Some people require a suction device for adequate removal of secretions. A slow rhythmic back rub or a light massage of aching muscles promotes relaxation. One exercise for reducing stress is deep abdominal breathing. Soft music or reassuring conversation can promote sleep. If these methods do not help insomnia, and attention is required by a carer during the night, it may be helpful to employ a night assistant to prevent carer burnout.
Sleep apnoea is the temporary cessation of breathing while sleeping.
This may cause wakefulness, as the disruption of the oxygen supply wakes the person to resume normal breathing. Many people with MND have decreased lung capacity because of muscle weakness. Any activity that requires increased respiratory effort will have an abnormal effect on a person with MND . This may be exacerbated by an ineffective cough that makes it difficult to clear the airway of mucus and saliva, and can result in lung infections. Some people with MND also experience the feeling of not being able to get enough air, rather like the sensation of being in an overcrowded room.