Hi folks, I'm Bob Schrupp physical therapist.-Brad Heineck physical therapist.
Together we are the most famous physical therapists on the internet-in our opinion of course Bob.
Today Brad we're gonna go over seven signs you might have sleep apnea and what to do about it.
We don't want to just talk about things. We want to give solutions.
Exactly Bob and in education as well.-Yeah and the thing about sleep apnea, it's very very common.
They estimate approximately 22 million adults in America alone,
and they think that it's estimated 80% are undiagnosed.
So there's a lot of people there with it
and they don't even realize it. So that's why we want to go over the seven signs and symptoms.
Right so you'll be aware of it, but that's--sleep apnea means you're not breathing properly when you sleep.
Right. We'll talk about that in a little while but
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All right, seven signs. Let's talk about sleep apnea.
Like we said, very common and it is characterized by
you have frequent breaks or pauses in your breathing during sleep.
And there's actually three types of sleep apnea, but we're not going to talk about them all.
We're going to talk about the most common type. That's obstructive sleep apne,
and that's the type where you know,
yeah the tongue or the throat closes and it causes a blockage and you're not getting air.
So I remember my father had that and my mother was very concerned he would stop breathing.
It's like and then all of a sudden he'd start again.
Yeah and let's talk about the first most common sign which I think almost everybody knows is snoring.
Now if you snore it does not mean you have sleep apnea,
I don't want you to panic. And also if you don't snore it doesn't mean you don't have it.
I mean you still might have sleep apnea even if you aren't snoring.
so if you have some of these other signs of symptoms you may wanna pay attention.
What are they Bob? I'm anxious!
Well we're going on, but with the snoring I'm not done with it.
You know generally if the snoring is loud and disruptive and nightly,
there's a lot better chance at sleep apnea.
I had a friend that came to visit us at our cabin and I just real quickly on this story,
he was supposed to sleep in one of the private rooms because we knew he was a snorer.
He falls asleep on the couch in the center where, you've been there Brad. We got a loft up there,
so there's like five, six people sleeping up there. It was probably resonating through-
Oh my god, it was like a grizzy bear.
I've never seen anything like it I just, so I think he's on the sleep--the CPAP.
Well if he comes over just give him one.-Yeah no kidding I'll pass one out to him.
So that's number one. Number two, if you have frequent breaks or pauses in your breathing and
both of these is snoring and the breaks like you just talked about that your dad,
you almost need to have someone in bed [inaudible] witnessing this.
Yeah, you need to have your partner, you know knowing this.
And usually if you know most partners, they're willing to tell you.
If I snore, my wife's saying you snored all night so
We hear about it-yeah we hear about it so, number three.
This is very obvious too. When you're having these frequent breaks where you're breathing,
you're not going to sleep well. You're not getting the REM sleep. So you're going to be tired.
Right you don't get the oxygen carbon dioxide exchange, which is what your body-desires yeah.
Right your body's trying to rejuvenate for the next day,
and you don't get the fuel, that oxygen fuel it needs.
And you may not understand this you say well
I'm getting seven to nine hours of sleep and I'm still tired all day so that's a sign.
Number four: headaches.
You wake with a headache. You have less oxygen to the brain with this type of situation and
you know the blood vessel's trying to bring in more oxygen, so what do they do? They expand.
So you get a vascular headache. Oh that makes sense, sure.
So right now I'm gonna just take a little bit of break
and we're going to mention you know one of the things you can try for.
Because most people know the CPAP which is the continuous positive airway pressure.
But a lot of people don't like them.
Right that's the machine-the big unit with the big mask,
there's a tube that comes up and hooks your face
Right my father-in-law, he did not use it,
so you know even if you do use that you may want to go ahead and try the breather.
We've mentioned this before, we're very excited about it. It's a device for respiratory muscle training.
And basically you're training your respiratory muscles. It's like weight lifting.
Right, it's exercising the muscles that really develop breathing,
and inspiratory muscles and the expiratory muscles.
