Didgeridoo playing as alternative treatment for obstructive sleep apnoea (2006) (pmc.ncbi.nlm.nih.gov)

263 points by kelseyfrog 3 days ago

data-ottawa 22 minutes ago

I think my favourite part of the study is that the control group is just the class wait list.

Unfortunately this study doesn’t control for luck.

wiredfool 9 hours ago

Unfortunately, digeridoo playing is just as disruptive to partner's sleep as snoring is. Perhaps they should try bagpipes?

nzealand 2 hours ago

Funny.

The didge forces you to learn circular breathing, it's cheaper, it is easier to learn, and is easier to play well. Plus I think it sounds better. Everyone should learn to play the didgeridoo. Bagpipes are a whole another level, and feel more like a practical joke gone horribly wrong (Sorry Gran.)

pegasus 4 hours ago

Use a box didgeridoo instead, it's much quiter than a full-size one.

ncruces 8 hours ago

I suspect bagpipes may be the worst wind instrument to learn in this regard, at least if the goal is to train circular breathing?

elric 4 hours ago

I don't think circular breathing is the goal. It's just a means to an end. The goal is strengthening the muscles that keep the airway open. The resistance from blowing into the didgeridoo seems to be what does that. I have no idea how that compares to bagpipes, however.

larodi 7 hours ago

I would imagine some basic breathing techniques may help, wonder what the research in anuloma viloma pranayama shows, but beware there's a lot written by random people on the internet about it without scientific evidence.

batisteo 4 hours ago

If you're talking about the great highland bagpipes, circular breathing can be really helpful while learning. Because of the "practice chanter," every piper have one or two and use it to learn new tunes or just practice technique.

nephihaha 8 hours ago

Several varieties of bagpipe I'm aware of don't even require breathing, since they're powered by bellows. The pipes are surprisingly hard to learn by the way. One normally starts on the chanter, which is more like a recorder and is not bag assisted.

j45 7 hours ago

Both can practice in the other room.

andersmurphy 3 hours ago

Didge isn't that loud unless you're really going for it. Nothing compared to bagpipes.

hks0 10 hours ago

A friend of mine started "blowing air into water with an straw" (making bubbles) very seriously. I was very skeptical to say the least; but after a couple of months the effects have been very eye opening. Not only it has helped sleep apnea and snoring but also helped with reducing their weight. They had an online group and most participants reported the same. The wight loss was reverted when they stopped for some personal reasons. I wonder if making bubbles in the water has the same effect.

LPisGood 9 hours ago

I don’t mean to be rude, but what kind of personal reasons might stop a person from breathing into a straw at night

N_Lens 8 hours ago

Probably summoning a fish demon.

dmos62 8 hours ago

yuppiepuppie 8 hours ago

They objected to the Paper Straw Mandate

fuzzy_biscuit an hour ago

Roark66 5 hours ago

mark_l_watson 5 hours ago

My didgeridoo teacher had the class practice at home continuously blowing air through a straw - it still took me almost half a year to reliably be able to do circular breathing.

I have read a few references that humming or ‘ohming’ help sinus health and breathing so I guess it makes sense playing the didgeridoo would help also. Blowing bubbles through a straw won’t cause vibration, so probably in itself won’t help.

jcul 7 hours ago

Reminds me of that guy who started drinking water upside down to train his swallow muscles and cure his chronic heartburn.

elric 4 hours ago

There's some science on training those muscles, even without upside down drinking. "Dry swallowing" while on an incline seems to do the trick just fine.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9550520/

pbronez 5 hours ago

Did it work?

ab71e5 5 hours ago

Is the weight loss just from sleeping better and therefore making better food choices?

joshspankit 5 hours ago

Underrated question

Personally, when I have not slept well and need to be productive in a day, I’m much more likely to want to load up on sugar and unhealthy food

throwaway173738 4 hours ago

n8henrie 4 hours ago

Almost certainly plays a role. Also increased activity levels due to better less fatigue.

Certainly is not defeating thermodynamics, assuming calorie absorption is not disrupted somehow it's likely the above.

Salmoneo 7 hours ago

I saw a documentary where a vocal coach used a similar technique to help metal singers sing in a way that didn't destroy their throat and vocal chords

nephihaha 3 hours ago

I do death metal growling at karaoke sometimes. It makes a nice change after the umpteenth Abba or Pink Pony Club rendition.

