Effects of body position on sleep related disordered breathing in a patient with Steinert's disease

Pradella, Márcia; Sunseri, Maria; Ferrière, G.

doi:10.1590/s0004-282x1993000400018

Cited by 1 publication

(1 citation statement)

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“…However, studies have demonstrated that all quality of life aspects ranging from physical to emotional health and social interaction are notably compromised by OSAS and that CPAP therapy improves aspects related to vitality, social interaction and mental health 20,21 .…”

Section: Discussionmentioning

confidence: 99%

Quality of life of patients with obstructive sleep apnea syndrome treated with an intraoral mandibular repositioner

Machado

Prado

Carvalho

et al. 2004

Arq. Neuro-Psiquiatr.

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-Background: Obstructive sleep apnea syndrome (OSAS) is a very important and prevalent disease, which is associated with a poor quality of life in many patients. Treatments for OSAS include surgery, Continuos Positive Air way Pressure, and an intraoral mandibular repositioner (IOMR), but the tendency of sleep centers is to emphasize the apnea index, neglecting quality of life as treatment outcome. Objective: To verify to what extent treatment with an IOMR improves the OSAS patient's quality of life. Method: Eleven male patients aged 34 to 63 years (mean=49) with mild to moderate OSAS were evaluated using the Calgary SAQLI questionnaire applied before and four weeks after treatment with an IOMR. The mandibular repositioners were manufactured individually for each patient with acrylic polymer and equipped with a retentive device to maintain the mandible in a forward position during sleep. Results: Excellent improvement in the quality of life was observed in five patients (45.5%) and excellent improvement in symptoms in 10 (90.9%). Conclusion: The systematic use of the IOMR indicates a clear improvement in the global quality of life as well as in the symptoms of patients with OSAS.KEY WORDS: obstructive sleep apnea syndrome, intraoral mandibular repositioner, and quality of life.Qualidade de vida em pacientes com síndrome de apnéia obstrutiva do sono tratados com reposicionador mandibular intra-oral RESUMO -Contexto. A síndrome da apnéia obstrutiva do sono (SAOS) é importante e prevalente doença associada à má qualidade de vida em muitos pacientes. Os tratamentos disponíveis incluem cirurgias, CPAP e o aparelho reposicionador mandibular intraoral (ARMIO). Muitos centros de distúrbios de sono valorizam apenas a redução do número de apnéias no tratamento da SAOS, dando pouca atenção à qualidade de vida como desfecho do tratamento. Objetivo: Graduar melhora da qualidade de vida dos pacientes com SAOS usando ARMIO. Método: O questionário Calgary SAQLI foi aplicado, antes e após, 4 semanas de tratamento com ARMIO, a 11 pacientes masculinos, entre 34 e 63 anos de idade (média de 49 anos), com SAOS leve a moderada. ARMIOs foram manufaturados com polímero acrílico e providos com retentivos para manter a mandíbula em posição anterior durante o sono. Resultados: Observamos grande melhora na qualidade de vida em 5 pacientes (45,5%) e melhora dos sintomas em 10 (90,9%). Conclusão: O uso do ARMIO associa-se principalmente à melhora dos sintomas, como também à melhora da qualidade de vida global.PALAVRAS-CHAVE: síndrome da apnéia obstrutiva do sono, aparelho reposicionador mandibular intra-oral, qualidade de vida.The quality of life of modern humans is dependent on socioeconomic, cultural and health factors. Disease, in addition to affecting the psychological and emotional state of the individual, compromises family income, causing damage to education, housing and social interaction 1,2 . Obstructive sleep apnea syndrome (OSAS) is characterized by complete or partial obstruction of the upper airways during sleep, mainly...

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Section: Discussionmentioning

confidence: 99%