Myofunctional therapy improves adherence to continuous positive airway pressure treatment

Myofunctional therapy improves adherence to continuous positive airway pressure treatment

Author Diaferia, Giovana Autor UNIFESP Google Scholar
Santos-Silva, Rogerio Autor UNIFESP Google Scholar
Truksinas, Eveli Autor UNIFESP Google Scholar
Haddad, Fernanda L. M. Autor UNIFESP Google Scholar
Santos, Renata Autor UNIFESP Google Scholar
Bommarito, Silvana Autor UNIFESP Google Scholar
Gregorio, Luiz C. Autor UNIFESP Google Scholar
Tufik, Sergio Autor UNIFESP Google Scholar
Bittencourt, Lia Autor UNIFESP Google Scholar
Abstract Few 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)

myofunctional therapy, undergoing myofunctional therapy (N = 27)

CPAP, undergoing treatment with CPAP (N = 27)

and 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.
Keywords Obstructive sleep apnea
Treatment
Myofunctional therapy
Continuous positive airway pressure
Polysomnography
xmlui.dri2xhtml.METS-1.0.item-coverage Heidelberg
Language English
Sponsor Associacao Fundo de Incentivo a Pesquisa-AFIP
Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)
Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)
Date 2017
Published in Sleep And Breathing. Heidelberg, v. 21, n. 2, p. 387-395, 2017.
ISSN 1520-9512 (Sherpa/Romeo, impact factor)
Publisher Springer Heidelberg
Extent 387-395
Origin http://dx.doi.org/10.1007/s11325-016-1429-6
Access rights Closed access
Type Article
Web of Science ID WOS:000400006800020
URI https://repositorio.unifesp.br/handle/11600/54684

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