200Views & Citations
Obesity statistics from 2021 reveal that over 1. 9 billion adults are overweight, with 650 million classified as obese. Additionally, childhood obesity affects more than 340 million children and adolescents globally. Physiotherapy's efficacy lies in its holistic approach, combining exercise plans with lifestyle modifications and behavioral support. This comprehensive strategy aids in sustainable weight loss and encourages individuals to adopt healthier habits. As obesity's prevalence persists, physiotherapy’s impact remains a crucial component of the broad effort to overcome this complex and persistent health challenge, ultimately leading to a better quality of life and reducing associated health risks .
Physiotherapy can play a sizeable position in addressing sleep apnea, especially in overweight individuals. A tailor-made physiotherapy routine can goal each of the underlying and assuaging its capacity fitness consequences .
The mechanisms whereby physical exercising attenuates OSA have not begun to be well defined. It changed into long believed that the useful results of physical workouts on patients with OSA have been related to a reduction in body weight; however, experimental and clinical studies have shown that the benefits of exercise are impartial to weight reduction. Several hypotheses were proposed to explain the useful consequences of bodily workouts on sufferers with OSA.
Increased higher airway dilator muscle tone Maintenance of airway patency requires the coordinated interest of upper airway and thoracic respiratory muscle mass. Inspiratory muscle contraction results in a sub-atmospheric stress gradient that allows the air to go into the respiration machine and predisposes it to pharyngeal collapse. This trend closer to pharyngeal collapse is compensated by using the activation and contraction of several top airway dilator muscular tissues, consisting of the sternohyoid and omohyoid muscle tissues, and pharyngeal lumen regulators, including the genioglossus and digastric muscle tissues.
The consequences of exercise on the characteristics and hobbies of the aforementioned muscle groups stay uncertain. During physical activity, the breathing muscle tissues, especially the diaphragm, work at an expanded charge. This results in metabolic and structural diversifications that enhance fatigue resistance. On the idea of the know-how that exercise increases respiration muscle recruitment, it appears attainable that patient exercising may result in elevated upper airway muscle activation to increase upper airway diameter, reduce airway resistance, and oppose pharyngeal disintegration at some point of sleep.
Benefits of Exercise in the Treatment of Osa
In five recent studies, Iftikhar et al. found significant reductions in AHI and daytime sleepiness, as well as increases in sleep activity and peak oxygen consumption (VO2peak), in older patients with OSA. 2, authors found that OSA patients who exercised regularly had a 32% reduction in AHI (reduction of 6.27 events/h) and a 28% reduction in daytime sleepiness, as well as an increase of 5.8% of sleep. efficiency and an increase of 17.65% in VO2peak, they did not find a significant decrease in BMI (VO2peak = -1.37; 95% CI: -2.81 to 0.07; p = 0.06, I2 = 76.92%). Another important point is that even if exercise does not have a significant impact on the severity of OSA, the indirect benefits of exercise include lower blood pressure, improved metabolic rate, and reduced risk of heart disease and stroke. arteries of the heart. More lately, Aiello et al. 59 completed a meta-analysis of nine research and confirmed the findings of Iftikhar et al., which have located a reduction inside the AHI and in daylight hours sleepiness after exercising as the only remedy for OSA .
There is a loss of research evaluating the position of exercising as the sole remedy for OSA. In addition, there are differences across studies concerning exercise protocols; however, aerobic workout (either in isolation or in a mixture with resistance exercising) has been used in all research.
Kumar V, Malhotra V, Kumar S (2019) Application of Standardized Yoga Protocols as the Basis of Physiotherapy Recommendation in Treatment of Sleep Apneas: Moving Beyond Pranayamas. Indian J Otolaryngol Head Neck Surg 71: 558-565.
Yu X, Wang J, Hou S, Zeng R (2019) Mandibular distraction osteogenesis in the treatment of pediatric temporomandibular joint ankylosis with micrognathia and obstructive sleep apnea syndrome: A case report with 4‑year follow‑up. Exp Ther Med 18(6): 4888-4892.
Derwich M, Pawlowska E (2022) Position of the Hyoid Bone and Dimension of Nasopharynx and Oropharynx after Occlusal Splint Therapy and Physiotherapy in Patients Diagnosed with Temporomandibular Disorders. J Clin Med 11(17): 4939.
Cavalcante-Leão BL, Stechman-Neto J, Ravazzi GC, Fischer AES, Abdula Y, Cruz MM e, et al. (2021) Effect of respiratory therapy on patients with sleep bruxism and associated respiratory events: Study protocol for a randomized controlled clinical trial. Res Soc Dev 10(9): 1-8.
Lequeux T, Chantrain G, Bonnand M, Chelle AJ, Thill MP (2005) Physiotherapy in obstructive sleep apnea syndrome: Preliminary results. Eur Arch Oto-Rhino-Laryngology 262(6): 501-503.
- Journal of Cell Signaling & Damage-Associated Molecular Patterns
- Journal of Clinical Trials and Research (ISSN:2637-7373)
- International Journal of Anaesthesia and Research (ISSN:2641-399X)
- Oncology Clinics and Research (ISSN: 2643-055X)
- Journal of Forensic Research and Criminal Investigation (ISSN: 2640-0846)
- Journal of Cardiology and Diagnostics Research (ISSN:2639-4634)
- Ophthalmology Clinics and Research (ISSN:2638-115X)