[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"obstructive-sleep-apnea-risk-management\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:obstructive-sleep-apnea-risk-management":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,50],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":30,"overallStatus":38,"whyStopped":4,"lastUpdateSubmitDate":39,"lastUpdatePostDateStruct":40,"startDateStruct":43,"completionDateStruct":45,"leadSponsor":47,"locationsCount":4},"100633079","daytime-vs-evening-rehabilitation-in-lumbar-disc-herniation-patients-at-high-risk-for-obstructive-sleep-apnea-100633079",false,"NCT07522021","Daytime vs Evening Rehabilitation in Lumbar Disc Herniation Patients at High Risk for Obstructive Sleep Apnea","Effects of Daytime and Evening Rehabilitation Programs on Sleep Quality and Daytime Sleepiness in Patients With Lumbar Disc Herniation at High Risk for Obstructive Sleep Apnea: A Randomized Controlled Trial","REHAB-TIME","Inclusion Criteria:\n\n* Individuals aged 18-65 years\n* High risk for obstructive sleep apnea, defined as a score \\>4 on the STOP-Bang questionnaire (Snoring, Tiredness, Observed apnea, high blood pressure, Body mass index, Age, Neck circumference, and Gender)\n* Presence of lumbar disc herniation (bulging, protrusion, or extrusion) at L1-S1 levels confirmed by magnetic resonance imaging (MRI)\n* Chronic low back pain lasting at least 3 months with clinical symptoms consistent with imaging findings\n* Mild to moderate radicular symptoms For participants over 55 years of age: single-level or dominant-level protrusion or extrusion-type disc herniation to minimize confounding effects of multilevel degeneration\n* Pain intensity ≥4 on the Visual Analog Scale (VAS) within the last week\n* Ability to participate regularly in the physiotherapy and rehabilitation program\n* Willingness to provide written informed consent Exclusion Criteria:\n* Presence of sequestrated disc herniation or cauda equina compression confirmed by magnetic resonance imaging (MRI)\n* Progressive motor deficit or significant muscle weakness\n* Indication for urgent surgical intervention\n* History of previous lumbar spine surgery\n* Low back pain due to specific causes (e.g., spinal tumor, infection such as spondylodiscitis, inflammatory rheumatic diseases, or traumatic fracture)\n* Previous use of continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) therapy\n* Shift work or irregular sleep patterns\n* Major changes in sleep medication within the last 4 weeks\n* Contraindications to electrotherapy (e.g., pacemaker or implanted electronic devices, suspected malignancy, sensory loss in the treatment area, open wounds, or infection)\n* Cardiopulmonary conditions that contraindicate exercise\n* Uncontrolled hypertension or advanced heart failure\n* Pregnancy\n* Severe psychiatric disorders or cognitive impairment\n* Neurological disorders (e.g., multiple sclerosis, stroke sequelae)\n* Epidural or facet joint injection within the last 3 months\n* Diagnosed severe obesity hypoventilation syndrome or severe chronic obstructive pulmonary disease (COPD)\n* Refusal to provide informed consent","ALL","18 Years","65 Years",{"count":21,"type":22},60,"ESTIMATED","INTERVENTIONAL",[25],"NA","Lumbar disc herniation is a common musculoskeletal condition that negatively affects quality of life, physical function, and daily activities. Previous studies have shown that individuals with lumbar disc herniation often experience poor sleep quality, which is closely related to pain severity and functional limitations. In addition, a bidirectional relationship exists between chronic pain and sleep disturbances, where poor sleep can increase pain perception, and pain can further impair sleep.\n\nObstructive sleep apnea (OSA) is a common sleep-related breathing disorder associated with reduced sleep quality, daytime dysfunction, and adverse health outcomes. The STOP-Bang questionnaire (Snoring, Tiredness, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, and Gender) is a widely used and practical screening tool to identify individuals at high risk for OSA in clinical settings.\n\nPhysiotherapy and rehabilitation programs are commonly used in the conservative management of lumbar disc herniation and have been shown to improve pain and functional outcomes. However, the effect of the timing of rehabilitation (daytime versus evening) on sleep-related outcomes has not been sufficiently investigated. Considering that circadian rhythms influence pain perception, physiological processes, and sleep regulation, the timing of rehabilitation interventions may play an important role in clinical outcomes.