There is a technique to it. You have to sing from the chest not the throat.

hks0 10 hours ago

Just learned from comments here it's called "circular breathing"!

sigmoid10 9 hours ago

Just read how this works and tried it. A bit tricky at first but actually quite easy once you get the hang of it. And it's kind of a fun exercise. Now I'm wondering if I should get a Didgeridoo too.

jbaber 6 hours ago

mswphd 39 minutes ago

mindok 5 hours ago

Ifkaluva 4 hours ago

Would you happen to have more information about this online group? Would love to join it!

tybstar 2 hours ago

Sounds like a semi-occluded vocal tract exercise, something that singers will do to strengthen the vocal folds and reduce tension.

joshspankit 5 hours ago

Someone really needs to properly do the science on this

I (presumably like the majority) assumed that sleep apnea was at least partially caused by weight gain, but if there is weight gain caused by sleep apnea it’s going to give doctors some new tools

elric 4 hours ago

There is plenty of proper science on this. Weight gain does not cause obstructive sleep apnea until you get into extremes (e.g. huge necked bodybuilders or people with so much fat on their chest that they physically struggle to move it to breathe). Sleep apnea makes it harder to lose weight and easier to gain weight. Having sleep apnea and being heavier can make sleep apnea worse. Losing weight quickly can make sleep apnea worse when you lose muscle mass along side fat (e.g. on ozempic).

There are plenty of tools for doctors to treat sleep apnea. The problem is that they refuse to use them. Many people on CPAP would benefit greatly from being on BiPAP instead, but doctors commonly refuse to prescribe it. Some cases of sleep apnea can be treated using positional therapy (typically side sleeping), but there's no prescription for that. Some cases can be solved by exercising throat muscles (with or without a didgeridoo), but there's no prescription for that either, and there are virtually zero speech/physical therapists who focus on that. There are some surgeries that can really benefit some patients, but most sleep labs and ENTs refuse to even to even perform a proper sleep endoscopy.

kjs3 42 minutes ago

The idea people aren't doing 'proper science' on this is a spectacular level of oblivious. There's nothing in here that I haven't at some point had a discussion about with my sleep doc in the last 20 years (well, not specifically a didgeridoo, but circular breathing and other types of breath exercises, including 'straw breathing'). Yes, some people do loose weight when they get their apnea under control, among other health benefits. That also is not new, and it's not some sort of miracle insight that noone has considered.

david-gpu 4 hours ago

I had textbook symptoms of sleep apnea with a BMI of 19, before I was diagnosed. The sleep tech told me bluntly that plenty of slim people, even children, develop sleep apnea.

Obesity increases the chance of developing sleep apnea, yes. But sleep apnea also increases the chance of becoming obese. It is not just a simple unidirectional cause and effect.

Traubenfuchs 9 hours ago

Can you please expand on that? How many times and minutes a day? Full power?

Got a link?

baddash 9 hours ago

same, my fat ass is ultra curious

KellyCriterion 9 hours ago

frankest 5 hours ago

CPAP machines are essentially a hose that has you breathe into water.

httpsterio 4 hours ago

this is incorrect lol. the water is just to help with humidity, to prevent a dry mouth and sinuses. all resumed cpap machines for example can be used without the water tank as long as you have the backplate.

the water in the tank is heated to increase the humidity of the air circulating.

cpap machines work by increasing the air pressure on breath-ins and help open your airways by keeping your genioglossus tensor veli palatini muscles engaged.

elric 3 hours ago

Kind of, yeah. When I first got onto CPAP I was worried that it would cause my muscles to atrophy over time because it makes the inhale so much easier. But the pressure is still there on the exhale, which is exactly like breathing out through a straw into water (with 5-20cm water on top of the straw, depending on the CPAP pressure).

barrenko 7 hours ago

Seems related to our aquatic mammal past.

Ringz 6 hours ago

I once took a didgeridoo course and played for quite a while after that. One weekend of 2×3 hours of didgeridoo playing, and my nose was incredibly clear. Like never before and never again since.

