Sleep Science最新文献

{"title":"Association between Self-reported Sleep Quality and Single-task Gait in Young Adults: A Study Using Machine Learning.","authors":"Joel Martin, Haikun Huang, Ronald Johnson, Lap-Fai Yu, Erica Jansen, Rebecca Martin, Chelsea Yager, Ali Boolani","doi":"10.1055/s-0043-1776748","DOIUrl":"10.1055/s-0043-1776748","url":null,"abstract":"<p><p><b>Objective</b>  The objective of the present study was to find biomechanical correlates of single-task gait and self-reported sleep quality in a healthy, young population by replicating a recently published study. <b>Materials and Methods</b>  Young adults ( <i>n</i>  = 123) were recruited and were asked to complete the Pittsburgh Sleep Quality Inventory to assess sleep quality. Gait variables ( <i>n</i>  = 53) were recorded using a wearable inertial measurement sensor system on an indoor track. The data were split into training and test sets and then different machine learning models were applied. A post-hoc analysis of covariance (ANCOVA) was used to find statistically significant differences in gait variables between good and poor sleepers. <b>Results</b>  AdaBoost models reported the highest correlation coefficient (0.77), with Support-Vector classifiers reporting the highest accuracy (62%). The most important features associated with poor sleep quality related to pelvic tilt and gait initiation. This indicates that overall poor sleepers have decreased pelvic tilt angle changes, specifically when initiating gait coming out of turns (first step pelvic tilt angle) and demonstrate difficulty maintaining gait speed. <b>Discussion</b>  The results of the present study indicate that when using traditional gait variables, single-task gait has poor accuracy prediction for subjective sleep quality in young adults. Although the associations in the study are not as strong as those previously reported, they do provide insight into how gait varies in individuals who report poor sleep hygiene. Future studies should use larger samples to determine whether single task-gait may help predict objective measures of sleep quality especially in a repeated measures or longitudinal or intervention framework.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e399-e407"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Acute Sleep Deprivation on the Sequential Rate of Torque Development throughout the Force-Time Curve.","authors":"André Dias Gonçalves, Pedro Pezarat-Correia, Carolina Vila-Chã, Gonçalo Vilhena Mendonça","doi":"10.1055/s-0043-1776869","DOIUrl":"10.1055/s-0043-1776869","url":null,"abstract":"<p><p><b>Objective</b>  The impact of sleep deprivation on the physiological determinants of explosive torque production remains poorly understood. We aimed at determining the acute effects of 24 hours of sleep deprivation on the sequential rate of torque development (RTD) obtained during plantar flexion through maximum voluntary isometric contraction (MVIC). <b>Materials and Methods</b>  The study included 14 healthy-young adults (8 men and 6 women). The participants visited the laboratory on 2 different occasions: without and with 24 hours of sleep deprivation. In each session, the subjects were tested for RTD of the plantar flexors with concomitant recordings of the electromyographic (EMG) amplitude of the soleus over the following time intervals: 0 to 30, 30 to 50, 50 to 100, and 100 to 150 ms. <b>Results</b>  Sleep deprivation did not affect peak RTD (without sleep deprivation: 283.3 ± 111.6 N.m.s ^-1 versus with sleep deprivation: 294.9 ± 99.2 N.m.s ^-1 ; <i>p</i>  > 0.05) of plantar flexion. The sequential values of RTD, as well as the normalized amplitude of the soleus EMG, remained similar between both conditions (p > 0.05). <b>Discussion</b>  In conclusion, we found that 24 hours of sleep deprivation do not affect muscle activation, nor explosive torque production throughout the torque-time curve. Thus, exercise performance and daily functionality in tasks involving rapid torque development might remain well preserved after 24 hours of acute sleep deprivation.