Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach.
apraxia
exercise
myofunctional therapy
obstructive sleep apnoea-hypopnoea syndrome
oropharynx
sleep apnoea
stereognosis
Journal
Journal of oral rehabilitation
ISSN: 1365-2842
Titre abrégé: J Oral Rehabil
Pays: England
ID NLM: 0433604
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
revised:
21
07
2021
received:
15
11
2020
accepted:
12
08
2021
pubmed:
20
8
2021
medline:
12
11
2021
entrez:
19
8
2021
Statut:
ppublish
Résumé
To evaluate tone, apraxia and stereognosis dysfunctions in patients with SDB compared with healthy controls, and to monitor the effectiveness of Airway Gym This was a prospective, non-randomised pilot study of 25 patients with moderate to severe obstructive sleep apnoea-hypopnoea syndrome (OSAHS), 25 patients with primary snoring (PS) and 20 healthy controls. Qualitative and quantitative instruments-Iowa Oral Performance Instrument (IOPI), lingual apraxia and stereognosis tests were used to assess tongue sensorimotor function. 22 patients with PS, 21 with OSAHS and all 20 controls ended the therapy. In OSAHS, the Epworth Sleepiness Scale score decreased from 16 ± 7.3 to 12 ± 4.5 after therapy (p = 0.53). In PS and OSAHS groups, the IOPI scores increased significantly. These measures did not change significantly in the controls. Lingual apraxia testing showed that controls performed all the manoeuvres, whereas PS 5.6 ± 1.4 and OSAHS 4.5 ± 1.9 (p = 0.14). In the stereognosis test, the mean number of figures recognised was 2.6 ± 2.2 in OSAHS, 3.3±1.2 in PS and 5.7±0.9 in control group (p < 0.05). Patients with OSAHS recognised circles and ovals less often. Using the Airway Gym
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1363-1372Informations de copyright
© 2021 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.
Références
Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol. 2013;177(9):1006-1014.
Malhotra A, Fogel RB, Edwards JK, Shea SA, White DP. Local mechanisms drive genioglossus activation in obstructive sleep apnea. Am J Respir Crit Care Med. 2000;161(5):1746-1749.
White DP. Pathogenesis of obstructive and central sleep apnea. Am J Respir Crit Care Med. 2005;172(11):1363-1370.
Remmers JE, deGroot WJ, Sauerland EK, Anch AM. Pathogenesis of upper airway occlusion during sleep. J Appl Physiol. 1978;44(6):931-938.
Guilleminault C, Huang YS, Quo S. Apraxia in children and adults with obstructive sleep apnea syndrome. Sleep. 2019;42(12):zsz168.
Hanning CD. Laryngeal and velopharyngeal sensory impairment in obstructive sleep apnea. Sleep. 2005;28(10):1335.
De Felício CM, da Silva Dias FV, Trawitzki LV. Obstructive sleep apnea: focus on myofunctional therapy. Nat Sci Sleep. 2018;10:271-286.
Guimarães KC, Drager LF, Genta PR, Marcondes BF, Lorenzi-Filho G. Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome. Am J Respir Crit Care Med. 2009;179(10):962-966.
Ieto V, Kayamori F, Montes MI, et al. Effects of oropharyngeal exercises on snoring: a randomized trial. Chest. 2015;148(3):683-691.
Diaféria G, Santos-Silva R, Truksinas E, et al. Myofunctional therapy improves adherence to continuous positive airway pressure treatment. Sleep Breath. 2017;21(2):387-395.
Camacho M, Guilleminault C, Wei JM, et al. Oropharyngeal and tongue exercises(myofunctional therapy) for snoring: a systematic review and meta-analysis. Eur Arch Otorhinolaryngol. 2018;275(4):849-855.
Villa MP, Evangelisti M, Martella S, Barreto M, Del Pozzo M. Can myofunctional therapy increase tongue tone and reduce symptoms in children with sleep-disordered breathing? Sleep Breath. 2017;21(4):1025-1032.
De Felício CM, da Silva Dias FV, Folha GA, et al. Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofunctional therapy. Int J Pediatr Otorhinolaryngol. 2016;90:5-11.
O’Connor-Reina C, Plaza G, Garcia-Iriarte MT, et al. Tongue peak pressure a tool to aid in the identification of obstruction sites in patients with obstructive sleep apnea/hypopnea syndrome. Sleep Breath. 2020;24:281-286.
Buterbaugh J, Wynstra C, Provencio N, et al. Cerebrovascular reactivity in young subjects with sleep apnea. Sleep. 2015;38(2):241-250.
