Effect of speech therapy as adjunct treatment to continuous positive airway pressure on the quality of life of patients with obstructive sleep apnea

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dc.contributor.authorDiaferia, Giovana [UNIFESP]
dc.contributor.authorBadke, Luciana [UNIFESP]
dc.contributor.authorSantos-Silva, Rogerio [UNIFESP]
dc.contributor.authorBommarito, Silvana [UNIFESP]
dc.contributor.authorTufik, Sergio [UNIFESP]
dc.contributor.authorBittencourt, Lia [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:31:57Z
dc.date.available2016-01-24T14:31:57Z
dc.date.issued2013-07-01
dc.description.abstractBackground: Patients with obstructive sleep apnea (OSA) exhibit reduced quality of life (QoL) due to their daytime symptoms that restricted their social activities. the available data for QoL after treatment with continuous positive airway pressure (CPAP) are inconclusive, and few studies have assessed QoL after treatment with speech therapy or other methods that increase the tonus of the upper airway muscles or with a combination of these therapies. the aim of our study was to assess the effect of speech therapy alone or combined with CPAP on QoL in patients with OSA using three different questionnaires.Methods: Men with OSA were randomly allocated to four treatment groups: placebo, 24 patients had sham speech therapy; speech therapy, 27 patients had speech therapy; CPAP, 27 patients had treatment with CPAP; and combination, 22 patients had treatment with CPAP and speech therapy. All patients were treated for 3 months. Participants were assessed before and after treatment and after 3 weeks of a washout period using QoL questionnaires (Functional Outcomes of Sleep Questionnaire [FOSQ], World Health Organization Quality of Life [WHOQoL-Bref], and Medical Outcomes Study 36-Item Short-Form Health Survey [SF-36]). Additional testing measures included an excessive sleepiness scale (Epworth sleepiness scale [ESS]), polysomnography (PSG), and speech therapy assessment.Results: A total of 100 men aged 48.1 +/- 11.2 (mean +/- standard deviation) years had a body mass index (BMI) of 27.4 +/- 4.9 kg/m(2), an ESS score of 12.7 +/- 3.0, and apnea-hypopnea index (AHI) of 30.9 +/- 20.6. After treatment, speech therapy and combination groups showed improvement in the physical domain score of the WHOQoL-Bref and in the functional capacity domain score of the SF-36.Conclusions: Our results suggest that speech therapy alone as well as in association with CPAP might be an alternative treatment for the improvement of QoL in patients with OSA. (c) 2013 Elsevier B.V. All rights reserved.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Psicobiol, Disciplina Med & Biol Sono, BR-04024002 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Fonoaudiol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Psicobiol, Disciplina Med & Biol Sono, BR-04024002 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Fonoaudiol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipAssociacao Fundo de Incentivo a Pesquisa (AFIP)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent628-635
dc.identifierhttp://dx.doi.org/10.1016/j.sleep.2013.03.016
dc.identifier.citationSleep Medicine. Amsterdam: Elsevier B.V., v. 14, n. 7, p. 628-635, 2013.
dc.identifier.doi10.1016/j.sleep.2013.03.016
dc.identifier.issn1389-9457
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/36501
dc.identifier.wosWOS:000321699400009
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofSleep Medicine
dc.rightsAcesso restrito
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectQuality of lifeen
dc.subjectObstructive sleep apneaen
dc.subjectContinuous positive airway pressureen
dc.subjectPolysomnographyen
dc.subjectSpeech therapyen
dc.subjectSleepinessen
dc.titleEffect of speech therapy as adjunct treatment to continuous positive airway pressure on the quality of life of patients with obstructive sleep apneaen
dc.typeArtigo
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