Do wind and brass players snore less? A cross‐sectional study of snoring and daytime fatigue in professional orchestral musicians

Wardrop, Peter; Ravichandran, Sairekha; Hair, Mario; Robertson, Stuart; Sword, David

doi:10.1111/j.1749-4486.2011.02297.x

Cited by 12 publications

(13 citation statements)

References 13 publications

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“…Wardrop et al [15] demonstrated no significant difference between the snoring severity or daytime sleepiness of brass ⁄ wind players and other professional orchestral musicians although in a questionnaire-based observational study. While the properties and structure of the pharyngeal muscles are different in severe OSA patients compared with snorers and controls [16] the extent to which these changes are acquired or inherited and their function role in OSA pathogenesis are unclear.…”

Section: Discussionmentioning

confidence: 90%

Endoscopic Evaluation of Upper Airway While Playing the Didgeridoo

Garaycochea¹

2017

GJO

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Obstructive sleep apnea (OSA) is a common disorder caused by not only an impaired upper airway anatomy (i.e. anatomically narrow/ collapsible airway), but also by several non-anatomical factors. There are diverse types of treatments. Upper airway stimulation associated with the playing of specific musical instruments may provide an effective alternative method of treatment for persons diagnosed with OSA, particularly those with mild to moderate forms of OSA, for which CPAP may be ineffective or inappropriate. We have performed an endoscopic view of the upper airway can be seen while a musician is playing the didgeridoo, performing circular breathing. To our knowledge this is the first paper showing how a rhythmic sound is achieved through the movements of the lateral walls and of the soft palate, and muscles of the tongue, cheeks and lips that can be seen in the video.

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Section: Discussionmentioning

confidence: 90%

Endoscopic Evaluation of Upper Airway While Playing the Didgeridoo

Garaycochea¹

2017

GJO

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“…Data extracted from the included studies are presented in Table 3, which provides a summary overview of sleep/snoring/ OSA parameters between wind instrument players/singers and a control group. According to the results of 3 of the included studies, 40,41,44 there seems generally to be no difference in sleep, snoring, and OSA between wind instrument players and controls. Two exceptions are double-reed instrument players, The search strategy was customized according to the database being searched.…”

Section: Descriptive Analysismentioning

confidence: 96%

“…Thus, in total, 6 papers (Figure 2) were included in the present systematic review. [39][40][41][42][43][44]…”

Section: Study Selectionmentioning

confidence: 99%

“…Overall, the potential risk of bias in the included studies was estimated to be "high" for 1, 43 "moderate" for 2, 39,42 and "low" for the remaining 3. 39,41,44 In the studies that were judged to have a moderate risk of bias, the sample size was not justified and satisfactory. Besides that, in the study with an estimated potential high risk of bias, the study participants were not described in detail.…”

Section: Risk Of Bias Within Studiesmentioning

confidence: 99%

“…A meta-analysis was feasible for the following outcome parameters: Epworth Sleepiness Scale (ESS), high risk of OSA (measured using the Berlin Questionnaire [BQ]), and diagnosis of OSA (by a physician). The following studies could be included in the meta-analysis: Brown et al, 44 Puhan et al, 39 Ward et al, 40 Wardrop et al, 41 and Subramanian et al 43 (Table 4). Metaanalysis shows no difference in the ESS, high risk of OSA (BQ), or diagnosis of OSA (by a physician) between wind instrument players and controls, with a heterogeneity of 0%, except for high risk of OSA (I 2 = 81%, P <.001).…”

Section: Meta-analysismentioning

confidence: 99%

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The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis

Weijden

Lobbezoo

Slot

2020

Journal of Clinical Sleep Medicine

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Study Objectives: To systematically survey the scientific literature concerning the effect of playing a wind instrument or singing on sleep, snoring, and/or obstructive sleep apnea. Methods: The PubMed, EMBASE, and Cochrane databases were searched up to December 2019. Observational studies and (Randomized) Controlled Clinical Trials that assessed sleep, snoring, or obstructive sleep apnea as clinical outcome or via a questionnaire were included. For the individual studies, the potential risk of bias was scored. Data between oral musicians and control participants were extracted. Descriptive analysis and meta-analysis were performed. Results: Six eligible studies (5 cross-sectional, 1 randomized controlled trial) were retrieved, with an estimated potential bias ranking from low to high. The sample sizes ranged from 25 to 1,105 participants. Descriptive analysis indicated that players of a double-reed instrument have a lower risk of obstructive sleep apnea and that singers snore less compared with control participants. Playing a didgeridoo showed a positive effect on apnea-hypopnea index, daytime sleepiness, and partner's rating for sleep disturbance. The descriptive analysis could not be substantiated in the meta-analysis. The magnitude of the effect was zero to small, and the generalizability was limited because of long (professional) rehearsal time or small sample size. Conclusions: Playing a wind instrument and singing may have a small but positive effect on sleep disorders. Considering the practicality and investment of (rehearsal) time, didgeridoo and singing are the most promising interventions to reduce obstructive sleep apnea and snoring, respectively. However, the results of this review are based on few studies and the synthesis of the evidence is graded to have low certainty.

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Wind Instrument Technique, Function, and Evaluation: An Overview

Trollinger

Sataloff

2021

Dentofacial Anomalies

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Do wind and brass players snore less? A cross‐sectional study of snoring and daytime fatigue in professional orchestral musicians

Cited by 12 publications

References 13 publications

Endoscopic Evaluation of Upper Airway While Playing the Didgeridoo

Endoscopic Evaluation of Upper Airway While Playing the Didgeridoo

The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis

Wind Instrument Technique, Function, and Evaluation: An Overview

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