Altered cervical proprioception and biomechanics in obstructive sleep apnea: a case-control study.

Autor: Doğru M; Institute of Health Sciences, Department of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey. mahbup_dgr@hotmail.com., Colak GY; Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Yozgat Bozok University, Yozgat, Turkey., Sengul YS; Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey., Oztura I; Department of Clinical Neurophysiology and Neurology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey., Baklan B; Department of Clinical Neurophysiology and Neurology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Jazyk: angličtina
Zdroj: Sleep & breathing = Schlaf & Atmung [Sleep Breath] 2024 Nov 29; Vol. 29 (1), pp. 25. Date of Electronic Publication: 2024 Nov 29.
DOI: 10.1007/s11325-024-03184-0
Abstrakt: Purpose: This study aimed to compare cervical proprioception and related biomechanical factors among patients with Obstructive Sleep Apnea (OSA) and asymptomatic controls.
Methods: In this case-control study, polysomnography scores (apnea-hypopnea index-AHI) were examined to determine the disease severity of the OSA group. Also, we evaluated cervical proprioception by using a laser pointer to detect joint repositioning error sense in cervical rotational movements. Comparison statistics were also conducted for the cervical musculoskeletal variables such as range of motion (ROM) with bubble inclinometer, cranio-cervical (CVA), and thoracic posture (TKA) through photometric analysis, neck flexor muscle endurance test, and pain pressure thresholds of trapezius (PPT).
Results: This case-control study included 59 male participants: patients with OSA (n = 29; mean age = 49.10 years; mean BMI = 28.41 kg/m2) and asymptomatic controls (n = 30; mean age = 49.73 years; mean BMI = 26.89 ± 3.60 kg/m2). The mean AHI score was 26.06 events/hour, categorizing the severity of OSA as mild (31.03%), moderate (31.03%), and severe (37.94%). Patients with OSA demonstrated significantly poorer cervical proprioception compared to controls for both sides of cervical rotation with larger effect sizes (d:1.36-1.45; p < 0.05). Also, cervical ROM, CVA, TKA, neck flexor muscle endurance test, and PPT values were altered in the OSA group compared to the control group (p < 0.05).
Conclusion: Impaired cervical proprioception may be a previously unrecognized factor associated with OSA. This finding has implications for understanding the mechanisms underlying cervical musculoskeletal changes in OSA and for developing potential new interventions or exercise designs targeting postural control.
Competing Interests: Declarations. Ethical approval: Ethical approval was obtained from the Non-Invasive Research Ethics Committee of Dokuz Eylul University (No: 2022/06–06, Date: 16.02.2022) prior to the study, and all procedures were conducted in accordance with the Declaration of Helsinki. Informed consent: Written informed consent was obtained from all participants. Conflicts of interest: The authors declare no competing interests.
(© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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