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器官移植长期效应期刊
SJR: 0.133 SNIP: 0.491 CiteScore™: 0.89

ISSN 打印: 1050-6934
ISSN 在线: 1940-4379

器官移植长期效应期刊

DOI: 10.1615/JLongTermEffMedImplants.2018020617
pages 55-61

Improvement in Sleep Quality after Carpal Tunnel Release

Arie G. Trouw
SUNY Downstate Medical Center/University Hospital Brooklyn, Department of Orthopaedic Surgery and Rehabilitation Medicine, Brooklyn, NY
Ashish Patel
Hospital for Special Surgery, Department of Orthopaedic Surgery, New York, NY
Andrew Yang
SUNY Downstate Medical Center/University Hospital Brooklyn, Department of Orthopaedic Surgery and Rehabilitation Medicine, Brooklyn, NY
Julio Jauregui
Department of Orthopaedics, University of Maryland, Baltimore, MD
Daniel Caligiuri
SUNY Downstate Medical Center/University Hospital Brooklyn, Department of Orthopaedic Surgery and Rehabilitation Medicine, Brooklyn, NY
Jack Choueka
Maimonides Medical Center, Department of Orthopaedic Surgery, Brooklyn, NY

ABSTRACT

Carpal tunnel syndrome (CTS) has multiple implications on patient quality of life. In particular, CTS may affect quality of sleep, causing sleep deprivation in extreme cases. Carpal tunnel release (CTR) surgery may aid in resolving these disturbances. The purpose of our study was to investigate whether patients who have undergone CTR have improved sleep quality and to determine the timeline for such improvement. Twenty-one patients were prospectively enrolled and followed-up for two years. They were asked to complete a Pittsburgh Sleep Quality Index (PSQI), a pain visual analog scale (VAS), a sleep perception VAS, and both components Symptom Severity and Functional Status Scale from the Levine–Katz carpal tunnel questionnaire. Patients had overall improvement in their postoperative outcome measures; however, the improvement in PSQI became significant at the 12–24 month follow-up, whereas both of the VAS scores significantly improved at an earlier 6 month follow-up. Both components of the Levine–Katz questionnaire significantly improved in the immediate postoperative period. Our findings allow surgeons to counsel their patients on realistic expectations after CTR and its impact on sleep quality.