Abstract
Purpose: to know the interventions carried out in orofacial myofunctional therapy that currently exist in adult patients diagnosed with obstructive sleep apnea. Methods: the search was carried out in Pubmed, Google Scholar, Scielo, Science Direct, Cochrane and BVS databases with the Mesh terms of “Obstructive Sleep Apnea”, “Myofunctional Therapy, and “Speech Therapy”. A total of 12 original articles were selected from 2003 to 2023 with various interventions in orofacial myofunctional therapy. Results: muscle strengthening of the upper airway, through this speech therapy intervention, generates significant benefits and improvements in the signs and symptoms of obstructive sleep apnea. In addition to subjective improvement in daytime sleepiness and sleep quality. Significant improvements were also evident in neck circumference, witnessed apnea, and snoring intensity. Conclusion: all articles in the study propose applying various interventions in myofunctional therapy and affirm improvement in the quality of nighttime sleep, influencing a decrease in daytime sleepiness, an increase in oropharyngeal muscle tone, reduction in the severity of OSAS and in general an improvement in the quality of life of the subjects investigated.References
Lv R, Liu X, Zhang Y, Dong N, Wang X, He Y,et al. Pathophysiological mechanisms and therapeutic approaches in obstructive sleep apnea syndrome. Signal Transduct Target Ther [Internet]. 2023;8(1):218. doi:10.1038/s41392-023-01496-3
Lee JJ, Sundar KM. Evaluation and management of adults with obstructive sleep apnea syndrome. Lung [Internet]. 2021;199(2):87-101. doi:10.1007/s00408-021-00426-w
Liao WJ, Song LJ, Yi HL, Guan J, Zou JY, Xu HJ, et al. Treatment choice by patients with obstructive sleep apnea: data from two centers in China. J Thorac Dis [Internet]. 2018;10(3):1941-1950. doi:10.21037/jtd.2018.03.135
Ieto V, Kayamori F, Montes MI, Hirata RP, Gregório MG, Alencar AM et al. Effects of oropharyngeal exercises on snoring: A randomized trial. Chest [Internet]. 2015;148(3):683-691doi:10.1378/chest.14-2953
Hsu B, Priya C, Grbach VX, Padilla M, Enciso R. Effects of respiratory muscle therapy on obstructive sleep apnea: A systematic review and meta-analysis. J Clin Sleep Med [Internet]. 2020;16(5):785-801. doi:10.5664/jcsm.8318
Rodin J, Fiorella M, Crippen M, Best K, Taub D, Champion A, et al. Patient referral and acceptance of maxillomandibular advancement for obstructive sleep apnea. Laryngoscope [Internet]. 2024;134(6):2964-2969. doi:10.1002/lary.31152
Verma RK, Richo J, Goyal M, Banumathy N, Goswami U, Panda NK. Oropharyngeal exercises in the treatment of obstructive sleep apnoea: Our experience. Sleep Breat [Internet]. 2016;20:1193-201. doi:10.1007/s11325-016-1332-1
Mediano O, Romero-Peralta S, Resano P, Cano-Pumarega I, Sánchez-de-la-Torre M, Castillo-García M, et al. Obstructive sleep apnea: Emerging treatments targeting the genioglossus muscle. J Clin Med [Internet]. 2019;8(10):1754. doi:10.3390/jcm8101754
Rueda JR, Mugueta-Aguinaga I, Vilaró J, Rueda-Etxebarria M. Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea. Cochrane Data Syst Rev [Internet]. 2020;11:CD013449. doi: 10.1002/14651858.CD013449.pub2
De Felicio CM, Voltarelli F da S, Vitaliano L. Obstructive sleep apnea: Focus on myofunctional therapy. Nat Sci Sleep [Internet]. 2018;10:271-286. doi: 10.2147/NSS.S141132
Guimarães KC, Drager LF, Genta PR, Marcondes BF, Lorenzi-Filho G. Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome. Am J Resp Crit Care Med [Internet]. 2009;179(10):962-966. doi:10.1164/rccm.200806-981OC
Kayamori F, Mandelbaum E. Effects of orofacial myofunctional therapy on the symptoms and physiological parameters of sleep breathing disorders in adults: A systematic review. Rev CEFAC [Internet]. 2017;19(6):868-878. doi:10.1590/1982-0216201719613317.
14 McKinney A. EndNote web: Web-based bibliographic management. J Electronic Resour Med Libr [Internet]. 2013;10(4):185-192. doi:10. 1080/15424065.2013.847693
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev [Internet]. 2016;5:210. doi:10.1186/s13643-016-0384-4
Centre for Evidence-Based Medicine. Centre for Evidence-Based Medicine [Internet]. Inglaterra: el Centro;2009. Oxford Centre for Evidence-based Medicine: Levels of evidence; [aprox. 4 pantallas]. Disponible en: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009
Diaféria G, Santos-Silva R, Truksinas E, Haddad FL, Santos R, Bommarito S, et al. Myofunctional therapy improves adherence to continuous positive airway pressure treatment. Sleep Breath [Internet]. 2017;21:387-395.doi:10.1007/s11325-016-1429-6
Suzuki M, Okamoto T, Akagi Y, Matsui K, Sekiguchi H, Satoya N, et al. Efficacy of oral myofunctional therapy in middle‐aged–to–elderly patients with obstructive sleep apnea treated with continuous positive airway pressure. J Oral Rehab [Internet]. 2021;48(2):176-182. doi.10.1111/joor.13119
Kronbauer KF, Trezza P, Gomes CF. Propostas fonoaudiológicas ao paciente roncador. Disturb Comun [Internet]. 2013;25(1):119-127. Disponible en: https://revistas.pucsp.br/index.php/dic/article/view/14930/11138
Baz H, Elshafey M, Elmorsy S, Abu-Samra M. The role of oral myofunctional therapy in managing patients with mild to moderate obstructive sleep apnea. Pan Arab J Rhinol [Internet]. 2012;2(1):17-22. Disponible en: https://pajr.researchcommons.org/cgi/viewcontent.cgi?article=1190&context=journal
Matsumura E, Barros G, Cruz A, Bartieri L, Carmello K, Nemr N. Perception of the bed partner and the individual suffering from SNORING/OSAS before and after speech therapy. Rev CEFAC [Internet]. 2014;16(3):907-916. doi:10.1590/1982-0216201425612
Mohamed A, Sharshar RS, Elkolaly RM, Serageldin SM. Upper airway muscle exercises outcome in patients with obstructive sleep apnea syndrome. Egypt J Chest Dis Tuberc [Internet]. 2017;66(1):121-125. doi:10.1016/j.ejcdt.2016.08.014
Neumannova K, Hobzova M, Sova M, Prasko J. Pulmonary rehabilitation and oropharyngeal exercises as an adjunct therapy in obstructive sleep apnea: a randomized controlled trial. Sleep Med [Internet]. 2018;52:92-97. doi:10.1016/j.sleep.2018.03.022
Guilleminault C, Huang YS, Quo S. Apraxia in children and adults with obstructive sleep apnea syndrome. Sleep [Internet]. 2019;42(12):168-177. doi:10.1093/sleep/zsz168
Chuang LC, Hwang YJ, Lian YC, Hervy-Auboiron M, Pirelli P, Huang YS, et al. Changes in craniofacial and airway morphology as well as quality of life after passive myofunctional therapy in children with obstructive sleep apnea: a comparative cohort study. Sleep Breath [Internet]. 2019;23:1359-1369. doi:10.1007/s11325-019-01929-w
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