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e454-e461"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Retrospective Pilot Study of Imagery Rehearsal Therapy Enhanced with Narrative Therapy Principles for the Treatment of Nightmares in US Military Veterans.","authors":"Ann Marie Wagner, Anne Richards, Christine Chiros, Paul Thuras, Elizabeth C Parsons, Angela D Oien, Carlos H Schenck, Muna Irfan","doi":"10.1055/s-0043-1776796","DOIUrl":"10.1055/s-0043-1776796","url":null,"abstract":"<p><p><b>Introduction</b>  Chronic nightmares are a common and disabling feature of posttraumatic stress disorder (PTSD) for which broadly effective treatments are still lacking. While imagery rehearsal therapy (IRT) demonstrates benefits for patients with idiopathic nightmares and some patients with PTSD-related nightmares, research indicates it may be less beneficial for veterans. Narrative therapy (NT) is a form of psychotherapy which is client-centered and value-focused and has demonstrated benefits for PTSD patients. The application of NT principles to IRT may provide a valuable therapeutic approach for treatment in veterans. <b>Objective</b>  To perform a retrospective chart review of veteran clients participating in a novel, brief intervention developed by the first author consisting of IRT enhanced with NT principles (N-IRT) for the treatment of nightmares. The primary outcomes were nightmare frequency and intensity, and the secondary outcome was the impact of the intervention on nightmare distress and coping, subjective sleep quality, and overall PTSD symptoms. <b>Materials and Methods</b>  We conducted retrospective chart reviews for eight veterans referred to the first author for the treatment of nightmares, who completed N-IRT, including baseline and end-of-treatment measures. The protocol involved a single 60-minute NT-enhanced rescripting session and assigned homework to rehearse the revised dream script, and a follow-up evaluation 4 weeks later. The subjects completed a sleep and nightmare interview developed by the first author and the PTSD Checklist at baseline and after the intervention at the follow-up evaluation. Paired <i>t</i> -tests were conducted to test for pre-to-post differences. <b>Results</b>  In the statistical analysis, we observed a statistically significant and clinically meaningful reduction in the frequency ( <i>p</i>  = 0.04) and intensity of nightmares ( <i>p</i>  = 0.001) from pretreatment to the 1-month follow-up. Measures of nightmare-associated emotional distress, the ability to cope with nightmares, sleep duration and sleep efficiency, as well as overall PTSD symptoms also demonstrated significant improvements. <b>Conclusion</b>  These pilot data provide compelling preliminary evidence that a single-session IRT intervention modified with NT (N-IRT) is effective in reducing nightmare frequency and intensity, reducing nightmare distress, improving the act of coping with nightmares, and improving sleep quality and overall PTSD symptoms in veterans. Further investigation of this method with gold-standard clinical trial designs and larger sample sizes is indicated to confirm effectiveness and to better understand the possible mechanisms of treatment effect.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e439-e445"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detecting Lucid Dreams by Electroencephalography and Eyebrow Movements.","authors":"Michael Raduga, Andrey Shashkov","doi":"10.1055/s-0043-1776749","DOIUrl":"10.1055/s-0043-1776749","url":null,"abstract":"<p><p><b>Objective</b>  When metacognition arises during rapid eye movement (REM) sleep, people experience lucid dreaming (LD). Studies on this phenomenon face different obstacles. For example, its standard verification protocol requires at least three types of sensors. We hypothesized that preagreed frontalis movements (PAFMs), as a sign of lucidity, could be seen on electroencephalography (EEG) during REM sleep. In this case, only one EEG sensor would be needed to verify LD. <b>Method</b>  Under laboratory observation, five volunteers were instructed to induce LD, during which they needed to use the standard verification protocol with pre-agreed eye movements (PAEMs) and then immediately raise their eyebrows three times as a PAFM. <b>Results</b>  All participants were able to send signals from a total of eight LDs using one or both methods. Preagreed frontalis movements and PAEMs were equally distinctive on most EEGs, but PAFM quality was strongly dependent on the accuracy of the method. Preagreed frontalis movements exhibited two types of EEG patterns and led to immediate awakening when LD was not stable. <b>Discussion</b>  Though the outcomes show that PAFMs can be used to verify LD, this method was less consistent and apparent than PAEMs. Furthermore, accurate instructions are needed before using PAFMs. When polysomnography is unavailable, PAFMs can be applied, as it requires only one EEG sensor to detect REM sleep and consciousness simultaneously.