Inspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial

José Carlos Nogueira Nóbrega-Júnior,1 Armèle Dornelas de Andrade,2 Erika Alves Marinho de Andrade,2 Maria do Amparo Andrade,2 Alice Santana Valadares Ribeiro,3 Rodrigo Pinto Pedrosa,4 Ana Paula de Lima Ferreira,2 Anna Myrna Jaguaribe de Lima2,5 1Department...

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Autores principales:	Nóbrega-Júnior JCN, Dornelas de Andrade A, Andrade EAM, Andrade MA, Ribeiro ASV, Pedrosa RP, Ferreira APL, Lima AMJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	adjuvant therapy respiratory exercises obstructive sleep apnea symptoms exercise training. Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/8b969bf550f34e4c9ff6a94ead10bb1e
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spelling	oai:doaj.org-article:8b969bf550f34e4c9ff6a94ead10bb1e2021-12-02T13:02:00ZInspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial1179-1608https://doaj.org/article/8b969bf550f34e4c9ff6a94ead10bb1e2020-12-01T00:00:00Zhttps://www.dovepress.com/inspiratory-muscle-training-in-the-severity-of-obstructive-sleep-apnea-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608José Carlos Nogueira Nóbrega-Júnior,1 Armèle Dornelas de Andrade,2 Erika Alves Marinho de Andrade,2 Maria do Amparo Andrade,2 Alice Santana Valadares Ribeiro,3 Rodrigo Pinto Pedrosa,4 Ana Paula de Lima Ferreira,2 Anna Myrna Jaguaribe de Lima2,5 1Department of Physical Therapy, Facottur Faculty, Olinda, Pernambuco, Brazil; 2Department of Physical Therapy Federal University of Pernambuco, Recife, Pernambuco, Brazil; 3Department of Rehabilitation, Hospital Otávio de Freitas, Recife, Pernambuco, Brazil; 4Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE)- University of Pernambuco, Recife, Pernambuco, Brazil; 5Department of Morphology and Animal Physiology, Federal Rural University of Pernambuco, Recife, Pernambuco, BrazilCorrespondence: Anna Myrna Jaguaribe de LimaFederal Rural University of Pernambuco, Rua Manoel de Medeiros, s/n - Dois Irmãos, Recife, PE 52171-900, Brazil+55 81 3320-6475Email anna.myrna@ufrpe.brPurpose: Exercise programs have been considered as an adjuvant treatment in obstructive sleep apnea (OSA). However, few studies have focused on the effects of the inspiratory muscle training (IMT) in reducing the severity and the symptoms of OSA.Patients and Methods: A randomized controlled trial was conducted and approved by the local Ethics Committee. All subjects signed the informed consent form and were randomized into 2 groups: a) IMT group (n = 8), 8 weeks of IMT with 75% of maximal inspiratory pressure (MIP) and b) placebo group (n = 8): subjects performed IMT without load.Results: IMT group showed reduction in the apnea–hypopnea index (AHI) (p = 0.01), in the Berlin questionnaire score (p = 0.001) and an increase in inspiratory muscle strength (p = 0.018). IMT group demonstrated a reduction in the AHI (31.7 ± 15.9 events/h vs 29.9 ± 15.8 events/h; p < 0.001), in the Berlin questionnaire scores (2.6 ± 0.5 vs 1.2 ± 0.5; p = 0.016), Pittsburgh Sleep Quality Index (PSQI) score (7.2 ± 3.6 vs 3.7 ± 1.3; p = 0.008), in the Epworth Sleepiness Scale (ESS) (12.5 ± 4.0 vs 7.7 ± 3.0; p = 0.008) and increase in MIP (83.6 ± 26.5 cmH2O and 127.9 ± 32.5 cmH2O; p = 0.010).Conclusion: The IMT promotes discrete changes in the AHI and improves sleep quality and excessive daytime sleepiness in OSA. Moreover, IMT is a cheap, useful and simple home-based training program and can be considered as an adjunct therapy for OSA patients.Keywords: adjuvant therapy, respiratory exercises, obstructive sleep apnea symptoms, exercise trainingNóbrega-Júnior JCNDornelas de Andrade AAndrade EAMAndrade MARibeiro ASVPedrosa RPFerreira APLLima AMJDove Medical Pressarticleadjuvant therapyrespiratory exercisesobstructive sleep apnea symptomsexercise training.PsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 1105-1113 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	adjuvant therapy respiratory exercises obstructive sleep apnea symptoms exercise training. Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	adjuvant therapy respiratory exercises obstructive sleep apnea symptoms exercise training. Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Nóbrega-Júnior JCN Dornelas de Andrade A Andrade EAM Andrade MA Ribeiro ASV Pedrosa RP Ferreira APL Lima AMJ Inspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial
