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Review
. 2022 Oct-Dec;15(4):515-573.
doi: 10.5935/1984-0063.20220083.

Practice recommendations for the role of physiotherapy in the management of sleep disorders: the 2022 Brazilian Sleep Association Guidelines

Cristina Frange  1   2 , Aline Marques Franco  2   3 , Evelyn Brasil  2   4 , Raquel Pastrello Hirata  2   5 , Juliana Arcanjo Lino  2   6 , Daiana Moreira Mortari  2   7 , Daisy Satomi Ykeda  2   8 , Mario André Leocádio-Miguel  2   9 , Carolina Vicaria Rodrigues D'Aurea  2   10 , Luciana Oliveira E Silva  2   11 , Susana Cristina Lerosa Telles  2 , Sofia Fontanello Furlan  2   12 , Bruno Búrigo Peruchi  2   13 , Camila Ferreira Leite  2   14 , Fabiana Tokie Yagihara  2   15 , Leticia Dominguez Campos  2   16 , Melissa Araújo Ulhôa  2   17 , Moara Gomes da Rocha Cruz  2 , Ricardo Beidacki  2   18 , Ronaldo Batista Santos  2   19 , Sandra Souza de Queiroz  2 , Simone Barreto  2   20 , Vivien Schmeling Piccin  2   21 , Fernando Morgadinho Santos Coelho  1   2   22 , Luciana Studart  2   23 , Marcia Assis  2   24 , Luciano F Drager  2   12
Affiliations
Review

Practice recommendations for the role of physiotherapy in the management of sleep disorders: the 2022 Brazilian Sleep Association Guidelines

Cristina Frange et al. Sleep Sci. 2022 Oct-Dec.

Abstract

This clinical guideline supported by the Brazilian Sleep Association comprises a brief history of the development of Brazilian sleep physiotherapy, outlines the role of the physiotherapist as part of a sleep health team, and describes the clinical guidelines in respect of the management of some sleep disorders by the physiotherapist (including sleep breathing disorders, i.e., obstructive sleep apnea, central sleep apnea, upper airway resistance syndrome, hypoventilation syndromes and overlap syndrome, and pediatric sleep breathing disorders; sleep bruxism; circadian rhythms disturbances; insomnia; and Willis-Ekbom disease/periodic limb movement disorder. This clinical practice guideline reflects the state of the art at the time of publication and will be reviewed and updated as new information becomes available.

Keywords: Physiotherapy; Rehabilitation; Sleep; Sleep Disorders; Sleep Health.

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Figures

Figure 1
Figure 1
The 5 behavioral stages are according to the Transtheoretical Model of Behavioral Change.
Figure 2
Figure 2
The integration of knowledge to define therapeutic goals in the transdisciplinary approach to the patient.
Figure 3
Figure 3
Flowchart illustrating a suggested protocol for the treatment of OSA using PAP therapy by sleep PTs.
Figure 4
Figure 4
Graphical data presentation, extracted from positive pressure equipment, showing periodic pattern with Cheyne-Stokes breathing.
Figure 5
Figure 5
Graphical data presentation, extracted from positive pressure equipment, showing periodic pattern without Cheyne-Stokes breathing.
Figure 6
Figure 6
Graphical data presentation, extracted from positive pressure equipment, showing the treatment-emergent central sleep apnea.
Figure 7
Figure 7
Proposed flowchart for physiotherapeutic management in the CSA treatment in adults starting with CPAP.
Figure 8
Figure 8
Suggested protocol for PT evaluation.
Figure 9
Figure 9
Protocol for the management of sleep bruxism by physical therapy.
Figure 10
Figure 10
Suggested physiotherapeutic protocol for the treatment of WED and PLMD.
See this image and copyright information in PMC

References

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