Title |
Effects of respiratory muscle training (RMT) in patients with mild to moderate obstructive sleep apnea (OSA)
|
---|---|
Published in |
Sleep and Breathing, October 2017
|
DOI | 10.1007/s11325-017-1582-6 |
Pubmed ID | |
Authors |
Simon Dominik Herkenrath, Marcel Treml, Christina Priegnitz, Wolfgang Galetke, Winfried J. Randerath |
Abstract |
Different forms of training focusing on the muscles of the upper airways showed limited effects on obstructive sleep apnea (OSA) and/or snoring. We investigated the effect of generalized respiratory muscle training (RMT) in lean patients with mild to moderate OSA. Nine male subjects (52.0 ± 10.8 years, BMI 29.1 ± 2.1 kg/m(2)) with obstructive sleep apnea (apnea-hypopnea index (AHI) 9-29) participated in an open, single-arm pilot study. After a 1-week build-up phase, patients underwent 4 weeks of normocapnic hyperpnea RMT five times a week for 30 min each. The initial and final measurements comprised polysomnography, pulmonary function tests, Epworth sleepiness scale (ESS), and SF-36 questionnaire (quality of life (QoL) self-assessment). The investigational site was a university-affiliated hospital for pulmonary diseases and sleep medicine, Solingen/Germany. Patients trained effectively, seen by a significant (p < 0.01) increase of breathing frequency (23.3 ± 1.5 /min vs. 30.6 ± 2.9 /min) and minute volume (81.2 ± 13.7 L vs. 109.1 ± 21.9 L). AHI, snoring and ESS remained unchanged after training. QoL as measured by SF-36 significantly (p < 0.05) improved after the training in the subscales "bodily pain" (79 ± 21 vs. 90 ± 12) and "change of health" (3.1 ± 0.3 vs. 2.4 ± 0.5). There is no evidence that AHI, pulmonary function or daytime sleepiness are affected by 5 weeks of RMT. Nevertheless, there is an improvement of parameters of quality of life. ClinicalTrials.gov , register no. NCT 00936286. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 72 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 11 | 15% |
Student > Master | 8 | 11% |
Student > Doctoral Student | 7 | 10% |
Researcher | 4 | 6% |
Other | 3 | 4% |
Other | 8 | 11% |
Unknown | 31 | 43% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 14 | 19% |
Nursing and Health Professions | 13 | 18% |
Psychology | 3 | 4% |
Neuroscience | 3 | 4% |
Sports and Recreations | 2 | 3% |
Other | 3 | 4% |
Unknown | 34 | 47% |