\n\nTherefore, this randomized controlled trial aims to investigate the effects of daytime versus evening rehabilitation programs on sleep quality and daytime sleepiness in patients with lumbar disc herniation who are at high risk for obstructive sleep apnea.",[28,29],"Lumbar Disc Herniation","Obstructive Sleep Apnea Risk Management",[28,31,32,33,34,35,36,37],"Obstructive Sleep Apnea risk management","Sleep Quality","Daytime Sleepiness","Rehabilitation","Physiotherapy","Exercise Therapy","Randomized Controlled Trial","NOT_YET_RECRUITING","2026-04-03",{"date":41,"type":42},"2026-04-13","ACTUAL",{"date":44,"type":22},"2026-04-10",{"date":46,"type":22},"2026-11-12",{"name":48,"class":49},"Mardin Artuklu University","OTHER",{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":4,"eligibilityCriteria":56,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":57,"enrollmentInfo":58,"targetDuration":4,"studyType":60,"phases":4,"briefSummary":61,"conditions":62,"keywords":4,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":70,"completionDateStruct":72,"leadSponsor":74,"locationsCount":5},"100549203","osa-risk-level-in-dental-patients-and-correlation-with-complications-after-general-anesthesia-100549203","NCT06430957","OSA Risk Level in Dental Patients and Correlation With Complications After General Anesthesia","Evaluation of OSA Risk Levels in the Preoperative Period of Adult Patients With Planned Dental Procedures Under Anesthesia and Correlation With Postoperative Complications; A Multicenter Study","Inclusion Criteria:\n\n* Patients between 18-80 years of age who apply to the anesthesia clinic for dental procedures planned to be performed under general anesthesia\n* Patients without a previous diagnosis of OSA\n\nExclusion Criteria:\n\n* Individuals who do not want to participate in the study\n* Patients previously diagnosed with OSA\n* Necessity of emergency surgery","80 Years",{"count":59,"type":22},240,"OBSERVATIONAL","Obstructive sleep apnea (OSA) is a sleep-related respiratory dysfunction. The prevalence of OSA is increasing with the increasing rates of obesity and elderly population worldwide. Perioperative anesthesia management should be adjusted to improve patient safety in patients with OSA. In OSA patients, positive pressure ventilation support may be required in the preoperative period, various ventilation strategies may be required in the intraoperative period, different pharmacologic agents may need to be avoided, and intensive care unit follow-up or noninvasive ventilation support may be required in the postoperative period. However, it is reported that a significant percentage of OSA patients remain undiagnosed. ASA (American Society of Anesthesiologists) has reported the criteria that should be questioned in order to determine the risk of patients in terms of OSA and to initiate the diagnostic process in risky patients and to make appropriate anesthesiologic arrangements in the perioperative period. In addition, the STOP-BANG assessment scale, which is widely used all over the world in OSA risk assessment, is also used in OSA risk assessment. It is thought that dental caries and extraction needs may be higher in OSA patients, especially since open-mouth sleeping accompanies the situation. In this respect, it is also important for patients to be diagnosed with OSA as it may prevent dental damage due to open-mouth sleeping in the future. Identifying patients at risk for OSA and directing them to the diagnostic process is very important for patient safety. Within the scope of the study, the criteria recommended by ASA and STOP-BANG score will be evaluated and recorded. Risk stratification in terms of STOP-BANG questionnaire and ASA criteria will be done separately for each patient and for each classification method. Patients at high risk will be consulted to the relevant medical department in the preoperative period for further investigation and treatment. In addition, it is aimed to correlate the risk levels determined in the study with postoperative respiratory complications and recovery time.",[29,63,64,65],"Postoperative Complications","Dental Caries Under General Anesthesia","Obstructive Sleep Apnea of Adult","RECRUITING","2026-03-19",{"date":69,"type":42},"2026-03-20",{"date":71,"type":42},"2024-06-28",{"date":73,"type":22},"2026-08",{"name":75,"class":49},"Kırıkkale University"]