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dépression et apnée du sommeil
Sam 29 Mai 2010 - 14:43 par rappoport
Bonjour,

Je suis nouveau sur le forum.

Je souhaiterais aborder deux sujets, d'une part la relation entre la dépression et l'apnée du sommeil et d'autre part les exercices physiques avec la bouche qui permettent de limiter l' apnée du sommeil.


Je prends des médicaments contre la dépression et l'anxieté et je me demande sir l'apnée du sommeil a pu participer à ma dépression.

Voici un article qui fait le point sur les liens entre dépression et apnée du sommeil.

merci de me donner votre avis.
http://neuropsychologie.fr/index.php?option=com_content&view=article&id=321:syndrome-dapnees-du-sommeil-et-depression--un-duo-quil-ne-faudrait-pas-mesestimer&catid=31

D'autre part, j'ai un lu article sur des excercices à faire et qui limitent l'apnée du sommeil. Voici un article en anglais sur la question

Throat Exercises Can Relieve Sleep Apnea

THE FACTS
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Patient Voices: Sleep Apnea
Related
Health Guides: Central Sleep Apnea | Sleep Apnea
For people suffering from sleep apnea, specialized breathing machines are the standard treatment.
The machines use a method called continuous positive airway pressure, or CPAP, which keeps the airway open and relieves potentially dangerous pauses in breathing during the night. But the machines are expensive, and some people complain that the mask and headgear cause uncomfortable side effects, like congestion.
One free and fairly simple alternative may be exercises that strengthen the throat. While they aren’t as established or as well studied as breathing machines, some research suggests they may reduce the severity of sleep apnea by building up muscles around the airway, making them less likely to collapse at night.
In a study published last year in The American Journal of Respiratory and Critical Care Medicine, scientists recruited a group of people with obstructive sleep apnea and split them into two groups. One was trained to do breathing exercises daily, while the other did 30 minutes of throat exercises, including swallowing and chewing motions, placing the tip of the tongue against the front of the palate and sliding it back, and pronouncing certain vowels quickly and continuously.
After three months, subjects who did the throat exercises snored less, slept better and reduced the severity of their condition by 39 percent. They also showed reductions in neck circumference, a known risk factor for apnea. The control group showed almost no improvement.
Other randomized studies have found similar effects. One even showed that playing instruments that strengthen the airways, like the didgeridoo, can ease sleep apnea.
THE BOTTOM LINE
For people with sleep apnea, throat exercises may be a cheap and useful therapy.
ANAHAD O’CONNOR scitimes@nytimes.com
A version of this article appeared in print on May 25, 2010, on page D5 of the New York edition.
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Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome.
Guimarães KC, Drager LF, Genta PR, Marcondes BF, Lorenzi-Filho G.
Sleep Laboratory, Pulmonary Division, Heart Institute (InCor), University of São Paulo Medical School, Av Dr Enéas Carvalho de Aguiar, 44, CEP 05403-904, São Paulo, Brazil.
Comment in:
Am J Respir Crit Care Med. 2009 May 15;179(10):858-9.
Abstract
RATIONALE: Upper airway muscle function plays a major role in maintenance of the upper airway patency and contributes to the genesis of obstructive sleep apnea syndrome (OSAS). Preliminary results suggested that oropharyngeal exercises derived from speech therapy may be an effective treatment option for patients with moderate OSAS. OBJECTIVES: To determine the impact of oropharyngeal exercises in patients with moderate OSAS. METHODS: Thirty-one patients with moderate OSAS were randomized to 3 months of daily ( approximately 30 min) sham therapy (n = 15, control) or a set of oropharyngeal exercises (n = 16), consisting of exercises involving the tongue, soft palate, and lateral pharyngeal wall. MEASUREMENTS AND MAIN RESULTS: Anthropometric measurements, snoring frequency (range 0-4), intensity (1-3), Epworth daytime sleepiness (0-24) and Pittsburgh sleep quality (0-21) questionnaires, and full polysomnography were performed at baseline and at study conclusion. Body mass index and abdominal circumference of the entire group were 30.3 +/- 3.4 kg/m(2) and 101.4 +/- 9.0 cm, respectively, and did not change significantly over the study period. No significant change occurred in the control group in all variables. In contrast, patients randomized to oropharyngeal exercises had a significant decrease (P < 0.05) in neck circumference (39.6 +/- 3.6 vs. 38.5 +/- 4.0 cm), snoring frequency (4 [4-4] vs. 3 [1.5-3.5]), snoring intensity (3 [3-4] vs. 1 [1-2]), daytime sleepiness (14 +/- 5 vs. 8 +/- 6), sleep quality score (10.2 +/- 3.7 vs. 6.9 +/- 2.5), and OSAS severity (apnea-hypopnea index, 22.4 +/- 4.8 vs. 13.7 +/- 8.5 events/h). Changes in neck circumference correlated inversely with changes in apnea-hypopnea index (r = 0.59; P < 0.001). CONCLUSIONS: Oropharyngeal exercises significantly reduce OSAS severity and symptoms and represent a promising treatment for moderate OSAS. Clinical trial registered with www.clinicaltrials.gov (NCT 00660777).
PMID: 19234106 [PubMed - indexed for MEDLINE]Free Article
Publication Types, MeSH Terms, Secondary Source ID
Publication Types:
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
MeSH Terms:
Aged
Body Mass Index
Exercise Therapy/methods*
Female
Humans
Male
Middle Aged
Myofunctional Therapy/methods*
Polysomnography/methods
Sleep Apnea, Obstructive/physiopathology
Sleep Apnea, Obstructive/therapy*
Snoring/etiology
Treatment Outcome
Secondary Source ID:
ClinicalTrials.gov/NCT00660777
LinkOut -


Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial.
Puhan MA, Suarez A, Lo Cascio C, Zahn A, Heitz M, Braendli O.
Horten Centre, University of Zurich, 8091 Zurich, Switzerland.
Abstract
OBJECTIVE: To assess the effects of didgeridoo playing on daytime sleepiness and other outcomes related to sleep by reducing collapsibility of the upper airways in patients with moderate obstructive sleep apnoea syndrome and snoring. DESIGN: Randomised controlled trial. SETTING: Private practice of a didgeridoo instructor and a single centre for sleep medicine. PARTICIPANTS: 25 patients aged > 18 years with an apnoea-hypopnoea index between 15 and 30 and who complained about snoring. INTERVENTIONS: Didgeridoo lessons and daily practice at home with standardised instruments for four months. Participants in the control group remained on the waiting list for lessons. MAIN OUTCOME MEASURE: Daytime sleepiness (Epworth scale from 0 (no daytime sleepiness) to 24), sleep quality (Pittsburgh quality of sleep index from 0 (excellent sleep quality) to 21), partner rating of sleep disturbance (visual analogue scale from 0 (not disturbed) to 10), apnoea-hypopnoea index, and health related quality of life (SF-36). RESULTS: Participants in the didgeridoo group practised an average of 5.9 days a week (SD 0.86) for 25.3 minutes (SD 3.4). Compared with the control group in the didgeridoo group daytime sleepiness (difference -3.0, 95% confidence interval -5.7 to -0.3, P = 0.03) and apnoea-hypopnoea index (difference -6.2, -12.3 to -0.1, P = 0.05) improved significantly and partners reported less sleep disturbance (difference -2.8, -4.7 to -0.9, P < 0.01). There was no effect on the quality of sleep (difference -0.7, -2.1 to 0.6, P = 0.27). The combined analysis of sleep related outcomes showed a moderate to large effect of didgeridoo playing (difference between summary z scores -0.78 SD units, -1.27 to -0.28, P < 0.01). Changes in health related quality of life did not differ between groups. CONCLUSION: Regular didgeridoo playing is an effective treatment alternative well accepted by patients with moderate obstructive sleep apnoea syndrome. Trial registration ISRCTN: 31571714.
PMID: 16377643 [PubMed - indexed for MEDLINE]PMCID: PMC1360393

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