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65339

Sleep Disturbances in Patients with Carpal Tunnel Syndrome

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Last updated: 22 Jan 2023

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Abstract

Background: Carpal tunnel syndrome (CTS) is the most encountered peripheral entrapment neuropathy, which occurs, associated with compression of the median nerve in the wrist. The most frequented complaint of CTS patients is waking from sleep because of pain and numbness in the hand. Night waking with pain and numbness has long been reported as a common symptom associated with CTS and it has been described that about 80% of CTS patients have night-time waking due to numbness of the hands. It is thought that wrist malposition during sleep acutely exacerbates CTS symptoms by increasing the pressure within the carpal canal. Aim: This study aimed at investigating to what extent does CTS unfavorably affects sleep quality. Patients and Methods: This study is a prospective clinical study of patients attending the outpatient Rheumatology clinic at Suez Canal University Hospital, Ismailia, EGYPT, with symptoms of carpal tunnel syndrome (CTS). Once involved in the study, patients were asked to answer a group of questionnaires, which included basic demographic data. Visual Analog Scale, Insomnia Severity Index questionnaire, Levine-Katz Carpal Tunnel (Boston) Questionnaire and Electrophysiological evaluation. Results:Fifty-one patients were joined into this study. There were 42 (82.4%) females and 9 (17.6%) males, with a median age of 38.47 ± 8.739 years. Regarding the number of affected hands, 25.5% of patients had symptoms in one hand, 74.5% in both hands. Patients reported CTS symptoms for a median duration of 26 ± 19.31 months (range: 1–60 months).Conclusion: Whether the sleep disturbance is related to CTS or not, this study demonstrates that patients with CTS have noteworthy difficulties with a varied diversity of sleep disturbances.  

DOI

10.21608/scumj.2019.65339

Keywords

Sleep disturbance, CTS, Numbness

Authors

First Name

Mohamed

Last Name

Hefny

MiddleName

A

Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University.

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City

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Orcid

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First Name

Yossri

Last Name

Ashour

MiddleName

A

Affiliation

Department of Neuropsychiatry, Faculty of Medicine, Suez University, Egypt.

Email

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City

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Orcid

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First Name

Mai

Last Name

Abdullatif

MiddleName

A

Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University.

Email

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City

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Orcid

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First Name

Shaimaa

Last Name

Okasha

MiddleName

M

Affiliation

Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University.

Email

sokasha56@gmail.com

City

-

Orcid

-

Volume

22

Article Issue

1

Related Issue

6743

Issue Date

2019-03-01

Receive Date

2019-12-16

Publish Date

2019-03-01

Page Start

73

Page End

78

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_65339.html

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https://scumj.journals.ekb.eg/service?article_code=65339

Order

9

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023