By the way, you can practice circular breathing very well in the shower. Take water in your mouth and breathe in through your nose while simultaneously spraying the water out through your lips.

Darmani 10 hours ago

I started playing didgeridoo 10 years ago for precisely this reason. Sleep apnea already cured by weight loss, but I knew by air pathways were prone to it, and I never wanted it to come back.

It worked

It took me 1-2 years to learn circular breathing, but even just learning to play for 15 seconds on one breath can give the "oxygen high" from breathing so much.

sigmoid10 9 hours ago

You can't get "oxygen high" from breathing normal air. The O2 levels will always stay the same unless you stop breathing for a while. What will make you feel weird in the head when breathing too fast is the reduction of CO2 in your blood.

dmos62 7 hours ago

So, if you breathe in an intensive manner for a few minutes, oxygen percentage in the blood won't change?

n8henrie 4 hours ago

jcul 7 hours ago

cenamus 7 hours ago

thfuran 6 hours ago

TylerE 6 hours ago

carwyn 5 hours ago

Double Reed instruments have also been shown to have a positive effect for those suffering from sleep apnoea. It seems due to the higher air pressure needed to play: https://en.wikipedia.org/wiki/Double_reed

Presumably quadruple reed instruments (that require even more air pressure to play) would be even better: https://en.wikipedia.org/wiki/Quadruple_reed

lemonberry 8 hours ago

Unrelated to the health aspects, but if you like electronic music and the Didgeridoo check out Aphex Twin's album "Digeridoo". It's so good.

bizzletk 7 hours ago

And also the mandatory "Treaty, Yeah!":

https://www.youtube.com/watch?v=RPmDLR_M50M

nephihaha 3 hours ago

?Yothi Yindi? I listened to this song a bit back in the early nineties but it sounds a bit dated now. (Ironically the traditional instruments sound a lot better than the synths.)

Didgeridoo (when played properly) can sound great. Like the bagpipes there are a lot of people who can barely play, but go out busking.

thesuperbigfrog 6 hours ago

If you like psy electronic music, there is 'The Mystic Didgeridoo':

https://www.youtube.com/watch?v=QbhhLhb3zc8

swingboy 7 hours ago

Always my first thought when reading/hearing the word.

nephihaha 2 hours ago

The carnyx is the nearest traditional western European equivalent. There is a guy who plays it called John Kenny who I don't rate. Abraham Cupeiro, on the other hand, is amazing. See here:

https://www.youtube.com/watch?v=fhwWihyylPg

idiocrat 12 hours ago

There seems to be a typing mistake. The embouchure should have diameter of 2.8-3.2 centimeters, not millimeters. Perhaps that can be done DIY from an PVC pipe with an hot air gun or a gas burner to soften and shape the end.

"Participants received a standardised acrylic plastic didgeridoo that was developed by the instructor in collaboration with Creacryl GmbH (Ebmatingen, Zurich, Switzerland, and costs €80 (£43; $94), fig 1). The didgeridoo is 130 cm long with a diameter of 4 cm and an elliptical embouchure with a diameter of 2.8-3.2 mm. Acrylic didgeridoos are easier for beginners to learn on than conventional wooden didgeridoos."

roel_v 11 hours ago

"Perhaps that can be done DIY from an PVC pipe with an hot air gun or a gas burner to soften and shape the end."

When I used to make my own PVC didgeridoos, I would melt candle wax and then dip one end repeatedly into the wax to build up wax layers until it had the desired thickness and shape.

mark_l_watson 5 hours ago

Twenty years ago my neighbor, a retired surgeon, made me a PVC didgeridoo and did the wax buildup thing - I still mostly play that didgeridoo. Years later my wife bought me a traditional heavy didgeridoo from Australia, but it doesn’t play as well; still, when I played at a friend’s wedding I used the Australian one because it looks better :-)

smartial_arts 7 hours ago

eth0up 6 hours ago

I had excellent results using a large section of black bamboo, though I forget the exact taxonomy (lako?). I meticulously beat out the segment walls, then with a rasp fastened to a long stick, filed down the ridges. After sanding, I finished it with oil based stain, which necessitated it living outdoors for a while. In the end it proved a fine primitive instrument. I gifted it to someone and miss it. I can attest to the therapeutic effects of mastering the didge.

