Fox Meha G, Cohen Helen S, Sangi-Haghpeykar Haleh, Takashima Masayoshi
Otolaryngology - Head and Neck Surgery, Baylor College of Medicine, Houston, USA.
Obstetrics and Gynecology, Baylor College of Medicine, Houston, USA.
Cureus. 2022 Nov 1;14(11):e30973. doi: 10.7759/cureus.30973. eCollection 2022 Nov.
Obstructive sleep apnea (OSA) leads to chronic sleep deprivation. The relationship between OSA and balance is poorly understood.
AIM/OBJECTIVE: This study aimed to determine if OSA adversely affects standing balance.
Adults with a clinically indicated polysomnogram (PSG) diagnostic of OSA, who were not on therapy, were recruited from an academic tertiary care referral clinic. Subjects completed the Epworth Sleepiness Scale (ESS), the Stanford Sleepiness Scale (SSS), and the STOP-BANG questionnaire (SBQ). Their balance was tested with the Sensory Organization Test (SOT) of computerized dynamic posturography (CDP).
Sixteen subjects participated in the study, including three with mild OSA, six with moderate OSA, and seven with severe OSA. CDP scores were not related to the subjective screening for OSA (ESS, SSS, and SBQ) or to objective measures of OSA (apnea-hypopnea index, respiratory disturbance index, and oxygen saturation nadir).
Subjective and objective measures of sleepiness and sleep disorder are not related to standing balance. The sleep deficit from OSA did not affect standing balance. Therefore, OSA patients are unlikely to be at significant risk for falls due to OSA.
阻塞性睡眠呼吸暂停(OSA)会导致慢性睡眠剥夺。人们对OSA与平衡之间的关系了解甚少。
本研究旨在确定OSA是否会对站立平衡产生不利影响。
从一家学术性三级医疗转诊诊所招募未接受治疗、经临床指示的多导睡眠图(PSG)诊断为OSA的成年人。受试者完成了爱泼华嗜睡量表(ESS)、斯坦福嗜睡量表(SSS)和STOP-BANG问卷(SBQ)。他们的平衡通过计算机化动态姿势描记法(CDP)的感觉组织测试(SOT)进行测试。
16名受试者参与了研究,其中3名患有轻度OSA,6名患有中度OSA,7名患有重度OSA。CDP评分与OSA的主观筛查(ESS、SSS和SBQ)或OSA的客观指标(呼吸暂停低通气指数、呼吸紊乱指数和最低血氧饱和度)无关。
嗜睡和睡眠障碍的主观及客观指标与站立平衡无关。OSA导致的睡眠不足并未影响站立平衡。因此,OSA患者不太可能因OSA而面临显著的跌倒风险。