We're not respiratory therapists,
but we are physical therapists who understand strengthening,
and that's why this makes so much sense to us is that it's literally strengthening the muscles that make you breathe.
We see a lot of patients with what we call OSA, obstructive sleep apnea.
And this was developed by a respiratory therapist.
She had like 38 years in the business. It was the number one trainer on the market.
They've sold over a million of these and then they redesigned it. They wanted to make it even better.
I think they've changed the mouthpiece a little bit. We're not going to do it justice,
as far as showing you how to use it because they have really good videos on their website,
and we'll put a link down below.
If you do, buy through our link, you're gonna get a 20% discount and free shipping.
Oh that's great.-It's a relatively inexpensive device.-They are.
So they sent me some studies, but I just didn't take their word for it Brad. I also went on PubMed,
which is a great site if you want to look up studies.
Pubmed.gov, it's a government agency,
and I found three studies that showed that yes, respiratory muscle training
does actually help sleep apnea.
So if you type in those two phrases you'll come probably to the same studies. There weren't that many.
There was three of them, so no it helps reduce the number of arousals and awakenings.
It helps reduce limb movement.
Yeah, so you're not flailing around. It reduces blood pressure. It reduces apnea or hype--
hypoapnea, how do you say that? Hypoapnea. I don't know how to say it Brad.-Well don't worry about it Bob.
Thank you, you know your speech therapist.
Anyway little breathing coming in. Apnea is no breathing, no air coming in. Hypo would be low.-Right not enough.
Yeah, and the last thing is it does it
decreases the desaturation of REM sleep and non-REM sleep. So you're getting more oxygen during those cycles.
Just real quickly, I just want to show, you use it usually twice a day and
for two sets of ten. You do a set of ten in the morning and a set of ten at night.
So you're saying a set of ten, one repetition is breathing in and exhale.
Oh, no exhale two sets of ten I think in the morning and two sets of ten at night.
Right.-Yeah, okay.
And you just mentioned the in and out, you do diaphragmatic breathing.
You really knew this because we talked about this before the video and it came out just like that.
So you're gonna do diaphragmatic breathing where you actually in through the nose and
you're not excelling in the chest you're expanding the belly. Brad demonstrates that really well.
What's nice about the breather, it has six levels of resistance for inhaling and five levels for exhaling.
So you can actually set it differently for breathing in and breathing out-and that just takes a little practice with it,
but you know by the time you get to the tenth repetition, you should feel like you've worked your--
your breathing system a little bit,
and you'll know after probably a couple days you'll have it dialed right in.
You can be on supplementary oxygen and still use this, you can be in a wheelchair.
That's what's nice about this, what I like about it.
You put forth about 70% of your effort on this. I mean, you're not blowing as hard as you can and
you want to make sure you're not puffing out your cheeks because if you're puffing your cheeks
that means you're working too hard. So did I cover most things Brad on there?
I think so Bob.-Do we just want to show them?
You're puffing out your cheeks Brad. Sorry Bob I'm practicing, see you get a little feedback, that's good.
You're doing really well on the breathing.-How does that look, does my stomach come out?
You're puffing out your cheeks Brad.
I'm getting them Bob just relax! Relax relax.
I'm gonna move on while you're working on it here, so number five, if you have increased blood pressure
it might be a sign of sleep apnea.
Number six if you're overweight, especially your neck circumference.
They found this quite often, men with a thick neck over 17 inches and women with a neck over 16 inches,
more apt to have the fatty stuff in the area that's gonna close down the airway.
And number 7 if you're irritable, depressed, if you have mood swings,
you're not getting enough sleep. That'll do it for me I tell ya. Take away my sleep and I become a bad boy.
Yep, I can imagine your wife would really attest to that.-She'd probably say other things too but we won't go into that.
So hopefully that'll help you and thanks for watching and remember again we got that give away right now.
Oh that's right, those beds they're wonderful. That'd take care of my sleep apnea.-There we go! Thanks.