000162241 001__ 162241 000162241 005__ 20251017144644.0 000162241 0247_ $$2doi$$a10.1016/j.jht.2025.04.022 000162241 0248_ $$2sideral$$a144761 000162241 037__ $$aART-2025-144761 000162241 041__ $$aeng 000162241 100__ $$0(orcid)0000-0001-9678-3449$$aHernández-Secorún, Mar 000162241 245__ $$aThe effect of education, diacutaneous fibrolysis, and self-mobilization on sleep quality in patients with carpal tunnel syndrome waiting for surgery: A randomized controlled trial 000162241 260__ $$c2025 000162241 5060_ $$aAccess copy available to the general public$$fUnrestricted 000162241 5203_ $$aBackground. Carpal tunnel syndrome (CTS) patients experience a wide range of sleep complaints. However, little evidence exists on how conservative treatment can improve sleep quality in these patients. Purpose. To determine the effectiveness of a multimodal physiotherapy approach based on sleep symptoms and quality in patients suffering from CTS included in a surgery waiting list. Study Design. A randomized controlled trial. Methods. CTS patients included in surgical waiting list of Spanish Public Health System were recruited. Patients were randomized into an education, diacutaneous fibrolysis, and self-mobilization treatment over 3 weeks (n = 20) or a control group (n = 22). Nocturnal symptoms, Medical Outcome Study Sleep Scale, Boston Carpal Tunnel Questionnaire, and sensitivity of the hand were assessed after treatment, at 3- and 6-months follow-up. A general linear model of repeated measures was performed. Results. Nocturnal symptoms (p < 0.1; d = 1.0-1.5) and Boston Carpal Tunnel Questionnaire (p = 0.01; d = 1.0-1.1) were improved in favor of intervention group at each follow-up. Also, sensitivity of the first three fingers showed better results for intervention group at 3- (p = 0.021; d = 0.5) and 6-months (p = 0.036; d = 0.8) follow-up. Five of the eight items in the Medical Outcome Study Sleep Scale reported significant differences at 6-month against the control group (p < 0.1). There was a significant increase in the amount of sleep in the intervention group (p = 0.006; d = 0.7). Finally, physical activity and splint influenced the results of nocturnal symptoms and awaken short of breath and headache. Conclusions. Education, diacutaneous fibrolysis, and self-mobilization may improve night-time symptoms and sleep quality in CTS patients awaiting surgery. Patients included were mainly severe, had associated comorbidities, and under-represented patients in conservative treatment studies. 000162241 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es 000162241 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000162241 700__ $$aAbenia-Benedí, Hugo 000162241 700__ $$0(orcid)0000-0002-9930-3903$$aLucha-López, María Orosia$$uUniversidad de Zaragoza 000162241 700__ $$aDurán-Serrano, María 000162241 700__ $$aHamam-Alcober, Javier Sami 000162241 700__ $$aKrauss, John 000162241 700__ $$0(orcid)0000-0001-7667-2178$$aHidalgo-García, César$$uUniversidad de Zaragoza 000162241 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000162241 773__ $$g(2025), 9 pp.$$pJournal of Hand Therapy$$tJournal of Hand Therapy$$x0894-1130 000162241 8564_ $$s1998834$$uhttps://zaguan.unizar.es/record/162241/files/texto_completo.pdf$$yVersión publicada 000162241 8564_ $$s2657791$$uhttps://zaguan.unizar.es/record/162241/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000162241 909CO $$ooai:zaguan.unizar.es:162241$$particulos$$pdriver 000162241 951__ $$a2025-10-17-14:33:12 000162241 980__ $$aARTICLE