Fascial Mobilization Along the Vagus Nerve and Its Effects on Acute Physiological Parameters in Obstructive Sleep Apnea

Exclusion Criteria

• •Patients with uncontrolled hypertension.
• •Patients with advanced heart failure, severe arrhythmia, or asthma.
• •Patients with coronary artery disease.
• •Patients with a history of cerebrovascular disease.
• •Patients with chronic obstructive pulmonary disease (COPD).
• •Patients with interstitial lung disease.
• •Patients with epilepsy, Parkinson's disease, or dementia.
• •Patients with major depressive disorder or anxiety disorder.
• •Patients with a body mass index (BMI) \> 40 kg/m².
• •Patients with a history of major surgery in the cervical region (e.g., thyroidectomy, cervical disc surgery) or vagus nerve injury.
• •Patients with acute infection, skin lesions, or inflammatory disease in the neck/thoracic region.
• •Patients currently using CPAP, BiPAP, or oral appliances.
• •Patients with narcolepsy, insomnia, or parasomnia.
• •Patients with alcohol use or taking sedative/hypnotic medications.
• •Patients with night-shift work schedules or irregular sleep patterns.
• •Pregnant or breastfeeding women.
• •Patients with cognitive impairment preventing adherence to the study protocol.
• •Patients with severe musculoskeletal limitations (e.g., in the cervical/thoracic region) that would prevent mobilization.