Clinical Cases in Sleep Physical Therapy

✍ Scribed by Cristina Frange (editor)

• Publisher: Springer
• Year: 2023
• Tongue: English
• Leaves: 300
• Category: Library

✦ Synopsis

Sleep diseases and cases are both very common (such as sleep respiratory disturbances) and rare (such as narcolepsy), with increasing and alarming prevalence worldwide. As diagnosis is always performed by physicians, physiotherapists often receive the patients referred by other health practitioners.

This engaging book focuses on a compilation of case reports and clinical scenarios collected over the years. It intends to show the practical management of different cases in treating sleep disorders by physiotherapists. The reader will have a chance to understand how, in clinical practice, physiotherapists from different countries treat sleep issues, either in conjunction or not with other health professions.

Written by worldwide experts, the 30 instructive chapters present the practice of sleep and physical therapy around the globe, as well as the integration of sleep as a imperative topic in health promotion and well-being. They also intend to describe the anamnesis, the clinical history, rationale and process for the physiotherapeutic treatment, patient-centered, and with an interdisciplinary approach.

The reader will be able to tie up loose ends of the clinical picture and to connect with the theoretical knowledge, understanding the evidence-based practice in each of the clinical case, thus having the insight to start thinking as a sleep physiotherapist. As the contemporary world is always changing, so is physical therapy on behalf of health in these lightning times.