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e408-e416"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Application of the Multicomponent Grading System for Sleep Apnea Classification and Incident Cardiovascular Mortality.","authors":"Jorge Jorquera, Jorge Dreyse, Constanza Salas, Francisca Letelier, Bunio Weissglas, Javiera Del-Río, Mario Henríquez-Beltrán, Gonzalo Labarca, Jorge Jorquera-Díaz","doi":"10.1055/s-0043-1776770","DOIUrl":"10.1055/s-0043-1776770","url":null,"abstract":"<p><p><b>Objective</b>  To evaluate the clinical utility of the Baveno classification in predicting incident cardiovascular mortality after five years of follow-up in a clinic-based cohort of patients with obstructive sleep apnea (OSA). <b>Materials and Methods</b>  We evaluated the reproducibility of the Baveno classification using data from the Santiago Obstructive Sleep Apnea (SantOSA) study. The groups were labeled Baveno A (minor symptoms and comorbidities), B (severe symptoms and minor comorbidities), C (minor symptoms and severe comorbidities), and D (severe symptoms and comorbidities). Within-group comparisons were performed using analysis of variance (ANOVA) and post hoc tests. The associations between groups and incident cardiovascular mortality were determined through the Mantel-Cox and Cox proportional hazard ratios (HRs) adjusted by covariables. <b>Results</b>  A total of 1,300 OSA patients were included (Baveno A: 27.7%; B: 28%; C: 16.8%; and D: 27.5%). The follow-up was of 5.4 years. Compared to Baveno A, the fully-adjusted risk of cardiovascular mortality with Baveno B presented an HR of 1.38 (95% confidence interval [95%CI]: 0.14-13.5; <i>p</i>  = 0.78); with Baveno C, it was of 1.71 (95%CI: 0.18-16.2; <i>p</i>  = 0.63); and, with Baveno D, of 1.04 (95%CI: 0.12-9.2; <i>p</i>  = 0.98). We found no interactions involving Baveno group, sex and OSA severity. <b>Discussion</b>  Among OSA patients, the Baveno classification can describe different subgroups. However, its utility in identifying incident cardiovascular mortality is unclear. Long-term follow-up studies and the inclusion of demographic variables in the classification could improve its ability to detect a high-risk phenotype associated with cardiovascular mortality. <b>Conclusion</b>  The Baveno classification serves as a valuable method for categorizing varying groups of patients afflicted with OSA. Nevertheless, its precision in identifying occurrence of cardiovascular mortality is still unclear.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e446-e453"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review.","authors":"Carolina Cozzi-Machado, Fátima Rosana Albertini, Silvana Silveira, Almiro José Machado-Júnior","doi":"10.1055/s-0043-1776747","DOIUrl":"10.1055/s-0043-1776747","url":null,"abstract":"<p><p><b>Introduction</b>  Obstructive sleep apnea (OSA) is defined as intermittent partial or complete collapse of the upper airway during sleep. It is a common condition in childhood, with an incidence ranging from 1.2% to 5.7%, and it can harm several aspects of children's life, such as cognitive, metabolic and cardiovascular functions, among others. There are treatment options, such as adenotonsillectomy, myofunctional therapy, mandibular advancement appliances (MAAs), rapid maxillary expansion, and positive airway pressure devices, but there is still doubt about which method is more suitable for the treatment of OSA in children. <b>Objective</b>  To analyze the effectiveness of MAAs in the treatment of pediatric OSA. <b>Materials and Methods</b>  The search was conducted in August 2021 in different electronic databases, such as PubMed, EBSCO (Dentistry & Oral Sciences Source), LILACS, Ovid, SciELO, Web of Science, EMBASE BIREME, BBO BIREME, and the Cochrane Library. <b>Results</b>  Only three systematic reviews and two meta-analyses were included in the present study. All studies showed improvement in the score on the apnea-hypopnea index after using MAAs in the treatment of pediatric OSA. <b>Conclusion</b>  Although more randomized studies are needed, based on the present umbrella review, MAAs must be considered part of the multidisciplinary treatment for pediatric OSA.