Do Carpal Tunnel Syndrome Symptoms During Pregnancy Affect the Sleep Quality of Pregnant Women?
Original Article
P: 26-33
March 2024

Do Carpal Tunnel Syndrome Symptoms During Pregnancy Affect the Sleep Quality of Pregnant Women?

J Turk Sleep Med 2024;11(1):26-33
1. Lokman Hekim Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye
2. Lokman Hekim Üniversitesi, Sağlık Bilimleri Enstitüsü, Fizyoterapi ve Rehabilitasyon Tezli Yüksek Lisans Programı, Ankara, Türkiye
3. Sağlık Bilimleri Üniversitesi, Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye
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No information available
Received Date: 25.11.2022
Accepted Date: 03.03.2023
Publish Date: 29.03.2024



To examine the relationship between carpal tunnel syndrome (CTS) and sleep quality in different trimesters of pregnancy and to investigate whether there is a difference between trimesters in terms of sleep quality and CTS symptoms.

Materials and Methods:

This study was conducted between August 2021 and June 2022 at gynecology and obstetrics polyclinic. The sample of the study consisted of voluntary pregnant women between the ages of 18 and 45 years. Demographic data of pregnant women were evaluated with personal information form, sleep quality with Pittsburgh sleep quality index (PSQI), CTS symptoms with Boston carpal tunnel questionnaire (BCTQ), and grip strength with hand dynamometer. Kruskal-Wallis and Spearman correlation tests were used in the analyses.


The mean age of 219 pregnant women included in our study was 29.00±4.50 years, and the mean gestational age was 22.70±11.18 weeks. According to PSQI, 80.5% (n=177) of the pregnant women had poor sleep quality (≥5 points). When the trimesters were compared in terms of the evaluated parameters, a significant difference was found between the 1st and 2nd trimesters and the 2nd and 3rd trimesters among the subjective sleep quality sub-dimensions of PSQI (p=0.002). A positive correlation was found between BCTQ-Symptom and PSQI subjective sleep quality and PSQI daytime dysfunction, and a negative relationship was found between dominant handgrip strength (p<0.05). In addition, a positive correlation was found between the BCTQ-Function score and PSQI subjective sleep quality, sleep duration, and total scores, and a negative relationship was found between dominant hand grip strength (p<0.001).


The sleep quality of pregnant women is low, and the presence of CTS has been confirmed as one of the reasons that reduce sleep quality. CTS symptoms during pregnancy negatively affect the sleep quality of pregnant women in the 1st and 3rd trimesters.

Keywords: Pregnancy, sleep, sleep quality, carpal tunnel syndrome, trimester, grip strength


Buysse DJ. Sleep health: can we define it? Does it matter? Sleep. 2014;37(1):9-17.
Yang Z, Zhu Z, Wang C, Zhang F, Zeng H. Association between adverse perinatal outcomes and sleep disturbances during pregnancy: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2022;35(1):166-174.
Liamsombut S, Tantrakul V. Sleep Disturbance in Pregnancy. Sleep Med Clin. 2022;17(1):11-23.
National Sleep Foundation (US). Sleep Research & Education. 2007,
Bacaro V, Benz F, Pappaccogli A, et al. Interventions for sleep problems during pregnancy: A systematic review. Sleep Med Rev. 2020;50:101234.
Du M, Liu J, Han N, et al. Maternal sleep quality during early pregnancy, risk factors and its impact on pregnancy outcomes: a prospective cohort study. Sleep Med. 2021;79:11-18.
Meems M, Truijens S, Spek V, Visser LH, Pop VJ. Prevalence, course and determinants of carpal tunnel syndrome symptoms during pregnancy: a prospective study. BJOG. 2015;122(8):1112-1118.
Oliveira GAD, Bernardes JM, Santos ES, Dias A. Carpal tunnel syndrome during the third trimester of pregnancy: prevalence and risk factors. Arch Gynecol Obstet. 2019;300(3):623-631.
Patel JN, McCabe SJ, Myers J. Characteristics of sleep disturbance in patients with carpal tunnel syndrome. Hand (N Y). 2012;7(1):55-58.
Hulley SB. Designing clinical research: Lippincott Williams & Wilkins. 2007.
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;28(2):193-213.
Ağargün MY, Kara H, Anlar Ö. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996;7(2):107-115.
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;28(20):1281-1285.
Crosby CA, Wehbé MA, Mawr B. Hand strength: normative values. J Hand Surg Am. 1994;19(4):665-670.
Napitupulu D, Abdillah L, Rahim R, et al. Analysis of Student Satisfaction Toward Quality of Service Facility. Journal of Physics Conference Series. 2018;954(1):012019.
Izci-Balserak B, Keenan BT, Corbitt C, Staley B, Perlis M, Pien GW. Changes in Sleep Characteristics and Breathing Parameters During Sleep in Early and Late Pregnancy. J Clin Sleep Med. 2018;14(7):1161-1168.
Kostanoğlu A, Manzak AS, Şahin A. Gebelerde fiziksel aktivite seviyesi ve uyku kalitesinin yaşam kalitesine etkisi. Journal of Turkish Sleep Medicine. 2019;3:80-87.
Özhüner Y, Çelik N. Gebelerde uyku kalitesi ve yaşam kalitesi. Sağlık Bilimleri ve Meslekleri Dergisi. 2019;6(1):25-33.
Yeral İ. Gebelikte Uyku Kalitesinin Değerlendirilmesi. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2018;52(1):34-47.
Sut HK, Asci O, Topac N. Sleep Quality and Health-Related Quality of Life in Pregnancy. J Perinat Neonatal Nurs. 2016;34(4):302-309.
Gao M, Hu J, Yang L, et al. Association of sleep quality during pregnancy with stress and depression: a prospective birth cohort study in China. BMC Pregnancy Childbirth. 2019;19(1):444.
Christian LM, Carroll JE, Porter K, Hall MH. Sleep quality across pregnancy and postpartum: effects of parity and race. Sleep Health. 2019;5(4):327-334.
Lu Q, Zhang X, Wang Y, et al. Sleep disturbances during pregnancy and adverse maternal and fetal outcomes: A systematic review and meta-analysis. Sleep Med Rev. 2021;58:101436.
Oliveira GAD, Bernardes JM, Santos ES, Dias A. Carpal tunnel syndrome during the third trimester of pregnancy: prevalence and risk factors. Arch Gynecol Obstet. 2019;300(3):623-631.
Padua L, Di Pasquale A, Pazzaglia C, Liotta GA, Librante A, Mondelli M. Systematic review of pregnancy-related carpal tunnel syndrome. Muscle Nerve. 2010;42(5):697-702.
Ogur T, Yakut ZI, Teber MA, et al. Ultrasound elastographic evaluation of the median nerve in pregnant women with carpal tunnel syndrome. Eur Rev Med Pharmacol Sci. 2015;19(1):23-30.
Gooding MS, Evangelista V, Pereira L. Carpal Tunnel Syndrome and Meralgia Paresthetica in Pregnancy. Obstet Gynecol Surv. 2020;75(2):121-126.
Keskin Y, Kilic G, Taspinar O, et al. Effectiveness of home exercise in pregnant women with carpal tunnel syndrome: Randomized Control Trial. J Pak Med Assoc. 2020;70(2):202-207.
Sedov ID, Cameron EE, Madigan S, Tomfohr-Madsen LM. Sleep quality during pregnancy: A meta-analysis. Sleep Med Rev. 2018;38:168-176.
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