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Posted by kelseyfrog 2 days ago

Didgeridoo playing as alternative treatment for obstructive sleep apnoea (2006)(pmc.ncbi.nlm.nih.gov)
266 points | 126 comments
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.
mrob 20 minutes ago||
>One normally starts on the chanter, which is more like a recorder

In the case of the Great Highland bagpipes, the most similar traditional instrument is the rauschpfeife (capped double-reed with conical bore and without prominent bell):

https://en.wikipedia.org/wiki/Rauschpfeife

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.
samrivera 2 hours ago||
[flagged]
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 8 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 7 hours ago||
Made me laugh. Thank you.
yuppiepuppie 8 hours ago|||
They objected to the Paper Straw Mandate
fuzzy_biscuit 1 hour ago|||
Aluminum straw is the clear and superior alternative
Roark66 5 hours ago|||
A very good reason. I refuse to use paper straws. They are disgusting (it feels like sucking on a piece of printer paper).

Don't get me wrong. I try to remove plastics in all areas of my life as well (because of microplastics), but can't they coat the surface in some biodegradable polymer like PHA/PBS?

Or if this is too expensive coat it with some beeswax at the very least...

pegasus 4 hours ago||
Try bamboo straws, they work very well and are as green as it gets.
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 3 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||
I’m the same way. Getting good sleep is my best predictor of whether I’ll blow a weight loss attempt or skip exercise.
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.

s5300 34 minutes ago||
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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|||
Yes. Someone who masters circular breathing in a weekend should start playing a wind instrument.
mswphd 1 hour ago||||
circular breathing is useful for other instruments as well, though it's not typically a technique that's necessary until you get to fairly high levels.
mindok 5 hours ago|||
50mm/2” PVC pipe with a bit of beeswax on the end to protect your lips is a quick way to test out whether you want to spend the time to track down a proper didgeridoo.
Ifkaluva 3 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.

s5300 31 minutes ago||
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kjs3 1 hour 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 8 hours ago||
I just made a test with one of the AI: It seems there is some evidence in there, sounds like mainly you are strengthening the muscles around your throat with that technique and this then can reduce sleap apnea a little bit.
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 6 hours ago||
Seems related to our aquatic mammal past.
data-ottawa 45 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.

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|||
One a friend and I hooked ourselves up to continuous pulse oximetry and had a contest to get the lowest recorded oxygen level. We tried everything we could think of, from just holding our breath to end-expiratory breath holding to hyperventilating to clear O2 (I used to do some recreational free-diving) beforehand to exercising (jumping jacks)...

Neither of us could get it below 98%, and this was at a mile of elevation (UNMH in Albuquerque).

sigmoid10 2 hours ago|||
It is pretty easy if you use the Wim Hof method. Breathe deep and fast for a few minutes, to the point where you get dizzy or feel weird sensations. Then exhale and stop breathing while being fully relaxed. I've done this while hooked to a pulse oximeter and it takes quite a while before O2 actually starts dropping (especially because the effect can be delayed in your limbs), but once it starts you'll pretty quickly run into the regime where a normal oxi will start an alarm because O2 is too low. You can even go below 85% without losing consciousness, because your limbs will desaturate faster than your brain. It's also not uncomfortable, because rising CO2 is what causes breathing reflex, but you dropped its levels far below the threshold by hyperventilating first.
stoorafa 24 minutes ago||||
Can’t claim to know for sure, but I’d assume some kind of measurement limitations: the resolution and upper/lower limits of pulse ox are probably calibrated to some medical need, not to detect changes beyond what’s medically necessary
ambicapter 2 hours ago|||
I got a pulse oximeter during COVID and was able to get my O2 levels to spike down to 64% using Wim Hof breathing (for less than a second, ofc).
jcul 7 hours ago||||
If you've ever done the wim hof breathing method, it is a very intense experience.

Basically hyperventilation + long breath holds. Probably similar to what free divers do without the mammalian dive reflex due to the cold water. Or like a dangerous game kids used to do when I was in school where you hyperventilate and then have someone press on your chest until you pass out.

But anyway, I'm not sure if the science would back it up, but Wim Hof describes it as over oxygenating the blood and then stopping and letting CO2 ramp up or something. Whether it is significantly dropping the CO2 or increasing oxygen during the hyperventilation phase, isn't it kind of the same thing? Adjusting the ratio.

Anecdotally, when I was doing it regularly I seemed to not get sick at all.

cenamus 7 hours ago||||
No it would stay at pretty much 100% (as is normal). But co2 goes down, which lessens the ability of oxygen to come out of the blood. That's why you get dizzy when hyperventilating
thfuran 6 hours ago||||
Blood oxygen saturation is always near 100% in a healthy person. 95% is the low end of normal. Dropping to 90% is considered hypoxemia, and 80% is a medical emergency. So there really shouldn’t be any room to increase it significantly.
n8henrie 4 hours ago|||
In many people a momentary drop to the 80s or even below is not an emergency or anything close to it. Not saying that it is good. Someone that is awake, sitting up, and struggling to breathe should be considered an emergency regardless of oxygen levels (and in this situation 80% would be very concerning).

EDIT: your comment is otherwise entirely correct, particularly at sea level.

TylerE 3 hours ago|||
90% you should really be traveling to see someone. At least an urgent care, if not an ER.
TylerE 6 hours ago|||
Nope. The blood is already fully saturated with oxygen (in a healthy-ish person) at rest. Even intensely breathing pure o2 can't give you a saturation higher than 100%.
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 5 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||||
https://www.youtube.com/watch?v=ZiqEhJJqtbc
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

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.
sph 8 hours ago||
Sorry to hear that! You must be using an unapproved browser.

Please contact your nearest Cloudflare ChildProtect™ agency to request a one year license to browse the internet. You will be asked to provide a government ID card or equivalent.

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.
sam-cop-vimes 5 hours ago||
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||
So I fired up Developer Tools to see what was happening...and the site just loaded. I am so confused.
galangalalgol 6 hours ago||
Firefox on android with ublock origin didn't hit any captchas. I wonder what triggers them?
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 :)
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