analyze the relationship between the severity of pain and sleep disorder using wrist actigraphy in patients with cervical disc herniation (CDH). mATERIAl and mEThODS:Fifty patients with the diagnosis of CDH underwent subjective tests and actigraphic analysis in preoperative period, and at the end of postoperative first week and postoperative first month. The data of the subjective tests and actigraphic analysis were compared. RESUlTS:There was a strong and statistically significant negative correlation between the subjective tests of Visual Analog Scale (VAS) for Pain 0-1-2 and the objective parameters of Sleep Onset Latency (SOL) 0-1-2 (rs= -0.798, p=0.009 -rs= -0.832, p=0.006 -rs=-0.710, p=0.004). There was a positive correlation between the subjective tests of VAS for Pain 0-1-2 and the objective parameters of Sleep Efficiency (SEF) 0-1-2 (rs=0.721, p=0.006 -rs= 0.768, p=0.001 -rs= 0.748, p=0.001).CONClUSION: Actigraphy may be used for the evaluation of cervical disc surgery, as an alternative and objective test for sleep disorders.

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“…Although underlying medical condition is not detectable in many patients, conditions such as tumor, infection, and distal radius fracture can cause CTS through putting an excess pressure on the wrist and on the median nerve (6). Sleep disturbance due to paresthesia is the main diagnostic clue for CTS (7).…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Efficacy of Carpal Tunnel Release vs. Local Steroid Injection in the Management of Mild to Moderate Carpal Tunnel Syndrome: A Clinical Trial

et al. 2018

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The Negative Effect of Carpal Tunnel Syndrome on Sleep Quality

Cited by 49 publications

References 29 publications

Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle

Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle

A study made by using actigraphy regarding the effects on sleep of cervical disk herniation surgery

Comparison of the Efficacy of Carpal Tunnel Release vs. Local Steroid Injection in the Management of Mild to Moderate Carpal Tunnel Syndrome: A Clinical Trial

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