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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2023; 12(01): 059-063
DOI: 10.1055/s-0041-1741406
Original Article

Improvement of Sleep Quality after Surgical Decompression in Carpal Tunnel Syndrome

Nguyen Le Trung Hieu
1   Department of Neurology, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh city, Ho Chi Minh city, Vietnam
2   Department of Neurology, Children's Hospital No. 2, Ho Chi Minh city, Vietnam
,
Nguyen Anh Sang
3   Department of Upper Limb Surgery, Military Hospital 175, Ho Chi Minh city, Vietnam
,
Nguyen Lam Vuong 
4   Department of Medical Statistics and Informatics, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh city, Ho Chi Minh city, Vietnam
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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.

Keywords

Carpal tunnel syndrome - Carpal tunnel release - Pittsburgh Sleep Quality Index - Boston Carpal Tunnel Syndrome Questionnaire


Publication History

Article published online:
30 December 2021

© 2021. Neurological Surgeons' Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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