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Lifestyle and Diet
Published in Chuong Pham-Huy, Bruno Pham Huy, Food and Lifestyle in Health and Disease, 2022
Chuong Pham-Huy, Bruno Pham Huy
Sleep position can influence your health and the quality of your sleep. Most people sleep on their sides, but this position can cause shoulder and hip pain. Also, sleeping on your right side may even aggravate heartburn. You should try sleeping on your left side if you get heartburn. The best position is sleeping on your back, which only 8% of people do (102). It is the best position for reducing aches and pain, and it does not cause heartburn because your head is elevated above your chest. However, lying on your back may increase the risk of snoring. The absolute worst sleeping position is lying on your stomach. Only 7% of people do this, but it puts pressure on your entire body. You are likely to wake up with numbness and tingling, and it can increase the chance of muscle and joint pain (102).
Sleep and pregnancy complications
Published in Moshe Hod, Vincenzo Berghella, Mary E. D'Alton, Gian Carlo Di Renzo, Eduard Gratacós, Vassilios Fanos, New Technologies and Perinatal Medicine, 2019
Behavioral modification includes control of weight gain, avoiding smoking and alcohol use, treating nasal congestion, and following good sleep hygiene measures. Regarding sleeping position, there are data supporting minimizing supine sleep and favoring left lateral position (17).
Postures
Published in Anne George, Oluwatobi Samuel Oluwafemi, Blessy Joseph, Sabu Thomas, Sebastian Mathew, V. Raji, Holistic Healthcare, 2017
Sleeping on the side is a good sleeping position provided one keeps the back reasonably straight and knees together. Variations can be placing hands under the neck or pillow and/or at right angle to the body as shown in Figure 3.4. Another variation is placing ones upper leg similar to COMA position as shown in Figure 3.5. In the later case, the person is twisting his lower back, which can lead to lower back and hip problems. It can cause some discomfort in the shoulder. The other variation of sleeping on the side is in fetal position as shown in Figure 3.6; this can lead to curvature of the spine including scoliosis. This may create significant problems later in life. Based on my experience, I have discussed the various positions of sleeping. Sleep specialists recommend sleeping on your side in order to rest more comfortably and decrease the likelihood of interrupted sleep. The most comfortable position involves bending the knees slightly upwards toward the chest as shown in Figure 3.4.
Understanding and managing respiratory infections in children and young adults with neurological impairment
Published in Expert Review of Respiratory Medicine, 2023
Marijke Proesmans, Francois Vermeulen, Mieke Boon
Sleep evaluation is important to exclude severe sleep-disordered breathing (SDB). SDB may be secondary to obstructive sleep apnea (due to upper airway obstruction or collapse) as well as hypoventilation. The latter may be caused by restrictive lung volumes as well as decreased central drive (brain or brain stem dysfunction, epilepsy, medication). Patients may have either OSAS or hypoventilation or a combination . [59]. The management options are diverse ranging from noninvasive treatments to very invasive options including tracheostomy, where ethical issues arise [60]. The most important and often forgotten measure to improve night time breathing is the evaluation of sleep position. Many children with NI and orthopedic problems have a restraining sleep mattress with supine sleeping position. Changing the sleeping position to the side instead of supine can often dramatically improve obstructive breathing. Additionally, adenotonsillectomy may significantly reduce OSAS. Nasal CPAP for OSAS or noninvasive ventilation for sleep-related hypoventilation can be considered. However, the same level of evidence for the effect on quality of life and life expectancy is not available as for neuromuscular disease. The use of these breathing support devices may increase the burden of care and the severity of GOR or other abdominal complaints (f.e. bloating). In this specific group mask ventilation is often not that well tolerated and open mouth breathing complicates the success rate. Decrease of the use of sedative anti-epileptics may improve night time hypoventilation.
Modeling of infant safe sleep practice in a newborn nursery: a quality improvement initiative
Published in Baylor University Medical Center Proceedings, 2023
Eunice Hsu, Lauren Isbell, Danielle Arnold, Maheswari Ekambaram
Sudden unexpected infant death is defined as the sudden and unexpected death of any newborn <1 year of age and includes sudden infant death syndrome (SIDS), death from unknown cause, and accidental suffocation and strangulation in bed.1 SIDS is one of the leading causes of infant mortality in the US, contributing to 1250 deaths in 2019.2 In July 2022, the American Academy of Pediatrics (AAP) released updated guidelines with recommendations for a safe sleep environment to reduce the risk of all sleep-related infant deaths. These recommendations reinforced the importance of a supine sleeping position, use of a firm, flat, noninclined sleep surface, room sharing without bed-sharing, and avoidance of soft objects. The guidelines also provided specific recommendations for staff in the newborn nursery to endorse and model the SIDS risk-reduction recommendations from birth and well before anticipated discharge.3
Conservative management of De Quervain’s tendinopathy with an orthopedic manual physical therapy approach emphasizing first CMC manipulation: a retrospective case series
Published in Physiotherapy Theory and Practice, 2022
Scott W. Young, Thomas W. Young, Cameron W. MacDonald
Each patient was issued personalized home management recommendations based on lifestyle. Patient 1 was a retail employee so specific advice regarding body mechanics while performing her job duties was given. Patient 2 was a swimming athlete and practice schedule programming changes were made to ensure optimal recovery for swimming meet participation. Patient 3 was a computer programmer, so she was educated regarding optimal work station ergonomics to expedite full recovery. Pain science education was included to encourage each patient to use their affected UE as normally as possible with everyday tasks. If the patient experienced pain with daily activities, they were advised to modify activities as needed and to take frequent rest breaks. Advice was also included regarding individualized sleeping positions to minimize UE pain as part of the overall home management plan.