PVC works, but the acoustics do seem superior with actual plant material. Certainly the feel.

Update: I used beeswax for the gob hole.

andersmurphy 12 hours ago

Yeah that should be 2.8-3.3cm for sure.

defrost 12 hours ago

For added fun, two tubes of roughly that size that air seal fit one inside the other makes for a slide didgeribone.

addendum: https://www.youtube.com/watch?v=A1d7Eztj7Eg

asdff 10 hours ago

Last thing I need for my sleep through my thin walls is a neighbor with a didgeridoo.

latexr 8 hours ago

I don’t think they’re suggesting you do it like a sleeping pill and play some didgeridoo right before bed. Rather, it’s about regular practice like with any other instrument.

dgellow 9 hours ago

Might help fall asleep, like a white noise machine :)

nopurpose 9 hours ago

These two https://www.youtube.com/watch?v=oXBGZoBYaLY must be best dorm neighbours ever then.

ChrisMarshallNY 4 hours ago

That's fairly cool.

I probably couldn't listen to that on a regular, but I enjoyed it.

Thanks!

DTrejo 11 hours ago

30% of Americans have reflux, which is associated with obstructive sleep apnea.

Check out the papers on Inspiratory Muscle Training (IMT) and bridge swallowing.

sam-cop-vimes 9 hours ago

Unrelated to the content of this submission, but trying to visit this link in Firefox takes me into an endless recaptcha loop, whereas visiting in Chrome took me to the site without any captcha.

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StilesCrisis 6 hours ago

Wondering what sort of plugins you've got on the Firefox side. If they're stripping out headers, for instance, it's a good way to make yourself look like a bot.

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I've only got "Firefox Multi-Account Containers" and "Privacy Badger". I tried reloading with Privacy Badger disabled, still the same behaviour. Works in Safari and Chrome with no issues at all!

sam-cop-vimes 5 hours ago

galangalalgol 6 hours ago

Firefox on android with ublock origin didn't hit any captchas. I wonder what triggers them?

dartharva 12 hours ago

The captcha on this site is irritating.

Original paper: https://www.bmj.com/content/332/7536/266

mastazi 5 hours ago

Thank you, I was completely unable to access that page with my current browser settings.

nubinetwork 8 hours ago

Yeah I dunno if I believe this, I played trombone when I was a kid... I didn't get sleep apnea until like 10 years ago. Unless it somehow takes like 30 years to develop, it seems implausible.

elric 3 hours ago

What are you saying? That you expected your childhood trombone playing would somehow protect you from sleep apnea forever? "Use it or lose it." Sleep apnea can certainly take 30 years to develop. Old age increases the chances of getting it. Menopause does too. Muscles get weaker.

y-curious 8 hours ago

n=25, self report AND only players with partners. I think there’s merit to using muscular musculature to improve your sleep apnea but this doesn’t answer the question of why playing the instrument wasn’t preventative in the first place.

mariusor 8 hours ago

Because anatomy not consistently used declines in fitness?

masfuerte 7 hours ago

analog8374 2 hours ago

It sounds like an attention thing.

Attention is magic stuff. Putting it on part of your body can make it better. Withdrawing it can make it worse. I suspect that much disease stems from such neglect.

I used to have a chronically stuffed nose. Then I started doing a kind of meditation where I put my attention upon my nose. My nose opened up and I almost never get a stuffed nose anymore.

sdenton4 2 hours ago

Are you saying that, in fact, attention is all you need?

jimmcslim 12 hours ago

Didgeridoo specifically?, or any instrument that requires circular breathing https://en.wikipedia.org/wiki/Circular_breathing

pegasus 9 hours ago

Circular breathing is easiest to accomplish on the didgeridoo. This is because of several reasons: optimal back-pressure (hits the sweet spot between lack of resistance on a flute and too much of it on an oboe, for example), loose embouchure (relaxed lips make it easier to puff up the cheeks) and single drone focus (no distracting fingerings required).

