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Upper Airway Resistance

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What is Upper Airway Resistance?

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Upper Airway Resistance or UARS is when the soft tissues of your throat collapse and impede airflow while you sleep. UARS is a sleep disorder similar to obstructive sleep apnea, but not as severe. Patients with UARS often have trouble sleeping and daytime sleepiness. The main difference between the two sleep disorders is that most people with UARS usually do not have pauses or decreased breathing & oxygen levels. Most people with UARS are often average weight, while people with sleep apnea can, but not always, be overweight or obese. Untreated UARS can lead to OSA (obstructive sleep apnea).

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What are symptoms

of UARS?

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Fatigue
Poor Sleep
Anxiety
Depression
Memory or Thinking Issues
Excessive Daytime Sleepiness
Difficulty Falling Asleep

Clenching and/or Grinding
Insomnia
Waking up Unrefreshed
Headaches
Heartburn
Diarrhea

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What causes UARS?

UARS can be caused by a narrow airway, tissue collapse in the throat, and/or the tongue falling into the back of the throat. These issues make it more difficult to breathe. When you are having difficulty breathing while you are asleep, the brain knows it and creates arousals to stimulate breathing. These arousals do not cause a person to fully wake up. However, they do lead to fragmented sleep and contribute to daytime sleepiness.

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How is UARS

diagnosed?

The diagnosis of UARS is based on findings on a polysomnogram, or sleep study. UARS patients will have very few apneas and hypopneas, but many breathing related arousals. Thus, many patients who receive sleep studies may receive a negative result, even if they have UARS. They can often be diagnosed with other health conditions.

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What is the

treatment for UARS?

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Behavior Modification
Medications
Orofacial Myofunctional Therapy
Oral Appliances
CPAP
Surgery

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References

Corrêa, C. C., & Berretin-Felix, G. (2015). Myofunctional therapy applied to upper airway resistance syndrome: a case report. Codas, 27(6), 604-9. https://pubmed.ncbi.nlm.nih.gov/26691626/

Marks, J. (2021). What is Upper Resistance Syndrome? WebMD. https://www.webmd.com/sleep-disorders/upper-airway-resistance-syndrome-uars

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