Aman JE, Elangovan N, Yeh IL, Konczak J. The effectiveness of proprioceptive training for improving motor function: a systematic review. Front Hum Neurosci. 2015;8:1075.
O’Connor-Reina C, Ignacio-Garcia JM, Rodriguez-Ruiz E, et al. Myofunctional therapy app for severe apnea-hypopnea sleep obstructive syndrome: a pilot randomized controlled trial. JMIR Mhealth Uhealth. 2020: 23123(in press). 10.2196/23123. URL: https://preprints.jmir.org/preprint/23123
O’Connor-Reina C, García-Iriarte MT, Casado-Morente JC, et al. New app “Apnea Bye” increases adherence in myofunctional therapy to treat sleep disordered breathing. Otolaryngol Head Neck Surg. 2018;159:32
O’Connor-Reina C, Plaza G, Ignacio-García JM, et al. New mHealth application software based on myofunctional therapy applied to sleep-disordered breathing in non-compliant subjects. Sleep Sci Pract. 2020;4(3):1-10.
Steele CM, Bayley MT, Peladeau-Pigeon M, et al. A randomized trial comparing two tongue-pressure resistance training protocols for post-stroke dysphagia. Dysphagia. 2016;31(3):452-461.
Marchesan I. Lingual frenulum protocol. Int J Orofac Myol. 2012;38:89-103.
Beamont KG, Gokhale A, Heaphy N. Temporomandibular Disorder: a practical guide por dental practitioners in diagnosis and management. Aust Dent J. 2020. 10.1111/adj.12785.
Chiner E, Arriero JM, Signes-Costa J, Marco J, Fuentes I. Validation of the Spanish version of the Epworth Sleepiness Scale in patients with a sleep apnea syndrome. Arch Bronconeumol. 1999;35(9):422-427.
Larrosa F, Roura J, Dura MJ, Guirao M, Alberti A, Alobid I. Adaptation and validation of the Spanish version of the Nasal Obstruction Symptom Evaluation(NOSE) scale. Rhinology. 2015;53(2):176-180.
Robin DA, Luschei ES. IOPI: Iowa Oral Performance Instrument Reference Manual. Breakthrough; 1992.
Berry RB, Gamaldo CE, Harding SM, et al. AASM Scoring Manual Version 2.2 Updates: New chapters for scoring infant sleep staging and home sleep apnea testing. J Clin Sleep Med. 2015;11(11):1253-1254.
Eckert DJ. Phenotypic approaches to obstructive sleep apnoea - new pathways for targeted therapy. Sleep Med Rev. 2018;37:45-59.
Komoda Y, Iida T, Kothari M, et al. Repeated tongue lift movement induces neuroplasticity in corticomotor control of tongue and jaw muscles in humans. Brain Res. 2015;1627:70-79.
Adams V, Mathisen B, Baines S, Lazarus C, Callister R. A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI). Dysphagia. 2013;28(3):350-369.
Clark HM, Solomon NP. Age and sex differences in orofacial strength. Dysphagia. 2012;27(1):2-9.
Youmans SR, Stierwalt JAG. Measures of tongue function related to swallowing. Dysphagia. 2006;21(2):102-111.
Adams V, Mathisen B, Baines S, Lazarus C, Callister R. Reliability of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument with healthy adults. Dysphagia. 2014;29(1):83-95.
Arakawa I, Abou-Ayash S, Genton L. Reliability and comparability of methods for assessing oral function: Chewing, tongue pressure and lip force. J Oral Rehabil. 2020;47:862-871.
O’Connor-Reina C, Plaza Mayor G, Ignacio-Garcia JM, et al. Floppy closing door epiglottis treated successfully with an Mhealth application based on myofunctional therapy: a case report. Case Rep Otolaryngol. 2019;2019:4157898.
Mario Diaz S, Ana Salazar C, Felipe Bravoi G, Ocampo-Garcés A. Tratamiento del síndrome de apneas e hipopneas obstructivas del sueño con terapia miofuncional orofaríngea: Experiencia en hospital público de Chile. Rev Otorrinolaringol Cir Cabeza Cuello. 2019;79(4):395-403.
Marín JM, Kimoff JR, Cosio MG. Obstructive sleep apnea syndrome and its treatment by continuous nasal positive air pressure. Arch Bronconeumol. 1990;26(6):255-261.
Wang SH, Keenan BT, Wiemken A, et al. Effect of weight loss on upper airway anatomy and the apnea-hypopnea index. The importance of tongue fat. Am J Respir Crit Care Med. 2020;201(6):718-727.