I also suspect the intense vibrations have a similar effect (probably stronger) to humming, which is known to dramatically (15-20x) increase the release of beneficial nitrous oxide in the nasal passages.

joshspankit 5 hours ago

> I also suspect the intense vibrations have a similar effect…

My gut says that there are some interesting discoveries waiting around the intersections of frequency of vibration, individual resonant frequency, and duration

scrumbledober 11 hours ago

the study was conducted using a didgeridoo but the circular breathing seems to be the important mechanism. No studies have been conducted on other instruments that require or benefit from it.

jojobas 11 hours ago

I doubt many of them actually figured out how to circular breathe after one lesson. Source: have been playing sax for 20 years, tried learning it many times, still no good.

marginalia_nu 9 hours ago

Aulos it is then!

Ngraph 11 hours ago

CPAP user here, and "have you tried taking up the didgeridoo" is comfortably the best sentence I've ever read in a medical journal. The mask works fine — it's just that I go to bed every night looking like a minor Star Wars character, so I'm very open to alternatives. And from the other comments, the didgeridoo sounds like the boring tongue exercises in a trenchcoat: same throat muscles, except you might actually keep doing it. Which is the entire problem with the tongue exercises. Study was moderate apnea so I'm keeping the machine. But I am absolutely buying a didgeridoo and becoming insufferable about it. My household has been notified.

georgemcbay 12 hours ago

There are also various simple tongue and throat exercises that can improve your sleep apnea that would generally be better tolerated by your neighbors than playing a Didgeridoo, see for example...

https://www.youtube.com/watch?v=wNscQ3bGxNk

...along with various other videos on that person's youtube channel (he's an NHS Sleep and Ear Surgeon).

Of course, there are lots of underlying causes of sleep apnea that vary between people, so what helps one person may or may not be relevant for others. Seeing a doctor in the field should be your first step if you suspect you are suffering from sleep apnea.

defrost 12 hours ago

If your neighbour plays the banjo, invite them over: https://www.youtube.com/watch?v=sr3iI8gg2fo

Two wrongs can make a right.

_puk 12 hours ago

45 seconds of didge, and then be puts it down!

Hope he sleeps well tonight!

defrost 12 hours ago

gramie 5 hours ago

Not really related, but worth repeating: there's an old saying, "A gentleman is one who knows how to play the accordion, but doesn't".

philiplu 12 hours ago

Thx for linking that. Just … wow

darylteo 10 hours ago

Some might, in fact, call it the Didgeridon't

worthless-trash 12 hours ago

Jokes on you, my neighbours already play the digeriedoo.

damnitbuilds 2 hours ago

I played with my didgeridoo 3 times a day for ten years and it cured my snoring. But I went blind.

jojobas 11 hours ago

Looks like there was no placebo group? Don't know what that could be, something silly like otamatone lessons.

RobotToaster 10 hours ago

A placebo didgeridoo, otherwise known as a didgeridon't

askvictor 8 hours ago

RTFA? "Participants in the control group remained on the waiting list for lessons"

gblargg 7 hours ago

That's not a placebo. A placebo would be learning to play some other instrument like a piano, that doesn't involve breath. I also RTFA and saw no mention of any meaningful control group. For all they know the effects would come from learning any instrument, or just going to regular classes, or...

nephihaha 9 hours ago

Now I want to hear about the possible effects of ukulele playing on scoliosis.

brador 6 hours ago

Anything except just losing weight.

You know who doesn’t have sleep apnea? Skinny people. I mean wafer thin. They only get it from actual constructive nasal obstruction.

christophilus 5 hours ago

Not true. I know very fit, very skinny triathletes who have sleep apnea.

elric 3 hours ago

Oh not this nonsense again. Plenty of "wafer thin" people have obstructive sleep apnea. There are lots of factors that contribute to sleep apnea, from big tonsils to hormones to muscle tone to tongue size. Weight is not the issue.

Hydraulix989 6 minutes ago

Skinny person with OSA here and three corrective jaw surgeries from world-expert sleep surgeons. You won't believe how many GPs told me to my face that it was impossible for me to have sleep apnea because I'm thin. Then the sleep study results came in with 30 AHI (severe range).

vasco 12 hours ago

> The randomisation list was concealed from the recruiting physicians and the didgeridoo instructor in an administrative office otherwise not involved in the study. We used a central telephone service, which the didgeridoo instructor used to obtain group allocation.

Oh, did you make use of the central telephone service did you? You didn't send the list by carrier pigeons?