✦ Table of Contents

Foreword 1
Foreword 2
Preface
Acknowledgments
Contents
Editors and Contributors
About the Editor
Contributors
Abbreviations
Part I: Concepts
Chapter 1: A Twenty-First Century Physical Therapy Health and Lifestyle Framework to Maximize Sleep and Function
Sleep Deprivation, Health, and Function
Optimal Sleep Quantity and Quality
Lifestyle Practices and Attributes That Impact Sleep
Smoking
Alcohol Use
Nutritional Status
Body Mass
Stress
Sedentary Behavior, Inactivity, and Lack of Exercise
Assessment of Lifestyle Practices and Attributes That Impact Sleep
Tools to Assess Sleep
The Modified Health Improvement Card
Summary and Conclusion
References
Chapter 2: Physiotherapists: Sleep Health Promoters
Role of Physiotherapists in Promoting Sleep Health
Relevance of Sleep to PT Practice
Sleep Issues in Various Populations Commonly Treated by PTs
Sleep Issues Among Individuals Treated in Various PT Practice Settings
Impact of Sleep Disturbances on Rehabilitation Outcomes
Physiotherapeutic Interventions to Improve Sleep
Sleep Hygiene Education
Exercise Therapy
Cognitive Behavioral Therapy
Future Directions
Summary and Conclusion
References
Part II: Clinical Cases: Insufficient Sleep
Chapter 3: Treating Pain to Secondarily Treat Sleep-Related Issues
Introduction
Patient Information
Chief Complaint
Aggravating and Relieving Factors
Previous Intervention
Diagnostic Assessment
Physical Examination
Sleep and Pain Assessment
Polysomnography
Subjective Sleep Quality
Pain Intensity and Disability
Physiotherapeutic Intervention
Findings
Discussion
References
Chapter 4: Good Sleep Prevents Falls?
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Sleep
Chronic Pain
Problems Related to the Risk of Fall
Physiotherapeutic Intervention
Cognitive Behavioral Therapy for Insomnia
Exercise and Pacing
Follow-Up and Outcomes
Discussion
Patient Perspective
References
Chapter 5: Sleep and Psyche: Life is a Versatile Game
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Patient Perspective
References
Part III: Clinical Cases: Insomnia
Chapter 6: Insomnia Complaints, Positional Pain, and Unfavorable Sleep Habits
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
Discussion
Patient Perspective
References
Chapter 7: Sleep Health Promotion in an Individual with Multiple Sclerosis
Introduction
Patient Information
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
References
Chapter 8: Surgical Menopause, Musculoskeletal Pain, and Insomnia
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Chapter 9: Fatigue and Sleep Disturbances in a Man with Parkinson’s Disease
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Part IV: Clinical Cases: Restless Legs Syndrome (RLS)/Willis-Ekbom Disease
Chapter 10: Leg Jerks and “Terrible” Sleep
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Physiotherapeutic Intervention
Discussion
Patient Perspective
References
Chapter 11: A Man with Multiple Sclerosis Running from Restless Legs Syndrome
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Patient Perspective
References
Part V: Clinical Cases: Circadian Rhythm Sleep Disturbances
Chapter 12: A Truck Driver with an Irregular Sleep Schedule
Introduction
Patient’s Information
Work Schedules and Routine
Clinical Findings
Physiotherapeutic Intervention
Discussion
References
Part VI: Clinical Cases: Sleep Bruxism
Chapter 13: Recurrent Orofacial Pain with Concomitant Diffuse Pain and Sleep Bruxism
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Diagnosis
Prognosis
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Chapter 14: Hands-On Approach for Patients with Pain and Difficulty Opening the Mouth
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Part VII: Clinical Cases: Obstructive Sleep Apnea
Chapter 15: Only Apnea-Hypopnea Index? What Else to Look For?
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Physiotherapeutic Intervention
Discussion
Patient Perspective
References
Chapter 16: Be Aware or You Will Be Mistaken: It Is Not Only CPAP!
Introduction
Patient Information
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Chapter 17: Nocturia, Enuresis, Sleep Fragmentation, and Embarrassment
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Chapter 18: Sleep Attack During Marriage: Narcolepsy? Apnea? Or Both?
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Patient Perspective
References
Chapter 19: Velumount: A Solution for Uvulo-Palato-Pharyngeal Problems
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Patient Perspective
References
Chapter 20: To Exercise or Not to Exercise?
Introduction
Patient Information
Clinical Findings
Diagnostic Assessments
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Patient Perspective
References
Chapter 21: Continuous Positive Airway Pressure, Bilevel, and Supplemental Oxygen: All in One Case!
Introduction
Patient Information
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Chapter 22: Aligning the Center of Gravity After Stroke: Treatment for Obstructive Sleep Apnea?
Introduction
Patient Information
Clinical Findings
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Posture
Center of Gravity
Respiratory Muscle Strength
Functional Independence and Motor Impairment
Sleep Pattern
Discussion
References
Chapter 23: No Residual Apnea-Hypopnea Index and the Epiglottis Prolapse: The Need for an Interprofessional Collaboration
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
Types of Therapeutic Intervention
Changes in Therapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Part VIII: Clinical Cases: Central Sleep Apnea
Chapter 24: Central Sleep Apnea: Less is More
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
Changes in Therapeutic Intervention
Follow-Up and Outcomes
Discussion
References
Chapter 25: The Positioning Approach is Not Only a Marketing Strategy
Introduction
Patient Information
Diagnostic Assessment
Basal Polysomnographic Examination
Polysomnography for CPAP Titration
Computed Tomography of the Face and Paranasal Sinuses
Clinical Findings
Timeline
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Take-Away Messages
Patient Perspective
References
Chapter 26: Central Apnea and Neurological Impairment: An Individual Management with Something More…
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Diagnostic Polysomnography
Computed Tomography
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Take-Home Messages
Patient Perspective
References
Chapter 27: Crescendo–Decrescendo: The Heart Manifests Itself
Introduction
Patient Information
Diagnostic Assessment
Diagnostic Polysomnography
Echocardiogram
Holter 24 Hours
Clinical Findings
Timeline
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Take-Home Message
Patient Perspective
References
Part IX: Clinical Cases: Other Sleep-Breathing Disorders
Chapter 28: Non-invasive Ventilation for Stable Hypercapnic Chronic Obstructive Pulmonary Disease
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Patient Perspective
Take-Home Messages
References
Chapter 29: Sleep-Disordered Breathing in Concomitant Chronic Obstructive Pulmonary Disease and Obstructive Sleep Apnea: The Overlap Syndrome
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Assessment
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Take-Home Message
Patient Perspective
References
Chapter 30: Long-Term Telemonitoring in Sleep-Related Breathing Disorders
Introduction
Patient Information
Clinical Findings
Timeline
Diagnostic Test
Spirometry
Lung Volumes
Carbon Monoxide Diffusing Capacity
Ventilation Control
Cardiorespiratory Oxygen Consumption
Polysomnography Under NIV Titration and Arterial Blood Gases
6-Minute Walking Test
Doppler Echocardiography
Laboratory Tests
Congenital Central Alveolar Hypoventilation Syndrome Diagnostic Criteria
Physiotherapeutic Intervention
Follow-Up and Outcomes
Discussion
Patient’s Perspective
References
Index