Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial

Puhan, Milo A.; Suarez, Alex; Cascio, Christian Lo; Zahn, Alfred; Heitz, Markus; Braendli, Otto

doi:10.1136/bmj.38705.470590.55

Cited by 194 publications

(168 citation statements)

References 19 publications

(19 reference statements)

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“…Perhaps if exercise produced strengthening of the pharyngeal musculature, upper airway collapsibility would be diminished, and SDB would be less. One recent clinical trial using a unique wind instrument to treat SDB suggests this may occur [32]. Alternatively, physical training may lead to redistribution of adipose tissue away from the upper airway.…”

Section: Discussionmentioning

confidence: 95%

Association of physical activity with sleep-disordered breathing

et al. 2007

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This study was performed to determine whether there is a protective association between participation in vigorous or vigorous/moderately vigorous physical activity and the prevalence of sleep-disordered breathing (SDB). Polysomnographic and questionnaire data from the baseline examination of 4,275 participants in the Sleep Heart Health Study (SHHS) were analyzed in relation to information on amount of physical activity and other potentially relevant factors collected from five SHHS parent cohorts (Atherosclerosis Risk in Communities Study, Cardiovascular Health Study, Framingham Heart Study, Strong Heart Study, and Tucson Epidemiologic Study of Airways Obstructive Diseases). Logistic regression models were fitted to determine if amount and strenuousness of physical activity was associated with the presence of SDB. At least 3 h per week of vigorous physical activity reduced the odds of SDB, defined as a respiratory disturbance index (RDI) of at least 15 apneas/hypopneas per hour (Adjusted OR, 0.68; 95%CI, 0.51-0.91). A qualitatively similar but slightly weaker association was observed when SDB was defined as a RDI > or = 10 per hour (Adjusted OR, 0.81; 95%CI, 0.64-1.02). These findings remained after adjustment for sleepiness and restricting analyses to participants with good health. Three or more hours of moderately vigorous or vigorous physical activity also appeared to confer some protection against SDB, but these associations were weaker. Gender- and obesity-stratified analyses suggested that the protective association between physical activity and SDB occurred primarily in men and those who were obese. A program of regular vigorous physical activity of at least 3 h per week may be a useful adjunctive treatment modality for SDB, but this association needs confirmation with a prospective clinical trial.

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Section: Discussionmentioning

confidence: 95%

Association of physical activity with sleep-disordered breathing

et al. 2007

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“…In addition to touch in communication, touch can also be employed in psychotherapy (Phelan 2009) and nursing (Gleeson and Timmins 2005). Examples range from basic comforting touches and massaging to alternative therapies such as acu-pressure, Reiki, vibroacoustic therapy, and low-frequency vibration (Wigram 1996;Kvam 1997;Patrick 1999;Puhan et al 2006;Prisby et al 2008). See Dijk et al (2013) for more examples on mental, healthrelated, and bodily effects of touch.…”

Section: Touch In Social Communicationmentioning

confidence: 99%

Social Touch in Humanâ€“Computer Interaction

Erp

Toet²

2015

Front. Digit. Humanit.

144

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Touch is our primary non-verbal communication channel for conveying intimate emotions and as such essential for our physical and emotional wellbeing. In our digital age, human social interaction is often mediated. However, even though there is increasing evidence that mediated touch affords affective communication, current communication systems (such as videoconferencing) still do not support communication through the sense of touch. As a result, mediated communication does not provide the intense affective experience of co-located communication. The need for ICT mediated or generated touch as an intuitive way of social communication is even further emphasized by the growing interest in the use of touch-enabled agents and robots for healthcare, teaching, and telepresence applications. Here, we review the important role of social touch in our daily life and the available evidence that affective touch can be mediated reliably between humans and between humans and digital agents. We base our observations on evidence from psychology, computer science, sociology, and neuroscience with focus on the first two. Our review shows that mediated affective touch can modulate physiological responses, increase trust and affection, help to establish bonds between humans and avatars or robots, and initiate pro-social behavior. We argue that ICT mediated or generated social touch can (a) intensify the perceived social presence of remote communication partners and (b) enable computer systems to more effectively convey affective information. However, this research field on the crossroads of ICT and psychology is still embryonic and we identify several topics that can help to mature the field in the following areas: establishing an overarching theoretical framework, employing better research methodologies, developing basic social touch building blocks, and solving specific ICT challenges.

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“…However, the overall level of such symptoms was very low. In the studies by Puhan [29] and Guimaraes [30], no adverse or unexpected events were mentioned in relation to either group. Intention-to-treat analysis There were no dropouts from the didgeridoo study [29] and this was the only study in which an intention-to-treat analysis was reported.…”

Section: Adverse Eventsmentioning

confidence: 92%

“…We found three types of intervention aimed at increasing muscle tonus: (1) intraoral electrical neurostimulation [28], (2) didgeridoo playing [29], and (3) oropharyngeal exercises [30].…”

Section: Interventionsmentioning

confidence: 99%

“…Eight trials were excluded because they were not randomized (six case series trials [20][21][22][23][24][25] and two non-randomized controlled trials [26,27]). Three randomized clinical trials were included in this review since they fulfilled the inclusion criteria [28][29][30] (Table 1) Population A total of 86 patients were randomized in studies with parallel designs. They received specific muscle tonus stimulation and were compared with subjects who received placebo (Table 1).…”

Section: Trial Designmentioning

confidence: 99%

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