The effects of carpal tunnel syndrome on quality of life and sleep quality

Yıl 2023, Cilt: 56 Sayı: 3, 168 - 172, 21.01.2024

Şahika Burcu Karaca Yusuf Yıldırım

https://doi.org/10.20492/aeahtd.1367891

Öz

Aim
In this study, we aimed to reveal the relationship between sleep quality, daytime sleepiness level and impact on quality of life, symptom severity and functional status in patients with carpal tunnel syndrome.
Material And Method
Demographic data, nerve conduction studies, Boston symptom severity scale, Boston functional status scale, Pittsburgh sleep quality scale, Epworth sleepiness scale and Short form-36 scores of 61 patients with carpal tunnel syndrome are evaluated.
Results
A statistically significant positive correlation was found between Pittsburgh sleep quality scale with Boston symptom severity scale and Boston functional status scale scores respectively (p<0.05). A statistically significant negative correlation was found between the Pittsburgh sleep quality scale and the Short Form-36 physical function, physical role difficulty, pain, general health perception, energy/fatigue/vitality, social function, emotional role difficulty, and emotional well-being scores, respectively (p< 0.05). A statistically significant positive correlation was found between the Epworth sleepiness scale with Boston symptom severity scale and Boston functional status scale scores respectively (p<0.05). A statistically significant negative correlation was found between the Epworth sleepiness scale and Short form-36 energy/fatigue/vitality scores (p<0.05).
Conclusion
Carpal tunnel syndrome symptom severity and functional status negatively affect sleep quality and daytime sleepiness levels. Additionally, as sleep quality deteriorates in individuals with carpal tunnel syndrome, their quality of life gets worse. In the treatment of carpal tunnel syndrome, treatments for sleep quality as well as pain and symptoms should be considered.

Anahtar Kelimeler

carpal tunnel syndrome, sleep quality, quality of life

Karpal tünel sendromunun yaşam kalitesi ve uyku kalitesi üzerine etkisi

Öz

Amaç
Biz bu çalışmada karpal tünel sendromlu olgularda uyku kalitesi, gün içi uykululuk düzeyi ve yaşam kalitesindeki etkilenme ile semptom şiddeti, fonksiyonel durum arasındaki ilişkiyi ortaya koymayı amaçladık.
Gereç Ve Yöntem
Karpal tünel sendromlu 61 hastanın demografik verileri, sinir iletim çalışmaları, Boston semptom şiddet skalası, Boston fonksiyonel durum skalası, Pittsburgh uyku kalitesi ölçeği, Epworth uykululuk skalası ve Kısa form-36 skorları değerlendirildi.
Bulgular
Pittsburgh uyku kalitesi ölçeği ile sırasıyla; Boston semptom şiddet skalası ve Boston fonksiyonel durum skalası puanları arasında istatistiksel olarak anlamlı pozitif korelasyon saptanmıştır (p<0,05). Pittsburgh uyku kalitesi ölçeği ile sırasıyla Kısa form-36 fiziksel fonksiyon, fiziksel rol güçlüğü, ağrı, genel sağlık algısı, enerji/canlılık/vitalite, sosyal fonksiyon, emosyonel rol güçlüğü, emosyonel iyilik hali puanları arasında istatistiksel olarak anlamlı negatif korelasyon saptanmıştır (p<0,05). Epworth uykululuk skalası ile sırasıyla; Boston semptom şiddet skalası ve Boston fonksiyonel durum skalası puanları arasında istatistiksel olarak anlamlı pozitif korelasyon saptanmıştır (p<0,05). Epworth uykululuk skalası ile Kısa form-36 enerji/canlılık/vitalite puanları arasında istatistiksel olarak anlamlı negatif korelasyon saptanmıştır (p<0,05).
Sonuç
Karpal tünel sendromu semptom şiddeti ve fonksiyonel durum uyku kalitesini, gündüz uykululuk düzeylerini olumsuz etkilemektedir. Ayrıca karpal tünel sendromlu bireylerde uyku kalitesi bozuldukça yaşam kalitesi azalmaktadır. Karpal tünel sendromu tedavisinde ağrı ve semptomların yanı sıra uyku kalitesine yönelik tedaviler göz önünde bulundurulmalıdır.

