Obstructive sleep apnea: focus on myofunctional therapy

Cláudia Maria de Felício,1,2 Franciele Voltarelli da Silva Dias,1,2 Luciana Vitaliano Voi Trawitzki1,2 1Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeir&at...

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Autores principales:	de Felício CM, da Silva Dias FV, Trawitzki LVV
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	sleep-disordered breathing myofunctional therapy oropharingeal exercises speech therapy oral motor exercises Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/82941276632846c3bda24a7652cc8956
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spelling	oai:doaj.org-article:82941276632846c3bda24a7652cc89562021-12-02T06:46:25ZObstructive sleep apnea: focus on myofunctional therapy1179-1608https://doaj.org/article/82941276632846c3bda24a7652cc89562018-09-01T00:00:00Zhttps://www.dovepress.com/obstructive-sleep-apnea-focus-on-myofunctional-therapy-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Cláudia Maria de Felício,1,2 Franciele Voltarelli da Silva Dias,1,2 Luciana Vitaliano Voi Trawitzki1,2 1Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil; 2Craniofacial Research Support Center, University of São Paulo (USP), Ribeirão Preto, Brazil Purpose: Orofacial myofunctional therapy (OMT) is a modality of treatment for children and adults with obstructive sleep apnea (OSA) to promote changes in the musculature of the upper airways. This review summarizes and discusses the effects of OMT on OSA, the therapeutic programs employed, and their possible mechanisms of action.Methods: We conducted an online literature search using the databases MEDLINE/PubMed, EMBASE, and Web of Science. Search terms were “obstructive sleep apnea” in combination with “myofunctional therapy” OR “oropharyngeal exercises” OR “speech therapy”. We considered original articles in English and Portuguese containing a diagnosis of OSA based on polysomnography (PSG). The primary outcomes of interest for this review were objective measurement derived from PSG and subjective sleep symptoms. The secondary outcome was the evaluation of orofacial myofunctional status.Results: Eleven studies were included in this review. The studies reviewed reveal that several benefits of OMT were demonstrated in adults, which include significant decrease of apnea–hypopnea index (AHI), reduced arousal index, improvement in subjective symptoms of daytime sleepiness, sleep quality, and life quality. In children with residual apnea, OMT promoted a decrease of AHI, increase in oxygen saturation, and improvement of orofacial myofunctional status. Few of the studies reviewed reported the effects of OMT on the musculature.Conclusion: The present review showed that OMT is effective for the treatment of adults in reducing the severity of OSA and snoring, and improving the quality of life. OMT is also successful for the treatment of children with residual apnea. In addition, OMT favors the adherence to continuous positive airway pressure. However, randomized and high-quality studies are still rare, and the effects of treatment should also be analyzed on a long-term basis, including measures showing if changes occurred in the musculature. Keywords: sleep-disordered breathing, myofunctional therapy, oropharyngeal exercises, speech therapy, oral motor exercisesde Felício CMda Silva Dias FVTrawitzki LVVDove Medical Pressarticlesleep-disordered breathingmyofunctional therapyoropharingeal exercisesspeech therapyoral motor exercisesPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 10, Pp 271-286 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep-disordered breathing myofunctional therapy oropharingeal exercises speech therapy oral motor exercises Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep-disordered breathing myofunctional therapy oropharingeal exercises speech therapy oral motor exercises Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 de Felício CM da Silva Dias FV Trawitzki LVV Obstructive sleep apnea: focus on myofunctional therapy
description	Cláudia Maria de Felício,1,2 Franciele Voltarelli da Silva Dias,1,2 Luciana Vitaliano Voi Trawitzki1,2 1Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil; 2Craniofacial Research Support Center, University of São Paulo (USP), Ribeirão Preto, Brazil Purpose: Orofacial myofunctional therapy (OMT) is a modality of treatment for children and adults with obstructive sleep apnea (OSA) to promote changes in the musculature of the upper airways. This review summarizes and discusses the effects of OMT on OSA, the therapeutic programs employed, and their possible mechanisms of action.Methods: We conducted an online literature search using the databases MEDLINE/PubMed, EMBASE, and Web of Science. Search terms were “obstructive sleep apnea” in combination with “myofunctional therapy” OR “oropharyngeal exercises” OR “speech therapy”. We considered original articles in English and Portuguese containing a diagnosis of OSA based on polysomnography (PSG). The primary outcomes of interest for this review were objective measurement derived from PSG and subjective sleep symptoms. The secondary outcome was the evaluation of orofacial myofunctional status.Results: Eleven studies were included in this review. The studies reviewed reveal that several benefits of OMT were demonstrated in adults, which include significant decrease of apnea–hypopnea index (AHI), reduced arousal index, improvement in subjective symptoms of daytime sleepiness, sleep quality, and life quality. In children with residual apnea, OMT promoted a decrease of AHI, increase in oxygen saturation, and improvement of orofacial myofunctional status. Few of the studies reviewed reported the effects of OMT on the musculature.Conclusion: The present review showed that OMT is effective for the treatment of adults in reducing the severity of OSA and snoring, and improving the quality of life. OMT is also successful for the treatment of children with residual apnea. In addition, OMT favors the adherence to continuous positive airway pressure. However, randomized and high-quality studies are still rare, and the effects of treatment should also be analyzed on a long-term basis, including measures showing if changes occurred in the musculature. Keywords: sleep-disordered breathing, myofunctional therapy, oropharyngeal exercises, speech therapy, oral motor exercises
format	article
author	de Felício CM da Silva Dias FV Trawitzki LVV
author_facet	de Felício CM da Silva Dias FV Trawitzki LVV
author_sort	de Felício CM
title	Obstructive sleep apnea: focus on myofunctional therapy
title_short	Obstructive sleep apnea: focus on myofunctional therapy
title_full	Obstructive sleep apnea: focus on myofunctional therapy
title_fullStr	Obstructive sleep apnea: focus on myofunctional therapy
title_full_unstemmed	Obstructive sleep apnea: focus on myofunctional therapy
title_sort	obstructive sleep apnea: focus on myofunctional therapy
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/82941276632846c3bda24a7652cc8956
work_keys_str_mv	AT defeliciocm obstructivesleepapneafocusonmyofunctionaltherapy AT dasilvadiasfv obstructivesleepapneafocusonmyofunctionaltherapy AT trawitzkilvv obstructivesleepapneafocusonmyofunctionaltherapy
_version_	1718399761592090624

Obstructive sleep apnea: focus on myofunctional therapy

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