description	José Carlos Nogueira Nóbrega-Júnior,1 Armèle Dornelas de Andrade,2 Erika Alves Marinho de Andrade,2 Maria do Amparo Andrade,2 Alice Santana Valadares Ribeiro,3 Rodrigo Pinto Pedrosa,4 Ana Paula de Lima Ferreira,2 Anna Myrna Jaguaribe de Lima2,5 1Department of Physical Therapy, Facottur Faculty, Olinda, Pernambuco, Brazil; 2Department of Physical Therapy Federal University of Pernambuco, Recife, Pernambuco, Brazil; 3Department of Rehabilitation, Hospital Otávio de Freitas, Recife, Pernambuco, Brazil; 4Sleep and Heart Laboratory, Pronto Socorro Cardiológico de Pernambuco (PROCAPE)- University of Pernambuco, Recife, Pernambuco, Brazil; 5Department of Morphology and Animal Physiology, Federal Rural University of Pernambuco, Recife, Pernambuco, BrazilCorrespondence: Anna Myrna Jaguaribe de LimaFederal Rural University of Pernambuco, Rua Manoel de Medeiros, s/n - Dois Irmãos, Recife, PE 52171-900, Brazil+55 81 3320-6475Email anna.myrna@ufrpe.brPurpose: Exercise programs have been considered as an adjuvant treatment in obstructive sleep apnea (OSA). However, few studies have focused on the effects of the inspiratory muscle training (IMT) in reducing the severity and the symptoms of OSA.Patients and Methods: A randomized controlled trial was conducted and approved by the local Ethics Committee. All subjects signed the informed consent form and were randomized into 2 groups: a) IMT group (n = 8), 8 weeks of IMT with 75% of maximal inspiratory pressure (MIP) and b) placebo group (n = 8): subjects performed IMT without load.Results: IMT group showed reduction in the apnea–hypopnea index (AHI) (p = 0.01), in the Berlin questionnaire score (p = 0.001) and an increase in inspiratory muscle strength (p = 0.018). IMT group demonstrated a reduction in the AHI (31.7 ± 15.9 events/h vs 29.9 ± 15.8 events/h; p < 0.001), in the Berlin questionnaire scores (2.6 ± 0.5 vs 1.2 ± 0.5; p = 0.016), Pittsburgh Sleep Quality Index (PSQI) score (7.2 ± 3.6 vs 3.7 ± 1.3; p = 0.008), in the Epworth Sleepiness Scale (ESS) (12.5 ± 4.0 vs 7.7 ± 3.0; p = 0.008) and increase in MIP (83.6 ± 26.5 cmH2O and 127.9 ± 32.5 cmH2O; p = 0.010).Conclusion: The IMT promotes discrete changes in the AHI and improves sleep quality and excessive daytime sleepiness in OSA. Moreover, IMT is a cheap, useful and simple home-based training program and can be considered as an adjunct therapy for OSA patients.Keywords: adjuvant therapy, respiratory exercises, obstructive sleep apnea symptoms, exercise training
format	article
author	Nóbrega-Júnior JCN Dornelas de Andrade A Andrade EAM Andrade MA Ribeiro ASV Pedrosa RP Ferreira APL Lima AMJ
author_facet	Nóbrega-Júnior JCN Dornelas de Andrade A Andrade EAM Andrade MA Ribeiro ASV Pedrosa RP Ferreira APL Lima AMJ
author_sort	Nóbrega-Júnior JCN
title	Inspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial
title_short	Inspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial
title_full	Inspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial
title_fullStr	Inspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial
title_full_unstemmed	Inspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial
title_sort	inspiratory muscle training in the severity of obstructive sleep apnea, sleep quality and excessive daytime sleepiness: a placebo-controlled, randomized trial
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/8b969bf550f34e4c9ff6a94ead10bb1e
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Inspiratory Muscle Training in the Severity of Obstructive Sleep Apnea, Sleep Quality and Excessive Daytime Sleepiness: A Placebo-Controlled, Randomized Trial

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