Article

The current treatment of obstructive sleep apnea syndrome (OSAS) focuses on
alleviation of symptoms by increasing airway patency during sleep through
positive airway pressure, oral appliances, changes in sleep position, weight
loss, or surgical treatment. Continuous positive airway pressure (CPAP) is
currently the treatment of choice and prevents upper airway obstruction,
resulting in improved sleep architecture and daytime symptoms. Despite proven
efficacy, adherence to CPAP treatment is still not efficient. The new methods of
rehabilitation (exercise training programs, hypoglossal nerve stimulation) for
patients with OSAS are currently modified. The aim of the present study was to
present recent developments in the field of selected aspects of rehabilitation in
patients with OSAS. Database search was focused on exercise training programs and
electrostimulation of genioglossus muscle. The search for articles on the
rehabilitation interventions for OSAS was performed using the PubMed database
from 1966 to 2013. Most of the findings have shown beneficial effects of
rehabilitation. In detail, we describe the recent developments and potential
adverse effects of electrostimulation and physical exercises. According to the
results of studies presented, the above therapy might support conventional
treatment or may be an alternative for patients with poor compliance to CPAP
therapy, mandibular advancement devices, or ineffective results of surgical
procedures as well.

Langue : ANGLAIS