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The Influences Of Head Position In Sleep Apnea

By Janet Green


Sleep apnea occurs when breathing is interrupted transiently during sleep from time to time. It is categorized into three types depending on the cause. They include the central, obstructive and complex types. The cause of the central type is the inability of the brain to send the signals needed for respiration to the breathing muscles. The obstructive type occurs when tissues in the throat relax excessively and collapse on themselves leading to a restriction in flow of air. A number of studies on the role of head position in sleep apnea have been done in the past.

Dynamics of air flow in the respiratory tract differ significantly when one moves from the vertical or lateral to the supine orientation. In the latter body orientation, one has to breath against gravity. The muscles fall back into the airway and result in obstruction. During sleep, the muscles are even more relaxed which makes the situation even worse.

Snoring is a common symptom of apnea. It has been identified as resulting from the vibration of relaxed tissues in the respiratory tract. If the restriction to air is too much, there complete cessation of breathing and one has to wake up to restore their breathing pattern. It is worth noting that snoring is not always present and so a diagnosis of the condition will be based on other signs and symptoms. Such include difficulties in paying attention when one is awake, morning headaches and increased sleepiness.

A study carried out in 2017 was a confirmation that head position has an effect on the severity of symptoms of obstructive sleep apnea (or OSA). Most of the subjects in the study showed less severity of symptoms when the sleeping position was restricted to lateral. This changes was, however, not seen in obese patients underlining the huge contribution of weight to the problem.

Sleeping position is not always easy to determine. While one may decide on a particular orientation, there is a tendency to vary in the night as the body adjusts to get to the most comfortable position. There are a number of ways that can be used to ensure that this choice is deliberate. We will look at some of them.

One of the most effective options is to use a contoured (or memory) pillow. Unlike the ordinary pillow, the contoured pillow maintains its shape at all times. This ensures that the initial sleeping orientation is maintained the entire night. The other major benefit of such pillows is that they maintain neck alignment neck and this serves to improve the quality of sleep.

Another solution that has been tried with variable success is the what is known as the tennis ball T-shirt. The way this works is that a tennis ball is sewn into a patch that is in turn fixed to the back of a T-shirt. The idea is to prevent the wearer from lying on their back. Any time they assume the supine body orientation, pressure from the ball causes discomfort and they have to readjust. This ensures that they sleep mainly in lateral orientation.

The adoption of an appropriate sleeping position has been suggested as one of the strategies that can be used in controlling the symptoms of sleep apnea. It may be used as a standalone intervention or alongside other forms of managing the condition. One must bear in mind that this option only works for the obstructive and not the central and mixed types. If you have features suggestive of the condition, you need to see a doctor so that the right classification and appropriate management can be done.




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