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1.
Med Hypotheses ; 135: 109474, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31756589

ABSTRACT

BACKGROUND: Grip and pinch strength are relevant functional variables for various activities of daily life and are related to the quality of life of patients with carpal tunnel syndrome (CTS). OBJECTIVE: The main aim was to analyze the relationship between grip and pinch strength and the educational level in women with CTS. STUDY DESIGN: Cross-sectional study. METHODS: Thirty-one female patients with CTS awaiting surgery were assigned to the low education group if they only had primary education level (completed or not) and the high education group for those having higher education level. The assessments included: grip strength, pinch strength, Visual Analogue Scale, Quick DASH Questionnaire, Pain Catastrophizing Scale and the Tampa scale of kinesiophobia. RESULTS: A statistically significant difference was obtained for grip strength (p = 0.027), pinch strength (p = 0.002) and catastrophizing (p = 0.038) between the two groups. No significant differences were observed for the other variables studied (p < 0.05). Grip strength was not related to individual factors: type of work, age, body mass index. CONCLUSION: CTS patients with a low educational level exhibited reduced grip and pinch strength and more catastrophic thinking. Future studies should investigate the mechanisms involved in the loss of strength in patients with lower educational levels.


Subject(s)
Carpal Tunnel Syndrome/physiopathology , Educational Status , Hand Strength , Pinch Strength , Adult , Aged , Carpal Tunnel Syndrome/epidemiology , Carpal Tunnel Syndrome/psychology , Catastrophization , Cross-Sectional Studies , Female , Humans , Life Style , Male , Middle Aged , Pain Measurement , Quality of Life , Surveys and Questionnaires , Treatment Outcome
2.
Arq Neuropsiquiatr ; 74(3): 207-11, 2016 Mar.
Article in English | MEDLINE | ID: mdl-27050849

ABSTRACT

UNLABELLED: 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.


Subject(s)
Carpal Tunnel Syndrome/complications , Depressive Disorder/etiology , Diabetes Mellitus , Sleep Wake Disorders/etiology , Carpal Tunnel Syndrome/psychology , Chronic Disease , Depressive Disorder/psychology , Female , Humans , Male , Middle Aged , Pain Measurement , Prospective Studies , Psychiatric Status Rating Scales , Sleep Wake Disorders/psychology , Surveys and Questionnaires
3.
Arq. neuropsiquiatr ; Arq. neuropsiquiatr;74(3): 207-211, Mar. 2016. tab
Article in English | LILACS | ID: lil-777124

ABSTRACT

ABSTRACT 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.


RESUMO A síndrome do túnel do carpo (STC) é uma condição que envolve compressão do nervo frequentemente determinando dor neuropática crônica. Procuramos avaliar a qualidade do sono e parâmetros correlatos em pacientes diabéticos e não-diabéticos com STC. Método Este estudo incluiu 366 pacientes com STC crônica. A qualidade de sono destes pacientes foi avaliada pelo Pittsburgh Sleep Quality Index (PSQI) e a depressão foi avaliada usando Beck Depression Inventory (BDI). A gravidade da dor neuropática foi avaliada usando o questionário Douleur Neuropathique-4 (DN4) e a escala visual analógica (EVA). Resultados No grupo de pacientes não-diabéticos, o valor total do PSQI afetou BDI e VAS, enquanto no grupo de diabéticos a duração dos sintomas afetou VAS, BDI e níveis de glicemia de jejum. Conclusão Em pacientes diabéticos, depressão e cronificação da dor neuropática podem levar à deterioração da qualidade do sono. Assim, considerar todos estes parâmetros no tratamento pode quebrar este círculo vicioso.


Subject(s)
Humans , Male , Female , Middle Aged , Sleep Wake Disorders/etiology , Carpal Tunnel Syndrome/complications , Depressive Disorder/etiology , Diabetes Mellitus , Psychiatric Status Rating Scales , Sleep Wake Disorders/psychology , Pain Measurement , Carpal Tunnel Syndrome/psychology , Chronic Disease , Prospective Studies , Surveys and Questionnaires , Depressive Disorder/psychology
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