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e468-e475"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance of the NOSE Questionnaire in Mask Selection for Home CPAP Titration.","authors":"Magalí Blanco, Glenda Ernst, Alberto Rabino, Alejandro Salvado, Eduardo Enrique Borsini","doi":"10.1055/s-0043-1776769","DOIUrl":"10.1055/s-0043-1776769","url":null,"abstract":"<p><p><b>Introduction</b>  Many patients abandon CPAP treatment because they find the mask uncomfortable. Therefore, specialists may benefit from the predictive value of airway assessment tools. <b>Objective</b>  To identify nasal ventilation failure through the Nasal Obstruction Symptom Evaluation (NOSE) scale in patients with obstructive sleep apnea (OSA) who undergo home-based auto-adjusting CPAP titration and to determine whether there is a correlation between NOSE score and the type of mask selected. <b>Materials and Methods</b>  In this prospective correlational study, the NOSE scale was used in terms of mask selection and titration indicators. Patients were classified based on their NOSE score: > or < 50. <b>Results</b>  We included 303 patients; 226 men (74.5%), BMI: 33.2 ± 6.1 kg/m ² , neck circumference (cm): 42.8 ± 3.6 and Epworth (ESS) score: 9.2 ± 5.6, mild OSA: 12 (3.9%), moderate OSA: 127 (41.9%), and severe OSA: 164 (54.1%). The mean NOSE score was 24.3 ± 22.8 and 42 patients (13.8%) had NOSE scores > 50. Indicators for both groups were: compliance (5.9 ± 1.3 vs. 5.8 ± 1.4 hours) p: 0.41, therapeutic pressure (9.1 ± 2.0 vs. 8.8 ± 1.6 cm of H ₂ O) p: 0.23, residual AHI (2.3 ± 1.8 vs. 2.8 ± 2.6 events/hour) p: 0.25, and leaks (20.5 ± 10.6 vs. 21.3 ± 10.7 liters/minute) p: 0.64. According to adjusted multiple regression, a NOSE of > 50 was not a predictor of mask selection. <b>Conclusions</b>  A > 50 NOSE score was not a predictor of mask selection, and it was not correlated to titration performance.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e425-e429"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between Sleep Quality and Cardiac Autonomic Modulation in Adolescents: A Cross Sectional Study.","authors":"Ozeas de Lima Lins-Filho, Aluisio Andrade-Lima, Auguste Daniel Torres, Luciano Machado Oliveira, Wagner Luiz do-Prado, Raphael Ritti-Dias, Diego Giulliano Destro Christofaro, Breno Quintella Farah","doi":"10.1055/s-0043-1776750","DOIUrl":"10.1055/s-0043-1776750","url":null,"abstract":"<p><p><b>Objective</b>  To analyze the impact of sleep quality/duration on cardiac autonomic modulation on physically active adolescents with obesity. <b>Materials and Methods</b>  The present cross-sectional study included 1,150 boys with a mean age of 16.6 ± 1.2 years. The assessment of cardiac functions included the frequency domain of heart rate variability (HRV; low frequency - LF; high frequency - HF; and the ratio between these bands -LF/HF -, defined as the sympathovagal balance), and each parameter was categorized as <i>low</i> / <i>high</i> . Physical activity levels and sleep quality/duration were obtained by questionnaires. Abdominal obesity was assessed and defined as waist circumference > 80 ^th percentile. <b>Results</b>  Poor sleep quality resulted in lower HF (odds ratio [OR]: 1.8; 95% confidence interval [95%CI]: 1.01-3.21]) regardless of physical activity and abdominal obesity. Moreover, the study found no association between sleep duration and HRV parameters in adolescents. <b>Conclusion</b>  Sleep quality, not sleep duration, reduces parasympathetic cardiac modulation apart from other factors such as physical activity and abdominal obesity in adolescents.