Gulhan Yilmaz Gokmen1, Muhammed Emin Akkoyunlu2, Lutfiye Kilic3, Candan Algun4. 1. 1 Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Bandirma Onyedi Eylul University, Bandirma, Turkey. 2. 2 Sleep Disorders Center, Department of Pulmonology, Medical School, Bezmialem Vakif University, Istanbul, Turkey. 3. 3 Pulmonary Rehabilitation Center, Yedikule Chest Disease and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey. 4. 4 Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Medipol University, Istanbul, Turkey.
Abstract
OBJECTIVES: This study aims to investigate the effects of t'ai chi and qigong (TCQ) training on severity of obstructive sleep apnea (OSA). DESIGN: A prospective, 12-week, single-center, double-blinded, randomized controlled trial. SETTING:Sleep Disorders Center of Medical Faculty in Istanbul, Turkey. SUBJECTS:Fifty adult patients with mild and moderate OSA. INTERVENTIONS: Patients were randomly allocated into either an intervention group or a control group. The intervention group (n = 25) received TCQ training under physiotherapist supervision for 1 h, three times per week, for 12 weeks and a home exercise program was provided for another 2 days. The control group (n = 25) received only a home exercise program for 12 weeks, 5 days per week. OUTCOME MEASURES: All patients were assessed before and after the exercise program. Objective parameters of sleep were measured by polysomnography, while subjective parameters of sleep were assessed using the Epworth Sleepiness Scale (ESS) and the 3-factor Pittsburgh Sleep Quality Index (PSQI). Pulmonary functions were assessed with a pulmonary function test; health-related quality of life was evaluated through the Short Form-36. RESULTS: In the intervention group, there was a statistically significant decrease in the apnea-hypopnea index (AHI) (p = 0.001) and percentage and duration of stage N2 sleep (p = 0.041 and p = 0.037, respectively), while there was a statistically significant increase in percentage and duration of stage N3 sleep when compared with the controls (p = 0.048 and p = 0.043, respectively). There was a statistically significant decrease in the ESS, PSQI sleep efficiency, and total scores (p = 0.001, p = 0.003, and p = 0.003, respectively). CONCLUSIONS: Our study results suggest that TCQ training may reduce AHI and daytime sleepiness, while improving subjective sleep quality, in patients with mild and moderate OSA.
RCT Entities:
OBJECTIVES: This study aims to investigate the effects of t'ai chi and qigong (TCQ) training on severity of obstructive sleep apnea (OSA). DESIGN: A prospective, 12-week, single-center, double-blinded, randomized controlled trial. SETTING: Sleep Disorders Center of Medical Faculty in Istanbul, Turkey. SUBJECTS: Fifty adult patients with mild and moderate OSA. INTERVENTIONS:Patients were randomly allocated into either an intervention group or a control group. The intervention group (n = 25) received TCQ training under physiotherapist supervision for 1 h, three times per week, for 12 weeks and a home exercise program was provided for another 2 days. The control group (n = 25) received only a home exercise program for 12 weeks, 5 days per week. OUTCOME MEASURES: All patients were assessed before and after the exercise program. Objective parameters of sleep were measured by polysomnography, while subjective parameters of sleep were assessed using the Epworth Sleepiness Scale (ESS) and the 3-factor Pittsburgh Sleep Quality Index (PSQI). Pulmonary functions were assessed with a pulmonary function test; health-related quality of life was evaluated through the Short Form-36. RESULTS: In the intervention group, there was a statistically significant decrease in the apnea-hypopnea index (AHI) (p = 0.001) and percentage and duration of stage N2 sleep (p = 0.041 and p = 0.037, respectively), while there was a statistically significant increase in percentage and duration of stage N3 sleep when compared with the controls (p = 0.048 and p = 0.043, respectively). There was a statistically significant decrease in the ESS, PSQI sleep efficiency, and total scores (p = 0.001, p = 0.003, and p = 0.003, respectively). CONCLUSIONS: Our study results suggest that TCQ training may reduce AHI and daytime sleepiness, while improving subjective sleep quality, in patients with mild and moderate OSA.
Authors: Vasileios T Stavrou; Kyriaki Astara; Konstantinos N Tourlakopoulos; Eirini Papayianni; Stylianos Boutlas; George D Vavougios; Zoe Daniil; Konstantinos I Gourgoulianis Journal: Front Med (Lausanne) Date: 2021-12-24
Authors: Jiayi Yang; Yan Du; Haoran Shen; Shujie Ren; Zhiyuan Liu; Danni Zheng; Qingqing Shi; Youfa Li; Gao-Xia Wei Journal: Int J Environ Res Public Health Date: 2022-08-18 Impact factor: 4.614