Detailed Information on Publication Record
2023
Comprehensive home-based telerehabilitation in a morbidly obese male patient with severe obstructive sleep apnea. A case report
HNATIAK, Jakub, Lujza ZIKMUND GALKOVÁ, Petr WINNIGE, Ladislav BAŤALÍK, Filip DOSBABA et. al.Basic information
Original name
Comprehensive home-based telerehabilitation in a morbidly obese male patient with severe obstructive sleep apnea. A case report
Authors
HNATIAK, Jakub (203 Czech Republic, guarantor, belonging to the institution), Lujza ZIKMUND GALKOVÁ (703 Slovakia, belonging to the institution), Petr WINNIGE (203 Czech Republic, belonging to the institution), Ladislav BAŤALÍK (203 Czech Republic, belonging to the institution), Filip DOSBABA (203 Czech Republic), Ondřej LUDKA (203 Czech Republic) and Jan KREJČÍ (203 Czech Republic, belonging to the institution)
Edition
Biomedical Papers, Olomouc: Palacky University, Olomouc, Palacky University, 2023, 1213-8118
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30201 Cardiac and Cardiovascular systems
Country of publisher
Czech Republic
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 0.900 in 2022
RIV identification code
RIV/00216224:14110/23:00131205
Organization unit
Faculty of Medicine
UT WoS
001009323600001
Keywords in English
obstructive sleep apnea; obesity; rehabilitation; telerehabilitation; polysomnography; continuous positive airway pressure
Tags
International impact, Reviewed
Změněno: 5/4/2024 08:36, Mgr. Tereza Miškechová
Abstract
V originále
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.