Please use this identifier to cite or link to this item: https://repositorio.unifesp.br/handle/11600/54684
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dc.contributor.authorDiaferia, Giovana [UNIFESP]
dc.contributor.authorSantos-Silva, Rogerio [UNIFESP]
dc.contributor.authorTruksinas, Eveli [UNIFESP]
dc.contributor.authorHaddad, Fernanda L. M. [UNIFESP]
dc.contributor.authorSantos, Renata [UNIFESP]
dc.contributor.authorBommarito, Silvana [UNIFESP]
dc.contributor.authorGregorio, Luiz C. [UNIFESP]
dc.contributor.authorTufik, Sergio [UNIFESP]
dc.contributor.authorBittencourt, Lia [UNIFESP]
dc.date.accessioned2020-07-17T14:02:12Z
dc.date.available2020-07-17T14:02:12Z
dc.date.issued2017
dc.identifierhttp://dx.doi.org/10.1007/s11325-016-1429-6
dc.identifier.citationSleep And Breathing. Heidelberg, v. 21, n. 2, p. 387-395, 2017.
dc.identifier.issn1520-9512
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54684
dc.description.abstractFew studies have investigated myofunctional therapy in patients with obstructive sleep apnea syndrome (OSAS). The objective of this study was to evaluate the effect of myofunctional therapy on continuous positive airway pressure (CPAP) adherence. The study was registered at (NCT01289405). Male patients with OSAS were randomly divided into four treatment groups: placebo, patients undergoing placebo myofunctional therapy (N = 24)en
dc.description.abstractmyofunctional therapy, undergoing myofunctional therapy (N = 27)en
dc.description.abstractCPAP, undergoing treatment with CPAP (N = 27)en
dc.description.abstractand combined, undergoing CPAP therapy and myofunctional therapy (N = 22). All patients underwent evaluations before and after 3 months of treatment evaluation and after 3 weeks of washout. Evaluations included Epworth sleepiness scale (ESS), polysomnography, and myofunctional evaluation. The 100 men had a mean age of 48.1 +/- 11.2 years, body mass index of 27.4 +/- 4.9 kg/m(2), ESS score of 12.7 +/- 3.0, and apnea-hypopnea index (AHI) of 30.9 +/- 20.6. All treated groups (myofunctional therapy, CPAP, and combined myofunctional therapy with CPAP) showed decreased ESS and snoring, and the myofunctional therapy group maintained this improvement after the "washout" period. AHI reduction occurred in all treated groups and was more significant in CPAP group. The myofunctional therapy and combined groups showed improvement in tongue and soft palate muscle strength when compared with the placebo group. The association of myofunctional therapy to CPAP (combined group) showed an increased adherence to CPAP compared with the CPAP group. Our results suggest that in patients with OSAS, myofunctional therapy may be considered as an adjuvant treatment and an intervention strategy to support adherence to CPAP.en
dc.description.sponsorshipAssociacao Fundo de Incentivo a Pesquisa-AFIP
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)
dc.format.extent387-395
dc.language.isoeng
dc.publisherSpringer Heidelberg
dc.relation.ispartofSleep And Breathing
dc.rightsAcesso restrito
dc.subjectObstructive sleep apneaen
dc.subjectTreatmenten
dc.subjectMyofunctional therapyen
dc.subjectContinuous positive airway pressureen
dc.subjectPolysomnographyen
dc.titleMyofunctional therapy improves adherence to continuous positive airway pressure treatmenten
dc.typeArtigo
dc.description.affiliationUniv Fed Sao Paulo, Dept Psicobiol, Disciplina Med & Biol Sono, Rua Napoleao de Barros 925, BR-04024002 Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Otorrinolaringol & Cirurgia Cabeca & Pescoco, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Fonoaudiol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Psicobiol, Disciplina Med & Biol Sono, Rua Napoleao de Barros 925, BR-04024002 Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Otorrinolaringol & Cirurgia Cabeca & Pescoco, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Fonoaudiol, Sao Paulo, Brazil
dc.identifier.doi10.1007/s11325-016-1429-6
dc.description.sourceWeb of Science
dc.identifier.wosWOS:000400006800020
dc.coverageHeidelberg
dc.citation.volume21
dc.citation.issue2
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Artigo
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