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Exercises for sleep apnea that really work
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<blockquote data-quote="kitedoc" data-source="post: 1972889" data-attributes="member: 468714"><p>Hi [USER=495513]@Charis1213[/USER], Thank you for this video.</p><p>As someone who suffers with a degree of obstructive sleep apnoea (OSA) which requires CPAP treatment, has read a lot about it, but not as professional advice or opinion:</p><p>With all due respect to you and this Chiropractor who appears earnest and well-meaning:</p><p>1) OSA can only at this time be diagnosed by a formal sleep study</p><p>2) during such a study you are asleep for much of the time and therefore unaware of how your breathing, oxygen levels etc are.</p><p><em>The sleep study is an objective one</em>, providing measurements which can be used to diagnose and grade the quality of your sleep and the grade of severity of any OSA present and provide a way of comparing your OSA over time by doing more sleep studies if needed. Where as<em> your feelings etc about your sleep </em>and <em>how much better or worse you feel with no or some treatment are subjective</em> - there are no measurements to back up and validate your feelings and observations ( and in any case you are asleep when your OSA happens so what observations can you make)? </p><p>3) My understanding is that <em>when you are asleep it is</em> the <em>involuntary muscles</em> such as our breathing muscles (diaphragm, muscles between the ribs) and muscles in the throat area and so on <em>that are at work.</em> I<em>nvoluntary muscles works on auto</em> when we are asleep, some may be completely out of our control, others we may have some partial control over when awake.</p><p>A<em>ll the presenter's exercises are ones done whilst awake </em>- I have to question how they would be useful when one is asleep except if his exercises strengthen the muscles which are involuntary when we are asleep but which we can partially control when we are awake. But <em>he has not presented any data to show that his exercises are effective during sleep or episodes of OSA.</em></p><p>There are no sleep studies presented to back up his claim.</p><p>4) there are various grades of severity of sleep apnoea - from mild requiring no intervention; to moderate, requiring ways to avoid certain sleeping postures to wearing jaw splints; and to CPAP machines at the severe end of the range. </p><p>The presenter made no reference to these grades of OSA. It is unclear about whether he is referring to all grades when he advocates his exercise program and its usefulness.</p><p>5) Whilst he does not suggest anyone stop any other OSA treatment neither does he suggest you consult your treating specialist before undertaking these exercises to see if they are appropriate or not. Some persons may be led into believing that these exercises can obviate their need for other treatment or to continue current treatment.</p><p>6) Sleep apnoea is a big deal health-wise with some grades being linked to later heart problems, to T2D and obesity, and to increased risk of motor vehicle accidents (MVAs). Because my grade of OSA is severe, rather than mild, I have to prove to my treating specialist that I am wearing my CPAP machine for any appropriate average of time per night and achieving a safe level of treatment effect. Otherwise I am at risk of losing my car license. Again as in 2) and 4) above, if I abandon my CPAP treatment in favour of these exercises, I may risk killing or maiming myself or others on the road.</p><p>1) to 6) are my points to refute the usefulness and appropriateness of the video. They are, as mentioned above, my view, not a formal professional stance or opinion. I am a TID of normal weight for height and age.</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1972889, member: 468714"] Hi [USER=495513]@Charis1213[/USER], Thank you for this video. As someone who suffers with a degree of obstructive sleep apnoea (OSA) which requires CPAP treatment, has read a lot about it, but not as professional advice or opinion: With all due respect to you and this Chiropractor who appears earnest and well-meaning: 1) OSA can only at this time be diagnosed by a formal sleep study 2) during such a study you are asleep for much of the time and therefore unaware of how your breathing, oxygen levels etc are. [I]The sleep study is an objective one[/I], providing measurements which can be used to diagnose and grade the quality of your sleep and the grade of severity of any OSA present and provide a way of comparing your OSA over time by doing more sleep studies if needed. Where as[I] your feelings etc about your sleep [/I]and [I]how much better or worse you feel with no or some treatment are subjective[/I] - there are no measurements to back up and validate your feelings and observations ( and in any case you are asleep when your OSA happens so what observations can you make)? 3) My understanding is that [I]when you are asleep it is[/I] the [I]involuntary muscles[/I] such as our breathing muscles (diaphragm, muscles between the ribs) and muscles in the throat area and so on [I]that are at work.[/I] I[I]nvoluntary muscles works on auto[/I] when we are asleep, some may be completely out of our control, others we may have some partial control over when awake. A[I]ll the presenter's exercises are ones done whilst awake [/I]- I have to question how they would be useful when one is asleep except if his exercises strengthen the muscles which are involuntary when we are asleep but which we can partially control when we are awake. But [I]he has not presented any data to show that his exercises are effective during sleep or episodes of OSA.[/I] There are no sleep studies presented to back up his claim. 4) there are various grades of severity of sleep apnoea - from mild requiring no intervention; to moderate, requiring ways to avoid certain sleeping postures to wearing jaw splints; and to CPAP machines at the severe end of the range. The presenter made no reference to these grades of OSA. It is unclear about whether he is referring to all grades when he advocates his exercise program and its usefulness. 5) Whilst he does not suggest anyone stop any other OSA treatment neither does he suggest you consult your treating specialist before undertaking these exercises to see if they are appropriate or not. Some persons may be led into believing that these exercises can obviate their need for other treatment or to continue current treatment. 6) Sleep apnoea is a big deal health-wise with some grades being linked to later heart problems, to T2D and obesity, and to increased risk of motor vehicle accidents (MVAs). Because my grade of OSA is severe, rather than mild, I have to prove to my treating specialist that I am wearing my CPAP machine for any appropriate average of time per night and achieving a safe level of treatment effect. Otherwise I am at risk of losing my car license. Again as in 2) and 4) above, if I abandon my CPAP treatment in favour of these exercises, I may risk killing or maiming myself or others on the road. 1) to 6) are my points to refute the usefulness and appropriateness of the video. They are, as mentioned above, my view, not a formal professional stance or opinion. I am a TID of normal weight for height and age. [/QUOTE]
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