Clinical Cases in Sleep Physical Therapy

Sleep diseases and cases are both very common (such as sleep respiratory disturbances) and rare (such as narcolepsy), with increasing and alarming prevalence worldwide. As diagnosis is always performed by physicians, physiotherapists often receive the patients referred by other health practitioners.

This engaging book focuses on a compilation of case reports and clinical scenarios collected over the years. It intends to show the practical management of different cases in treating sleep disorders by physiotherapists. The reader will have a chance to understand how, in clinical practice, physiotherapists from different countries treat sleep issues, either in conjunction or not with other health professions.

Written by worldwide experts, the 30 instructive chapters present the practice of sleep and physical therapy around the globe, as well as the integration of sleep as a imperative topic in health promotion and well-being. They also intend to describe the anamnesis, the clinical history, rationale and process for the physiotherapeutic treatment, patient-centered, and with an interdisciplinary approach.

The reader will be able to tie up loose ends of the clinical picture and to connect with the theoretical knowledge, understanding the evidence-based practice in each of the clinical case, thus having the insight to start thinking as a sleep physiotherapist. As the contemporary world is always changing, so is physical therapy on behalf of health in these lightning times.

Section I. Concepts                       

Chapter 1.  A 21st Century Physical Therapy Health and Lifestyle Framework to Maximize Sleep and Function.

Chapter 2. Physiotherapists: sleep health promoters.

Section II. Clinical Cases                             

Insufficient sleep    

Chapter 3. Treating pain to secondarily treat sleep-related issues.

Chapter 4. Good sleep prevents falls?.

Chapter 5. Sleep and Psyche: Life is a versatile game.

Insomnia

Chapter 6. Insomnia complaint, positional pain and unfavorable sleep habits.

Chapter 7. Sleep health promotion in patient with multiple sclerosis.

Chapter 8. Surgical menopause, musculoskeletal pain and insomnia.

Chapter 9. Fatigue and sleep disturbances in man with Parkinson’s Disease.

Restless legs symptom (RLS)/ Willis-Ekbom disease

Chapter 11.  A man with multiple sclerosis running from restless legs syndrome.

Circadian rhytm sleep disturbances

Chapter 12. A truck driver with na irregular sleep schedule.

Sleep bruxism

Chapter 13. Recurrent orofacial pain with concomitant diffuse pain and sleep bruxism.

Obstructive Sleep Apnea

Chapter 15. Only apnea-hypopnea index? What else to look for?

Chapter 16. Be aware or you will be mistaken: it is not only CPAP!

Chapter 17. Nocturia, enuresis, sleep fragmentation and embarrassment.

Chapter 18. Sleep attack during marriage: narcolepsy? Apnea? Both?

Chapter 19. Velumount: a solution for uvulo-palato-pharyngeal problems.

Chapter 20. To exercise or not to exercise?

Chapter 21. Continuous positive airway pressure, bilevel and supplemental oxygen: all in one case!

Chapter 22. Aligning the center of gravity after stroke: treatment for obstructive sleep apnea?

Chapter 23. No residual apnea-hypopnea index and the epiglottis collapse: the need for an interprofessional collaboration.

Central Sleep Apnea

Chapter 24. Central sleep apnea: less is more.

Chapter 25. The positioning approach is not only a marketing strategy.

Chapter 26. Central apnea and neurological impairment: an individual management and with something more.

Chapter 27. Crescendo-decrescendo: the heart manifests itself.

Other Sleep-Disordered Breathing

Chapter 28. Non-invasive ventilation for stable hypercapnic chronic obstructive pulmonary disease.

Chapter 29. Sleep-disordered breathing in concomitant chronic obstructive pulmonary disease and obstructive sleep apnea: the overlap syndrome.

Chapter 30. Long term telemonitoring in sleep related breathing disorders.

Cristina Frange is a physiotherapist specialized in Neurofunctional Physiotherapy. Certified in Sleep Physiotherapy (Brazilian Sleep Association (ABS) and Brazilian Association of Cardiorespiratory Physiotherapy and Intensive Care Physiotherapy (ASSOBRAFIR)). Member of the steering committee of the Network for Health Promotion in Life and Work (HPLW), and the Physiotherapy board of the Brazilian Sleep Association; and is a student/delegate of the World Sleep Academy (WSA, World Sleep). She has clinical experience in neurology, pain and sleep physiotherapy. Her qualifications include an MSc. in Communication from the Pontificia Universidade Católica de São Paulo (PUC/SP); a Ph.D. in Science from the Department of Psychobiology, Sleep Division at the Federal University of São Paulo (UNIFESP); and a Post-doctorate in Neurology and Neurosciences, from Neurology and Neurosurgery Department at UNIFESP. She is a clinician and attends daily at Frange Physiotherapy and Rehabilitation in São Paulo, Brazil. She is passionate about learning, exchanging, and collaborating. Her particular interests are in non-pharmacological and behavioral treatments for sleep disorders, namely  sleep physiotherapy and rehabilitation.