</p>","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"16 4","pages":"e462-e467"},"PeriodicalIF":1.6,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults – Brazilian Sleep Association","authors":"L. F. Drager, Maria Assis, Andrea Frota Rego Bacelar, D. Poyares, Silvia Gonçalves Conway, G. Pires, Alexandre Pinto de Azevedo, Alicia Carissimi, A. Eckeli, Álvaro Pentagna, Carlos Maurício Oliveira Almeida, C. Franco, E. Sobreira, F. Stelzer, Giuliana Macedo Mendes, G. Minhoto, Ila Marques Porto Linares, Ksdy Maiara Moura Sousa, L. Gitaí, Lucia Sukys-Claudino, M. Sobreira-Neto, Marcio Andrei Zanini, Regina Margis, Sandra Cristina Gonçalves Martinez","doi":"10.1055/s-0043-1776281","DOIUrl":"https://doi.org/10.1055/s-0043-1776281","url":null,"abstract":"Abstract Chronic insomnia disorder (simplified in this document as insomnia) is an increasingly common clinical condition in society and a frequent complaint at the offices of different areas of health practice (particularly Medicine and Psychology). This scenario has been accompanied by a significant evolution in treatment, as well as challenges in approaching patients in an appropriately way. This clinical guideline, coordinated by the Brazilian Sleep Association and the Brazilian Association of Sleep Medicine and counting on the active participation of various specialists in the area, encompasses an update on the diagnosis and treatment of insomnia in adults. To this end, it followed a structured methodology. Topics of interest related to diagnosis were written based on theoretical framework, evidence in the literature, and professional experience. As for the topics related to the treatment of insomnia, a series of questions were developed based on the PICO acronym (P – Patient, problem, or population; I – Intervention; C – Comparison, control, or comparator; O – Outcome). The work groups defined the eligible options within each of these parameters. Regarding pharmacological interventions, only the ones currently available in Brazil or possibly becoming available in the upcoming years were considered eligible. Systematic reviews were conducted to help prepare the texts and define the level of evidence for each intervention. The final result is an objective and practical document providing recommendations with the best scientific support available to professionals involved in the management of insomnia.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"45 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brazilian Consensus on Sleep-Focused Speech-Language-Hearing Sciences - 2023 Brazilian Sleep Association","authors":"Luciana Moraes Studart-Pereira, Esther Mandelbaum Gonçalves Bianchini, Márcia Assis, Marieli Timpani Bussi, Camila de Castro Corrêa, Thays Crosara Abrahão Cunha, Luciano Ferreira Drager, Vanessa Ieto, Geraldo Lorenzi-Filho, Gabriele Ramos de Luccas, Evelyn Lucien Brasil, Silmara Regina Pavani Sovinski, Edilson Zancanella, Gabriel Natan Pires","doi":"10.1055/s-0043-1776109","DOIUrl":"https://doi.org/10.1055/s-0043-1776109","url":null,"abstract":"Abstract Introduction This consensus aimed to develop a structured document presenting the role of sleep-focused Speech-Language-Hearing (SPH) Sciences (SPHS). The recommendations were based on the expertise of specialists and on evidence in the literature, aiming to guide the coverage of this area and the consequent improvement in the quality of the professionals' approach. Methods A Delphi method was conducted with 49 SLH pathologists (SLHP), four sleep physicians, one dentist, one physical therapist, and one methodologist. Four Delphi panel rounds were conducted in Google Forms. The items were analyzed based on the panelists' percentage of agreement; consensuses were reached when ⅔ (66.6%) of valid responses were on a same on a same answer (either “agree” or “disagree”). Results Participants voted on 102 items. The mean consensus rate was 89.9% ± 10.9%. The essential topics were the importance of professional training, the SLH diagnosis, and the SLH treatment of sleep disorders. It was verified that all fields of the SLHS are related to the area of sleep; that sleep-focused SLH pathologists (SLHP) are the responsible for assessing, indicating, and conducting specific orofacial myofunctional therapy for sleep-disordered breathing alone or in combination with other treatments; that SLHP are included in interdisciplinary teams in the area of sleep in public and private services. Discussion The Brazilian consensus on sleep-focused SLHS is a landmark in this area. This consensus described the scope of action of sleep-focused SLHP and systematized recommendations being useful as a reference for the professional practice in the area of sleep.","PeriodicalId":21848,"journal":{"name":"Sleep Science","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136011147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}