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Related Experiment Video

Updated: Mar 25, 2026

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Sleep Disturbance and Upper-Extremity Disability.

Rinne Marijn Peters1, Mariano Esteban Menendez1, Jos Jasper Mellema1

  • 1Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Yawkey Center, Massachusetts General Hospital, Boston, USA.

The Archives of Bone and Joint Surgery
|February 20, 2016
PubMed
Summary
This summary is machine-generated.

Ineffective coping strategies, not sleep disturbance, are most linked to upper-extremity disability. Targeting pain interference may improve function and sleep quality.

Keywords:
DisabilityPain interferenceSleep disturbanceUpper extremity

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Psychosomatic Medicine

Background:

  • Upper-extremity disability is linked to psychosocial factors, but its association with sleep disturbance is unclear.
  • Understanding this relationship is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the association between sleep disturbance and upper-extremity disability.
  • To identify contributing sociodemographic, condition-related, and psychosocial factors.

Main Methods:

  • A cohort of 111 patients undergoing hand surgery evaluation completed surveys.
  • Measures included sleep disturbance, upper-extremity physical function, pain interference, and depression.
  • Bivariate and multivariable linear regression analyses were performed.

Main Results:

  • Sleep disturbance showed a moderate correlation with disability (r=-0.38).
  • Depression and ineffective coping strategies also correlated with disability.
  • Pain interference was the sole factor significantly associated with disability in multivariable analysis.

Conclusions:

  • Ineffective coping strategies, particularly pain interference, are more strongly associated with upper-extremity disability than sleep disturbance.
  • Interventions targeting pain interference (e.g., cognitive behavioral therapy) may improve disability and potentially sleep quality.