Participants with sleep problems identified using one or more of the following validated sleep questionnaires: 1 Pittsburgh Sleep Quality Index (PSQI) have a total score more than 5 2 Berlin Questionnaire (BQ) have a risk for obstructive sleep apnea (OSA) based on positive findings in at least two of the three categories (snoring and witnessed apnea, daytime sleepiness, and obesity or hypertension). 3. Epworth Sleepiness Scale (ESS) have a total score more than or equal to 10 which indicat
Conditions
Interventions
The Dynamic Neuromuscular Stabilization (DNS) exercise program consists of 11 exercise positions: diaphragmatic breathing, 90- 90 supine position, prone position, rolling initiation, side-sitting, tri
Experimental Behavioral
Dynamic neuromuscular stabilization exercise (DNS)
Sponsors
Movement Science and Exercise Research Center, Walailak University
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1.Male and female adults aged 18 to 60 years. 2. Body mass index (BMI) more than and equal to 23 kg per meter square 3. Positive on at least one of the following three validated sleep questionnaires indicating sleep-disordered breathing or sleep problems, 3.1 Pittsburgh Sleep Quality Index (PSQI), score more than 5 3.2 Berlin Questionnaire: high risk for obstructive sleep apnea - positive in more than and equal to 2 categories or 3.3 Epworth Sleepiness Scale (ESS), score more than and equal to 10.
Exclusion criteria
Exclusion criteria: 1.Participation in another clinical research study during the study period. 2.Presence of medical conditions that may interfere with exercise participation or study outcomes, including: 2.1 Musculoskeletal disorders, such as scoliosis, chronic musculoskeletal pain, recent fractures, muscle tears, hip or knee osteoarthritis, osteoporosis, and lumbar disc herniation; 2.2 Cardiovascular and respiratory diseases, such as ischemic heart disease, chronic heart failure, atrial fibrillation, coronary artery disease, asthma, chronic obstructive pulmonary disease (COPD), and hypertension; 2.3 Neurological disorders, such as stroke, spinal cord injury, traumatic brain injury, and Parkinson's disease. 3. A physician-diagnosed psychiatric disorder that may affect mood, cognition, or participation in the study, such as major depressive disorder or panic disorder. 4. Current use of sleep medications or other medications that may affect sleep.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep quality using 3 questionnaire forms ( Pittsburgh Sleep Quality Index, Berlin Questionnaire, and Epworth Sleepiness Scale) baseline and after 6 weeks of intervention answer question for all 3 questionnaire forms and scored them f questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Body composition baseline and after 6 weeks of intervention Using bioelectricle impedance analysis machine (BIA) ( Body Composition Analyzer, InBody 270, Korea),Lung function (spirometer or FVC) baseline and after 6 weeks of intervention measure of lung volume and flow using Spirometer machine, Sibelmed, DATOSPIR touch Easy model T,D,F , Spain) inclding of FEV1/FVC, FVC(L), FEV1(L), FEF25-75percent(L/min), PEF (L/min),Respiratory muscle strength (maximum expiratory pressure, MEP and maximum inspiratory pressure, MIP) baseline and after 6 weeks of intervention Using of Respiratory pressure meter, model MicroRPM centimeter of water, UK,Lumbar Spine Motor Control Tests Battery baseline and after 6 weeks of intervention score of each poses 1-6,Exercise capacity (Astrand Rhyming test) baseline and after 6 weeks of intervention Using bike to dertmine of heart rate during cycling with a load resist | — |
Countries
Thailand
Contacts
Public ContactKhomkrip Longlalerng
Physical therapy department, School of Allied Health Science, Walailak University
Outcome results
None listed