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@article{2297002,
author = {Hnatiak, Jakub and Zikmund Galková, Lujza and Winnige, Petr and Baťalík, Ladislav and Dosbaba, Filip and Ludka, Ondřej and Krejčí, Jan},
article_location = {Olomouc},
article_number = {4},
doi = {http://dx.doi.org/10.5507/bp.2023.022},
keywords = {obstructive sleep apnea; obesity; rehabilitation; telerehabilitation; polysomnography; continuous positive airway pressure},
language = {eng},
issn = {1213-8118},
journal = {Biomedical Papers, Olomouc: Palacky University},
title = {Comprehensive home-based telerehabilitation in a morbidly obese male patient with severe obstructive sleep apnea. A case report},
url = {https://biomed.papers.upol.cz/corproof.php?tartkey=bio-000000-3437},
volume = {167},
year = {2023}
}
TY - JOUR
ID - 2297002
AU - Hnatiak, Jakub - Zikmund Galková, Lujza - Winnige, Petr - Baťalík, Ladislav - Dosbaba, Filip - Ludka, Ondřej - Krejčí, Jan
PY - 2023
TI - Comprehensive home-based telerehabilitation in a morbidly obese male patient with severe obstructive sleep apnea. A case report
JF - Biomedical Papers, Olomouc: Palacky University
VL - 167
IS - 4
SP - 390-394
EP - 390-394
PB - Palacky University
SN - 12138118
KW - obstructive sleep apnea
KW - obesity
KW - rehabilitation
KW - telerehabilitation
KW - polysomnography
KW - continuous positive airway pressure
UR - https://biomed.papers.upol.cz/corproof.php?tartkey=bio-000000-3437
N2 - Background. Rehabilitation may be an effective additional treatment method in patients with obstructive sleep apbeneficial components of rehabilitation recommended as a possible adjunct to standard OSA treatment.Methods and Results. A 54-year-old man with morbid obesity, long-lasting snoring, breathing pauses, frequent waking, as well as persistent drowsiness and fatigue during the day underwent polysomnography (PSG) to investigate suspected OSA. Severe OSA was confirmed by PSG and a 12-week comprehensive, home-based telerehabilitation program (tele-RHB program) along with continuous positive airway pressure (CPAP) therapy was implemented. The tele-RHB program included regular teleconsultations, aerobic-endurance training, MT, inspiratory and expiratory muscle training, as well as recommendations on proper nutrition, a healthy lifestyle, and behavioral changes. Following the treatment, the patient's quality of life (QoL), exercise capacity, lung function, and OSA severity significantly improved. The patient achieved an overall 19.9 kg reduction in weight, of which 16.2 kg was body fat, and his apnea-hypopnea index decreased by 42.6 episodes/hour.Conclusion. Our case report suggests that the comprehensive home-based tele-RHB program adjunct to CPAP therapy may be a novel approach for improving OSA severity, a patient's QoL, exercise capacity, lung function and body composition. It is important to note that such a program should be optional, however it may be needed to achieve the highest possible overall improvement in a patient's life. Further clinical investigations are needed to determine the therapeutic efficacy and clinical potential of this tele-RHB program.
ER -
HNATIAK, Jakub, Lujza ZIKMUND GALKOVÁ, Petr WINNIGE, Ladislav BAŤALÍK, Filip DOSBABA, Ondřej LUDKA a Jan KREJČÍ. Comprehensive home-based telerehabilitation in a morbidly obese male patient with severe obstructive sleep apnea. A case report. \textit{Biomedical Papers, Olomouc: Palacky University}. Olomouc: Palacky University, 2023, roč.~167, č.~4, s.~390-394. ISSN~1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2023.022.
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