Changes in headache characteristics with oral appliance treatment for obstructive sleep apnea

Abstract Changes in headache characteristics in obstructive sleep apnea (OSA) patients following oral appliance treatment was investigated for the first time. Thirteen OSA patients with headaches treated with a mandibular advancement device were investigated. Level I polysomnography and Migraine Dis...

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Autores principales:	Ji Woon Park, Sujay Mehta, Sandra Fastlicht, Alan A. Lowe, Fernanda R. Almeida
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a5f873998dfb43c49c3596228798f45b
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spelling	oai:doaj.org-article:a5f873998dfb43c49c3596228798f45b2021-12-02T13:57:25ZChanges in headache characteristics with oral appliance treatment for obstructive sleep apnea10.1038/s41598-021-82041-62045-2322https://doaj.org/article/a5f873998dfb43c49c3596228798f45b2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82041-6https://doaj.org/toc/2045-2322Abstract Changes in headache characteristics in obstructive sleep apnea (OSA) patients following oral appliance treatment was investigated for the first time. Thirteen OSA patients with headaches treated with a mandibular advancement device were investigated. Level I polysomnography and Migraine Disability Assessment Questionnaire were completed before and after treatment. Various headache characteristics and concomitant conditions were analyzed. The patient was considered a headache responder when ≥ 30% reduction in headache frequency following treatment. Differences in headache and polysomnographic parameters were compared between headache responder groups. Eight patients (62%) were headache responders. Eleven patients (85%) before and 7 (54%) after treatment reported morning headaches. Significantly more patients had bilateral headache in the responder group before treatment (P = 0.035). The severest headache intensity (P = 0.018) at baseline showed a significant decrease in the headache responder group after treatment. The time spent in N2 (r = − 0.663, P = 0.014), REM sleep (r = 0.704, P = 0.007) and mean oxygen saturation (r = 0.566, P = 0.044) showed a significant correlation with post-treatment average headache intensity. Pre-treatment lower PLM index (r = − 0.632, P = 0.027) and higher mean oxygen saturation levels (r = 0.592, P = 0.043) were significantly correlated with higher post-treatment severest headache intensity. Treatment with an oral appliance is beneficial for many OSA patients with headaches. It should be considered as an alternative treatment in headache patients with mild to moderate OSA.Ji Woon ParkSujay MehtaSandra FastlichtAlan A. LoweFernanda R. AlmeidaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ji Woon Park Sujay Mehta Sandra Fastlicht Alan A. Lowe Fernanda R. Almeida Changes in headache characteristics with oral appliance treatment for obstructive sleep apnea
description	Abstract Changes in headache characteristics in obstructive sleep apnea (OSA) patients following oral appliance treatment was investigated for the first time. Thirteen OSA patients with headaches treated with a mandibular advancement device were investigated. Level I polysomnography and Migraine Disability Assessment Questionnaire were completed before and after treatment. Various headache characteristics and concomitant conditions were analyzed. The patient was considered a headache responder when ≥ 30% reduction in headache frequency following treatment. Differences in headache and polysomnographic parameters were compared between headache responder groups. Eight patients (62%) were headache responders. Eleven patients (85%) before and 7 (54%) after treatment reported morning headaches. Significantly more patients had bilateral headache in the responder group before treatment (P = 0.035). The severest headache intensity (P = 0.018) at baseline showed a significant decrease in the headache responder group after treatment. The time spent in N2 (r = − 0.663, P = 0.014), REM sleep (r = 0.704, P = 0.007) and mean oxygen saturation (r = 0.566, P = 0.044) showed a significant correlation with post-treatment average headache intensity. Pre-treatment lower PLM index (r = − 0.632, P = 0.027) and higher mean oxygen saturation levels (r = 0.592, P = 0.043) were significantly correlated with higher post-treatment severest headache intensity. Treatment with an oral appliance is beneficial for many OSA patients with headaches. It should be considered as an alternative treatment in headache patients with mild to moderate OSA.
format	article
author	Ji Woon Park Sujay Mehta Sandra Fastlicht Alan A. Lowe Fernanda R. Almeida
author_facet	Ji Woon Park Sujay Mehta Sandra Fastlicht Alan A. Lowe Fernanda R. Almeida
author_sort	Ji Woon Park
title	Changes in headache characteristics with oral appliance treatment for obstructive sleep apnea
title_short	Changes in headache characteristics with oral appliance treatment for obstructive sleep apnea
title_full	Changes in headache characteristics with oral appliance treatment for obstructive sleep apnea
title_fullStr	Changes in headache characteristics with oral appliance treatment for obstructive sleep apnea
title_full_unstemmed	Changes in headache characteristics with oral appliance treatment for obstructive sleep apnea
title_sort	changes in headache characteristics with oral appliance treatment for obstructive sleep apnea
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/a5f873998dfb43c49c3596228798f45b
work_keys_str_mv	AT jiwoonpark changesinheadachecharacteristicswithoralappliancetreatmentforobstructivesleepapnea AT sujaymehta changesinheadachecharacteristicswithoralappliancetreatmentforobstructivesleepapnea AT sandrafastlicht changesinheadachecharacteristicswithoralappliancetreatmentforobstructivesleepapnea AT alanalowe changesinheadachecharacteristicswithoralappliancetreatmentforobstructivesleepapnea AT fernandaralmeida changesinheadachecharacteristicswithoralappliancetreatmentforobstructivesleepapnea
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Changes in headache characteristics with oral appliance treatment for obstructive sleep apnea

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