Anahtar Kelimeler

karpal tünel sendromu, uyku kalitesi, yaşam kalitesi

Kaynakça

• 1.Aroori S, Spence RA. Carpal tunnel syndrome. Ulster Med J. 2008 Jan;77(1):6-17. PMID: 18269111; PMCID: PMC2397020.
• 2.Ibrahim I, Khan WS, Goddard N, Smitham P. Carpal tunnel syndrome: a review of the recent literature. Open Orthop J. 2012;6:69- 76. doi: 10.2174/1874325001206010069. Epub 2012 Feb 23. PMID: 22470412; PMCID: PMC3314870.
• 3.American Academy of Orthopaedic Surgeons. Clinical Guideline on Diagnosis of Carpal Tunnel Syndrome. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2007 May. Available at: http://www. aaos.org/research/guidelines/CTSdiagnosisguide.asp [Accessed March 11, 2009]
• 4.Rask MR. Anterior interosseous nerve entrapment: (Kiloh-Nevin syndrome) report of seven cases. Clin Orthop Relat Res. 1979 Jul-Aug;( 142):176-81. PMID: 498633.
• 5.Solomon L, Warwick D, Nayagam S. Apley’s concise system of orthopaedics and fractures. NY: Oxford University Press 2005.
• 6.Zyluk A, Kosovets L. An assessment of the sympathetic function within the hand in patients with carpal tunnel syndrome. J Hand Surg Eur Vol. 2010 Jun;35(5):402-8. doi: 10.1177/1753193409361292. PMID: 20515986.
• 7.Dorwart BB. Carpal tunnel syndrome: a review. [Review] [63 refs]. Seminars in Arthritis & Rheumatism. 1984;14(2):134-40.
• 8.Krendel DA, Jöbsis M, Gaskell PC Jr, Sanders DB. The flick sign in carpal tunnel syndrome. J Neurol Neurosurg Psychiatry. 1986 Feb;49(2):220-1. doi: 10.1136/jnnp.49.2.220-a. PMID: 3950646; PMCID: PMC1028698.
• 9.McCabe SJ, Uebele AL, Pihur V, Rosales RS, Atroshi I. Epidemiologic associations of carpal tunnel syndrome and sleep position: Is there a case for causation? Hand (N Y). 2007 Sep;2(3):127-34. doi:
• 10.1007/s11552-007-9035-5. Epub 2007 May 2. PMID: 18780073; PMCID: PMC2527141. 10.Patel A, Culbertson MD, Patel A, Hashem J, Jacob J, Edelstein D, et al. The negative effect of carpal tunnel syndrome on sleep quality. Sleep Disord. 2014;2014:962746. doi: 10.1155/2014/962746. Epub 2014 Feb 17. PMID: 24693441; PMCID: PMC3945227.
• 11.Aydın E, Turan Y, Ömürlü İK. Karpal tünel sendromlu hastalarda uyku kalitesinin değerlendirilmesi. ADU Tip Fak Derg. 2014; 15(3): 96-8. Doi: DOI: 10.5152/adutfd.2015.1896.
• 12.Stevens JC. AAEM minimonograph #26: the electrodiagnosis of carpal tunnel syndrome. American Association of Electrodiagnostic 172 Medicine. Muscle Nerve. 1997 Dec;20(12):1477-86. doi: 10.1002/ (sici)1097-4598(199712)20:12<1477::aid-mus1>3.0.co;2-5. PMID: 9390659.
• 13.Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, et al. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993 Nov;75(11):1585-92. doi: 10.2106/00004623- 199311000-00002. PMID: 8245050.
• 14.Sezgin M, Incel NA, Serhan S, Camdeviren H, As I, Erdoğan C. Assessment of symptom severity and functional status in patients with carpal tunnel syndrome: reliability and functionality of the Turkish version of the Boston Questionnaire. Disabil Rehabil. 2006 Oct 30;28(20):1281-5. doi: 10.1080/09638280600621469. PMID: 17083175.
• 15.Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4. PMID: 2748771.
• 16.Ağargün MY, Kara H, Anlar Ö. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7(2):107-15.
• 17.Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991 Dec;14(6):540-5. doi: 10.1093/ sleep/14.6.540. PMID: 1798888.
• 18.Izci B, Ardic S, Firat H, Sahin A, Altinors M, Karacan I. Reliability and validity studies of the Turkish version of the Epworth Sleepiness Scale. Sleep Breath. 2008 May;12(2):161-8. doi: 10.1007/s11325-007- 0145-7. PMID: 17922157.
• 19.McHorney CA, Ware JE Jr, Raczek AE. The MOS 36-Item Short- Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993 Mar;31(3):247-63. doi: 10.1097/00005650-199303000- 00006. PMID: 8450681.
• 20.Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006 Oct 9;6:247. doi: 10.1186/1471-2458-6-247. PMID: 17029646; PMCID: PMC1615878.
• 21.Goorman AM, Dawson S, Schneck C, Pierce D. Association of Sleep and Hand Function in People With Carpal Tunnel Syndrome. Am J Occup Ther. 2019 Nov/Dec;73(6):7306205050p1-7306205050p7. doi: 10.5014/ajot.2019.034157. PMID: 31891344.
• 22.Güler E, Soykok G. The relationship of psychological factors and sleep quality with the severity of carpal tunnel syndrome. Neurology Asia. 2022;27(3).